Worldwide Injury Prevention Day Declared

Published in Wound Care on November 05, 2019

Thursday, November 21 has been declared Worldwide Pressure Injury Prevention Day by the National Pressure Ulcer Advisory Panel (NPUAP). Healthcare professionals from around the world are raising awareness of the pressure injuries that are caused by medical devices.

An interdisciplinary team of nurses, respiratory staff, and physicians who have witnessed the rise in the incidence of medical device related pressure injuries have been taking the lead in preventing Medical Device Related Pressure Injuries (MDRPIs) by understanding risk factors, tailoring prevention to the device type, educating staff about the correct use of devices, and assessing skin breakdown early on.

In addition to the NPUAP, the joint commission points out that nearly all hospital patients require at least one medical device for care and treatment, putting them at risk for skin injury. One large, pediatric hospital found in 2012 that there was an increase in the incidence of PAP-related pressure injuries. With non-invasive ventilation (NIV) as a common first-line therapy for many pediatric respiratory conditions, PAP therapy is also used. It was noted at the time that mask discomfort and skin breakdown were the most common causes for NIV failure.

Bi-PAP-related pressure injuries can occur on areas where the mask contacts the skin on the face, including the nasal bridge, cheeks, chin, above the ears, and forehead. In addition to the pediatric population, other studies have identified that the most common devices associated with MDRPIs include continuous positive airway pressure devices.

Some risk factors identified include:

  1. Tight device securement resulting in poor circulation, friction, or shearing
  2. Moisture under the device
  3. Lack of awareness by the patient, care giver, or family to be on the alert for skin changes assessments and early prevention

Because MDRPIs form faster than non-MDRPIs, being proactive is crucial. Patient education cannot be stressed enough. It is also crucial that the interface chosen for the PAP user is skin friendly as well as providing the appropriate PAP therapy.

There is more emphasis on the skin from all levels of healthcare professionals due to the high cost of wound care and healing. Some estimates are that wound care costs between $5000.00 per patient and can go as high as $70.000.00 per patient. It is recommended that skin-friendly options are seriously considered.

In addition, the two other important factors that will help prevent skin related injuries are:

  1. The correct size of the mask interface MUST be chosen, as the success of PAP therapy dependent on the patient’s ability to tolerate the mask interface.
  2. Patient education on mask fitting and skin assessments is crucial.

One product line to consider is the SleepWeaver® skin-friendly line of all-cloth masks. Understanding the ease and comfort of cloth as well as the mask interface’s ability to provide compliance to PAP therapy, leave no marks on the skin, wick away moisture, and its durability, it seems to provide both comfort and compliance.

comments powered by Disqus

From Our Experts

New Educational Courses From VGM Wound Care thumbnail New Educational Courses From VGM Wound Care Skin health affects every single customer of an HME provider. VGM Wound Care has the tools and solutions for the HME industry to thrive in the wound care market, including three new educational resources that have just been released. These “Wound Care 101” courses cover the basics of wound care pertaining to skin and the healing process, surgical dressings and debridement, and therapeutic support surfaces. Blast Away BioFilm with BlastX thumbnail Blast Away BioFilm with BlastX What is biofilm? Wound care clinicians know this term very well because it's a road block to wound healing. I recently learned about a new product and wanted to share. It's a product that will deconstruct and destroy biofilm and defend the wound from recolonization. Episode 42: The Four Pillars of Wound Care thumbnail Episode 42: The Four Pillars of Wound Care Host Brian Thompson discusses the four pillars of a great wound care program with Amanda Yavorsky of McKesson Medical/Surgical. A lot of providers believe that it's tough to turn a profit in wound care, but Amanda is here to tell you that this isn't necessarily the case if you know where to start. Help us blow up Heather Trumm's email! If you'd like more information about starting your own wound care program, contact [email protected] Member Q&A: Maximizing Profitability for Your Business thumbnail Member Q&A: Maximizing Profitability for Your Business Below are a series of questions that focus on generating revenue within different areas of your business. Q&A: Wound Care Supplies NOT Covered by Medicare thumbnail Q&A: Wound Care Supplies NOT Covered by Medicare Hello, fellow HME wound care members! Being in the wound care space, we have so many rules and regulations ... Wound Care HME Providers: What to Look for When Choosing a Vendor Partner thumbnail Wound Care HME Providers: What to Look for When Choosing a Vendor Partner By Heather Trumm, Director of VGM Wound Care As wound care HME providers, there are several important asp... Episode 27: Wound Care and Ostomy...More Than Skin Deep thumbnail Episode 27: Wound Care and Ostomy...More Than Skin Deep VGM recently launched a brand new wound care offering for members, VGM Wound Care. Categories of wound care covered in the program include dressings, therapeutic support surfaces, negative pressure wound therapy (NPWT), ostomy, compression and nutrition. Compression – Don't Let It Scare You thumbnail Compression – Don't Let It Scare You By Heather Trumm, Director of VGM Wound Ca...