tissue viability good preventative practice helen harris tissue viability nurse specialist
TRANSCRIPT
![Page 1: Tissue Viability Good Preventative Practice Helen Harris Tissue Viability Nurse Specialist](https://reader036.vdocuments.net/reader036/viewer/2022062807/5697c01b1a28abf838ccf627/html5/thumbnails/1.jpg)
Tissue ViabilityGood Preventative
PracticeHelen Harris
Tissue Viability Nurse Specialist
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What is Tissue Viability?
• Management and advice for service users with complex wounds
• Management of advanced therapies• Support complex pressure ulcer prevention cases• Responsible for all TV strategy, policy and
procedure
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Service provision• Anyone with a complex need who is
registered with BANES or South Glos GP• 3 community hospitals• Care home support• Approx 437,000 population
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• Pressure ulcers• Incontinence dermatitis• General skin care
Tissue Viability - Prevention
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Pressure ulcer prevention
• Grade 3 and 4 threshold for safeguarding
• Multiple grade 2’s considered• Multiple patients in one setting
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Good Preventative care• Risk assessment
• Consider reliability• Use clinical judgement• Must be re-evaluated when condition changes• Must only be a aide memoir• Poor predictor in wheelchair users and maternity• The clinician who carries out and signs the risk assessment
is responsible for devising prevention strategies
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Care Planning• Care plan must be implemented for anyone
high risk to include– Outcome of risk assessment– The need for additional pressure relief at risk sites– Their mobility and ability to reposition– Co-morbidities– Patient preference
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Skin assessment
• All risk areas• Any areas of discomfort• Variations in heat / moisture / firmness
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Repositioning• Adults at risk should be encouraged to
reposition at least every 6 hours and high risk at least every 4 hours
• Assist those that can’t• Document the frequency of repositioning
required
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Equipment• Utilise high specification foam for those
patients in hospitals / nursing homes or assessed as high risk in the community
• Use heel protectors for those at risk• Utilise dynamic systems for those where
static systems are not sufficient
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Incontinence dermatitis• Severe cases predominantly avoidable in a
24 hours setting• Good continence management• Use of appropriate barrier creams
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General Tissue Viability • Good skin management• Use of appropriate moisturisers• Good documentation including evaluation of
any treatment or prevention plans• Appropriate and timely referral on taking into
consideration patient choice
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Summary• Personalised care planning taking into
account patient choice• Evaluation of any care plans in a timely
manner• Clear and accurate documentation
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Thank youAny questions?