Perioperative Nutritional Optimization to Prevent Pressure Injuries

Friday, March 26, 2021 1:38:44 PM America/New_York

More than 50% of older surgical patients are thought to have malnutrition that is associated with increased postoperative complications, prolonged length of hospitalization and increased health care cost.

The surgical patient is at a nutrition and fluid disadvantage right off the bat due to the “Nothing by Mouth” order.  The patients are getting ready to “run” the big surgical race with a fuel tank on empty! The tank needs to be filled during the preoperative, optimization time by implementing a nutritional plan that is right for the individual patient.

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Pressure Injuries in the Neonatal Population

Thursday, March 18, 2021 1:17:58 PM America/New_York

Typically, when we think of skin injury prevention in the acute care setting, we think of that immobile, post trauma, geriatric or surgical patient.  There is a plethora of literature and research around the subject yet each year, more than 2.5 million people in the United States develop pressure injuries.  That 2.5 million people represent many different populations from geriatric to neonate. Risk identification and the implementation of pressure injury prevention interventions are well known in the adult population but what about the neonate? When it comes to pressure injuries, we rarely think of the neonatal population.

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Safe Lateral Positioning for Improved Team and Patient Outcomes.

Wednesday, February 17, 2021 1:34:42 PM America/New_York

The lateral surgical position is one of the most labor-intensive surgical positions that depends on brute force and team strength.  The lateral position is not only physically taxing on the staff, but also can be as hard on the patient; therefore, it is important to have an experienced clinical team member leading the way.  The surgeries that rely on the lateral surgical position vary by specialty and include lateral hip, thoracotomy, spine surgery, or kidney surgery. Many times, the lateral position is preferred over prone when possible for obese patients because the bulk of the patients panniculus can be displaced off the abdomen.  To help improve patient outcomes, this blog will discuss the risk and interventions that are involved with placing a patient in the lateral position.

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Get Ready for World-Wide Pressure Injury Prevention Day 2020!

Wednesday, November 18, 2020 9:07:33 AM America/New_York

As we partner with colleagues across the nation in preparation for NPIAP’s World Wide Pressure Injury Prevention day on November 19th, we are presented with an opportunity to reflect and evaluate the changes we have made to improve our patients’ pressure injury outcomes.  The hard work that has been done and the great outcomes that have been achieved, are triumphs that deserve to be celebrated and shared.  Whereas, the poor outcomes need to be evaluated and opportunities identified to implement evidence-based changes for improvement.

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Protect the Heels with Evidence Based Interventions

Monday, November 2, 2020 12:30:06 PM America/New_York

The supine position is the most common surgical position with the patient lying on their back with the head, neck and spine in a neutral position.   This position is not without pressure injury risk as there is increased pressure and shear forces to the scapula, occiput, elbows, sacrum, coccyx, and heels. Today we are going to look at ways to mitigate the risk for pressure injuries (PI) to the heel, related to the supine position. When a patient lies supine, all the pressure of their lower legs and feet rest on the heel.  Heel PI represents approximately one third of pressure injuries acquired, and can result in increased morbidity and mortality. In some cases, heel pressure injuries can lead to amputation of the affected limb.

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