S - SKIN INTEGRITY
Use electrical stimulation combined with standard wound care interventions to promote closure of category/stage III or IV pressure injuries, unless contraindicated in the cases of untreated, underlying osteomyelitis or infection. (Adapted from PU-PVA 2014, p.43; Level A)
Modify the treatment plan if the pressure injury shows no evidence of healing within 2 to 4 weeks. Review individual factors associated with non-healing of pressure injuries, such as the following:
- incontinence
- infection
- carcinoma
- abnormal wound healing
- nutrition
- medication
- support surfaces
- transfers
- noncompliance