S - SKIN INTEGRITY






Consider replacing the recumbent support surface with one that provides better pressure redistribution, offloading capabilities, shear reduction, and microclimate control for individuals who:

  1. cannot be positioned off the pressure injury
  2. have pressure injuries on at least two turning surfaces
  3. fail to heal or demonstrate pressure injury deterioration despite appropriate comprehensive care
  4. have a high risk of developing additional pressure injuries
  5. bottom out on the existing support surface.
(PU-ONF 2013, p.166; Level C)
Assess the suitability of existing sitting support surfaces for treatment in an individual with a pressure injury. Evaluate the current sitting surface or cushion to determine if an alternative choice would better meet the individual’s needs during treatment of the pressure injury. (Adapted from PU-ONF 2013, p.167; Level C)