How is the healing of pressure injuries (pressure ulcers) monitored?

Updated: Mar 26, 2020
  • Author: Christian N Kirman, MD; Chief Editor: John Geibel, MD, MSc, DSc, AGAF  more...
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Answer

Concise documented measurement of the wound healing process contributes to efficient management. The most common method of monitoring the healing of pressure injuries utilizes photography and diagrams. [62] Another method is to measure the volume (volumetrics) and the dimensions of the pressure injury wound (eg, by using a measured amount of saline to infer the volume of the wound). Sophisticated radiographic techniques are available for this purpose as well, but they are too expensive for routine use.

Once healing is complete, long periods of uninterrupted pressure must be avoided. Patients must be repositioned frequently, either by their own efforts or with help from their support group. Seated patients with upper-extremity function should lift themselves from their wheelchair for at least 10 seconds every 10-15 minutes. Patients in bed should be repositioned at least every 2 hours.


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