Good Preventative Practice Helen Harris Tissue Viability Nurse Specialist What is Tissue Viability Management and advice for service users with complex wounds Management of advanced therapies ID: 438321
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Tissue ViabilityGood Preventative Practice
Helen Harris
Tissue Viability Nurse SpecialistSlide2
What is Tissue Viability?Management and advice for service users with complex woundsManagement of advanced therapies
Support complex pressure ulcer prevention cases
Responsible for all TV strategy, policy and procedureSlide3
Service provisionAnyone with a complex need who is registered with BANES or South Glos
GP
3 community hospitals
Care home support
Approx
437,000 populationSlide4
Pressure ulcersIncontinence dermatitis
General skin care
Tissue Viability - PreventionSlide5
Pressure ulcer preventionGrade 3 and 4 threshold for
safeguarding
Multiple grade 2’s
considered
Multiple patients in one settingSlide6
Good Preventative careRisk assessmentConsider reliabilityUse 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 strategiesSlide7
Care PlanningCare 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 preferenceSlide8
Skin assessmentAll risk
areas
Any areas of
discomfort
Variations in heat / moisture / firmnessSlide9
RepositioningAdults 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 requiredSlide10
EquipmentUtilise 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 sufficientSlide11
Incontinence dermatitisSevere cases predominantly avoidable in a 24 hours setting
Good continence
management
Use of appropriate barrier creamsSlide12
General Tissue Viability Good skin managementUse of appropriate moisturisers
Good documentation including evaluation of any treatment or prevention plans
Appropriate and timely referral on taking into consideration patient choiceSlide13
SummaryPersonalised care planning taking into account patient choiceEvaluation of any care plans in a timely manner
Clear and accurate documentation Slide14
Thank youAny questions?