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Pressure ulcers: prevention and management
National Institute for Health and Care Excellence
Be aware that all patients are potentially at risk of developing a pressure ulcer
Carry out and document an assessment of pressure ulcer risk for adults:
being admitted to secondary care or care homes in which NHS care is provided or
receiving NHS care in other settings (such as primary and community care and emergency departments) if they have a risk factor, for example:
significantly limited mobility (for example, people with a spinal cord injury)
significant loss of sensation
a previous or current pressure ulcer
the inability to reposition themselves
significant cognitive impairment
Consider using a validated scale to support clinical judgement (for example, the Braden scale, the Waterlow score or the Norton risk-assessment scale) when assessing pressure ulcer risk
Reassess pressure ulcer risk if there is a change in clinical status (for example, after surgery, on worsening of an underlying condition or with a change in mobility)
Management of asthma in adults over 65 years of age
Development group: Gruffydd-Jones, McArthur, Murphy, Russell & Wise.
This management algorithm was developed by a multidisciplinary expert panel: Gruffydd-Jones K et al with the support of a grant from Teva UK Limited.