Under Pressure: Prevention and Management of Pressure Injuries

Course overview

Pressure injuries (PIs) are localized damage to the skin or underlying soft tissue caused by pressure or pressure combined with shear that is intense, prolonged, or both. Damage to the epithelial or subcutaneous tissues, including muscle and fat, may result in an intact or open wound. They often occur when an internal, stiff anatomical structure (such as a bone) contacts a stiff external support surface (such as a mattress) for extended periods. These injuries are a significant global health issue, causing pain, reduced quality of life, and substantial financial burdens. While patients of all ages can be affected, the geriatric population and those residing in long-term care facilities are most likely affected. Effective prevention and treatment of PIs require a coordinated approach involving multiple healthcare team members and an in-depth understanding of PIs, risk identification, staging, management, and monitoring. Collaborative care approaches support shared decision-making, enabling team members to combine their expertise in wound care, nutrition, mobility, and patient education to tailor care plans.