Working together, pressure ulcer prevention IS possible! • It takes an entire team working around the clock to prevent pressure ulcers. • Good skin care is EVERY staff member’s responsibility. • Be a team player – know what you can do to help!

That i sn’t

is

my jo b!

Source: Centers for Medicare & Medicaid Services. Guidance to State Surveyors for Long Term Care Facilities. State Operations Manual, Appendix PP. 2009; F-314. All material presented or referenced herein is intended for general informational purposes and is not intended to provide or replace the independent judgment of a qualified healthcare provider treating a particular patient. Ohio KePRO disclaims any representation or warranty with respect to any treatments or course of treatment based upon information provided. Publication No. 922000-OH-1266-06/2010. This material was prepared by Ohio KePRO, the Medicare Quality Improvement Organization for Ohio, under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. The contents presented do not necessarily reflect CMS policy.

Working together, pressure ulcer prevention IS possible! • Gently apply moisturizer every day to keep your residents’ skin healthy and strong. • Remember that dry skin may be more susceptible to breakdown. • And remember – never rub or massage bony prominences!

Are y our re siden ts suff from ering dry sk in?

Source: European Pressure Ulcer Advisory Panel and National Pressure Ulcer Advisory Panel. Prevention and treatment of pressure ulcers: quick reference guide. Washington DC: National Pressure Ulcer Advisory Panel; 2009. All material presented or referenced herein is intended for general informational purposes and is not intended to provide or replace the independent judgment of a qualified healthcare provider treating a particular patient. Ohio KePRO disclaims any representation or warranty with respect to any treatments or course of treatment based upon information provided. Publication No. 922000-OH-1267-06/2010. This material was prepared by Ohio KePRO, the Medicare Quality Improvement Organization for Ohio, under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. The contents presented do not necessarily reflect CMS policy.

Working together, pressure ulcer prevention IS possible! • FALSE! Sitting can place added pressure on the sacrum, back, buttocks, heels and knees. • Help seated residents shift their weight at least once every 15 minutes and reposition at least every hour to prevent skin breakdown.

True o r False chair : Sittin preve g up nts pr in a essur e ulce rs.

• Residents in bed should be repositioned at least every 2 hours to reduce pressure. Sources: European Pressure Ulcer Advisory Panel and National Pressure Ulcer Advisory Panel. Prevention and treatment of pressure ulcers: quick reference guide. Washington DC: National Pressure Ulcer Advisory Panel; 2009; Centers for Medicare & Medicaid Services. Guidance to State Surveyors for Long Term Care Facilities. State Operations Manual, Appendix PP. 2009; F-314. All material presented or referenced herein is intended for general informational purposes and is not intended to provide or replace the independent judgment of a qualified healthcare provider treating a particular patient. Ohio KePRO disclaims any representation or warranty with respect to any treatments or course of treatment based upon information provided. Publication No. 922000-OH-1268-06/2010. This material was prepared by Ohio KePRO, the Medicare Quality Improvement Organization for Ohio, under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. The contents presented do not necessarily reflect CMS policy.

Working together, pressure ulcer prevention IS possible! Nutrition is an important part of any skin regimen. • Monitor and document your residents’ weight and food and fluid intake. • Offer small, frequent meals, as well as snacks and beverages when appropriate. • Serve meals, snacks and supplements at the proper temperature. • Allow plenty of time for residents to eat, and provide assistance when needed.

Eating a bal a can h elp a nced mea woun l d hea l.

Sources: European Pressure Ulcer Advisory Panel and National Pressure Ulcer Advisory Panel. Prevention and treatment of pressure ulcers: quick reference guide. Washington DC: National Pressure Ulcer Advisory Panel; 2009; Centers for Medicare & Medicaid Services. Guidance to State Surveyors for Long Term Care Facilities. State Operations Manual, Appendix PP. 2009; F-325. All material presented or referenced herein is intended for general informational purposes and is not intended to provide or replace the independent judgment of a qualified healthcare provider treating a particular patient. Ohio KePRO disclaims any representation or warranty with respect to any treatments or course of treatment based upon information provided. Publication No. 922000-OH-1269-06/2010. This material was prepared by Ohio KePRO, the Medicare Quality Improvement Organization for Ohio, under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. The contents presented do not necessarily reflect CMS policy.

Working together, pressure ulcer prevention IS possible! • Excess moisture can lead to skin breakdown, so dry your residents’ skin thoroughly after each bath or shower. Also, protect against perspiration and other excess moisture. • Provide incontinence care as soon as possible, when needed. • Dry skin thoroughly and remember to pat dry – don’t rub.

Keep your r eside clean and d nts ry.

Source: Centers for Medicare & Medicaid Services. Guidance to State Surveyors for Long Term Care Facilities. State Operations Manual, Appendix PP. 2009; F-314, F-315. All material presented or referenced herein is intended for general informational purposes and is not intended to provide or replace the independent judgment of a qualified healthcare provider treating a particular patient. Ohio KePRO disclaims any representation or warranty with respect to any treatments or course of treatment based upon information provided. Publication No. 922000-OH-1270-06/2010. This material was prepared by Ohio KePRO, the Medicare Quality Improvement Organization for Ohio, under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. The contents presented do not necessarily reflect CMS policy.

Working together, pressure ulcer prevention IS possible! • Regularly check around and beneath residents when they are in bed or in a chair. • Make sure they are not sitting on or against any personal items that could cause unwanted pressure on their skin, such as call lights, tissues, crumbs, remote controls or other loose objects.

Watc h whe re res ident are si s tting!

Sources: European Pressure Ulcer Advisory Panel and National Pressure Ulcer Advisory Panel. Prevention and treatment of pressure ulcers: quick reference guide. Washington DC: National Pressure Ulcer Advisory Panel; 2009; Centers for Medicare & Medicaid Services. Guidance to State Surveyors for Long Term Care Facilities. State Operations Manual, Appendix PP. 2009; F-314. All material presented or referenced herein is intended for general informational purposes and is not intended to provide or replace the independent judgment of a qualified healthcare provider treating a particular patient. Ohio KePRO disclaims any representation or warranty with respect to any treatments or course of treatment based upon information provided. Publication No. 922000-OH-1271-06/2010. This material was prepared by Ohio KePRO, the Medicare Quality Improvement Organization for Ohio, under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. The contents presented do not necessarily reflect CMS policy.

Working together, pressure ulcer prevention IS possible! • Always remember to check underneath medical devices when conducting skin inspections. • Skin damage from friction may occur from braces, splints or other medical devices.

Misse d a sp ot?

Sources: European Pressure Ulcer Advisory Panel and National Pressure Ulcer Advisory Panel. Prevention and treatment of pressure ulcers: quick reference guide. Washington DC: National Pressure Ulcer Advisory Panel; 2009; Centers for Medicare & Medicaid Services. Guidance to State Surveyors for Long Term Care Facilities. State Operations Manual, Appendix PP. 2009; F-314. All material presented or referenced herein is intended for general informational purposes and is not intended to provide or replace the independent judgment of a qualified healthcare provider treating a particular patient. Ohio KePRO disclaims any representation or warranty with respect to any treatments or course of treatment based upon information provided. Publication No. 922000-OH-1272-06/2010. This material was prepared by Ohio KePRO, the Medicare Quality Improvement Organization for Ohio, under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. The contents presented do not necessarily reflect CMS policy.

Working together, pressure ulcer prevention IS possible! • Skin is the body’s largest organ, weighing up to 8 pounds and covering more than 20 square feet. • It includes blood vessels, glands, and nerves that connect to other organs. • Your skin produces Vitamin D, and protects you against extreme temperatures, sunlight, chemicals and bacteria.

Skin i s you r bod y’s pr Take otect care or. of it!

Source: University of Maryland Medical Center. Dermatology: Anatomy of the Skin. Available at: http://www.umm.edu/ dermatology-info/anatomy.htm. Accessed May 7, 2010. All material presented or referenced herein is intended for general informational purposes and is not intended to provide or replace the independent judgment of a qualified healthcare provider treating a particular patient. Ohio KePRO disclaims any representation or warranty with respect to any treatments or course of treatment based upon information provided. Publication No. 922000-OH-1273-06/2010. This material was prepared by Ohio KePRO, the Medicare Quality Improvement Organization for Ohio, under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. The contents presented do not necessarily reflect CMS policy.