患者的整体评估将直接影响患者的定位频率和患者坐或躺的支撑面是否合适(Benbow, 2012)。这些变化对于减压至关重要，因此，更好地管理压力溃疡的发展，因为它们将被纳入一个重新定位时间表，卫生和社会护理专业人员将工作作为护理计划的一部分。定位的频率根据风险、患者的身体能力/状态以及接受定期重新定位的程度而变化;例如，一个坐在轮椅上的病人可能需要每15分钟重新定位一次，因为长时间坐在同一个位置上的压力。卧床的老年患者应根据风险评估(NICE, 2014)中确定的需要，每隔几个小时重新定位一次(NICE, 2014)。理疗师通常会建议重新定位，这将是安全的，也将允许压力释放。设备也可以支持压力去除。轮椅上的坐垫不仅提供舒适感，还可以减轻臀部和大腿部位的压力。然而，一些专家建议，空气、水或泡沫填充的支持设备比传统的坐垫更好。小枕头/泡沫垫也可以支持身体的各个部位，比如膝盖和脚踝之间的部位。这些也可以用于舒适和支持当铺设在不同角度的位置;例如，当病人侧躺时，他们的腿可能需要进一步的支持。躺椅/自动椅也可以设置在不同的位置，以支持压力去除。患者、亲属和辅助专业人员需要确保定期检查患者的皮肤，因为定期重新定位也会由于老年人皮肤变薄而造成皮肤损伤。
澳洲护理学论文代写:评估对患者的影响
The overall patient assessment will directly impact decisions on the frequency of positioning for the patient and the suitability of the support surface on which the patient is sitting or lying (Benbow, 2012). These changes are vital to pressure removal and hence, managing the development of the Pressure ulcer better because they will be included in a repositioning timetable that health and social care professionals will work to as part of the care plan. The frequency of positioning varies based on the risk, patient’s physical ability/state and also their acceptance to be regularly repositioned; for example, a patient in a wheelchair may need to be repositioned every 15 minutes due to the pressure of sitting in the same position for long periods of time. Elderly patients who are bedridden should be repositioned every couple of hours, depending on the need determined in the risk assessment (NICE, 2014). A physiotherapist can often advise on repositioning that will be safe and that will also allow pressure release. Equipment can also support pressure removal. Cushions on wheelchairs not only provide comfort but they can also lessen the pressure on the hip and upper leg area of the body. However, some specialists advise that air, water or foam filled support devices are better than traditional cushions (Benbow, 2012). Small pillows/foam pads can also support areas of the body from touching each other, such as between the knees or ankles. These can also be used for comfort and support when laying in different angled positions; for example, when a patient is lying on their side, their legs may need further support (Benbow, 2012). Reclining chairs/automated chairs can also be set at different positions to support pressure removal. Patients, relatives and supporting professionals need to ensure that the skin of the patient is regularly checked, as repositioning regularly can also cause skin damage due to the skin of an elderly individual being thinner.
