From: The role of patients in pressure injury prevention: a survey of acute care patients
Strategies for patient participation in PIP | Enablers | Barriers |
---|---|---|
(Illustrated by participant quotes) | (Illustrated by participant quotes) | |
Manage pain and discomfort | Nurses to check pain and comfort levels- we can’t move if uncomfortable | Patient factors |
Constant pain, stiffness, numbness – pain, the psychological barrier | ||
Confidence to move | Have not moved much because I’m in pain | |
Don’t have strength to change and shift position | ||
Trying to get comfortable is hard because of my surgery | ||
Fairly helpless because can only use one arm | ||
Rheumatoid arthritis | ||
Risk of dislocation | ||
Sleeping on side is difficult | ||
Lack of confidence to move (due to illness, pain, injury, surgery) | ||
Equipment factors | ||
Hard, hot and sticky mattress; sinking in the middle therefore I need assistance to move; terrible pillows; mattress too small | ||
Afraid the monkey bar will break. | ||
Treatment factors | ||
Heavy splinting, bandaging, infusion pumps, IDCs, drains, monitors, attached to vac machine; negative pressure wound therapy | ||
All the buttons, wires and call buttons | ||
Knees are heavily bandaged in the straight position | ||
Painful cannula | ||
Work together | Co-operation between patient and nurse | Waiting for staff |
Staff assistance to moisturise legs as unable to reach them | Reluctant to ask for help | |
Work with nurses when time to be turned | Staff are too busy | |
Call for assistance | ||
Tell nurses when signs of PI appear | ||
Regular checking and reminding by staff of things that should be done (eg reminders to move) | ||
Motivate self | ||
Ongoing PI education | Verbal and written information during preadmission and hospital admission | Information too early in the patient journey |
Read all the information |