Make sure bed sheets are tightly tucked in and not crumpled. YourĬhild can be positioned on their left side, back and right side while in bed. If your child is spending extended periods of time in bed, encourage them to change their position regularly – every two hours during the day and four-hourly overnight. If they require your assistance to change position in bed, be careful not to drag their skin when moving.Encourage your child to change their position at least every two hours if sitting for long periods.As you cannot look under plaster, monitor your child if they have any increased pain or discomfort under the cast.Watch for areas that are constantly moist, such as the groin and buttocks, especially if your child is incontinent or not toilet trained.Closely inspect high-risk areas such as bony areas (heels, ears, buttocks, hips, elbows etc) and skin under and around casts, splints, braces or medical equipment.Look for blisters, bruising, cracks, scrapes, changes in skin colour (redness or darkening), or dry skin.Check your child's skin regularly, in the morning and at night.Careful attention to the condition of your child's skin, prompt attention at any sign of damage, and maintaining a healthy diet is important for yourĬhild. The more active your child is, the lower their risk of a pressure injury. They can be painful and add to a child's existing health problems. Pressure injuries can be serious and may take months to heal. If your child has an existing pressure injury that requires dressings, a nurse specialising in woundĭressings (nurse practitioner or stomal therapist) may also be asked to assess your child. Nursing staff may refer your child to other members of the healthcare team to contribute to their management plan, such as an occupational therapist, a physiotherapist or a dietitian. using pressure-relieving products (e.g.helping your child to change their position every two to four hours during the day and night (it is always best if your child can do this themselves, but staff will assist if needed).increasing nutritional and fluid intake (this may be via a tube if your child is unable to eat or drink).frequent inspection of at-risk areas of skin.using special slide sheets to move your child in bed.applying a dressing to bony or reddened areas.This plan may include the following strategies: If your child is at risk of developing a pressure injury, staff will discuss a management plan with you. While in hospital, nursing staff will assess and monitor your child for pressure injuries on a daily basis. lying on crumpled sheets or wearing clothing with thick seamsĬhildren with poor nutritional or fluid intake, a weakened immune system or those who are extremely unwell are at increased risk of developing pressure injuries.pressure or friction to one area of the body. sitting in wet clothing, a wet bed or a wet nappy for long periods.reduced activity – sitting or lying in the one place for too long.tubes, masks, drains etc).Ī number of factors may lead to your child developing a pressure injury, including: under plasters, casts, splints or braces.
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