Repositioning for pressure ulcer prevention in adults

Gillespie, Brigid M., Chaboyer, Wendy P., McInnis, Elizabeth, Kent, Bridie, Whitty, Jennifer A. and Thalib, Lukman (2014) Repositioning for pressure ulcer prevention in adults. Cochrane Database of Systematic Reviews, 4 . doi:10.1002/14651858.CD009958.pub2

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Author Gillespie, Brigid M.
Chaboyer, Wendy P.
McInnis, Elizabeth
Kent, Bridie
Whitty, Jennifer A.
Thalib, Lukman
Title Repositioning for pressure ulcer prevention in adults
Journal name Cochrane Database of Systematic Reviews   Check publisher's open access policy
ISSN 1469-493X
Publication date 2014-03
Year available 2012
Sub-type Critical review of research, literature review, critical commentary
DOI 10.1002/14651858.CD009958.pub2
Open Access Status File (Author Post-print)
Volume 4
Total pages 44
Place of publication Oxford, United Kingdom
Publisher John Wiley & Sons
Collection year 2015
Language eng
Formatted abstract
Pressure ulcers, also called pressure injury, pressure sores, decubitus ulcers and bed sores are caused by pressure, rubbing or friction at the weight-bearing bony points of the body (such as hips, heels and elbows). A pressure ulcer is characterised by an area of localised injury to the skin or underlying tissue over a bony prominence that results from pressure or shearing, or a combination of both. Pressure ulcers most commonly occur in the elderly, or those who are immobile, either when in bed or sitting. Repositioning (i.e. turning) is one strategy used alongside other preventative strategies to relieve pressure, and so prevent development of pressure ulcers. Repositioning involves moving the person into a different position to remove or redistribute pressure from a particular part of the body.

We identified three studies which recruited 502 people. Evidence to support the use of repositioning to prevent pressure ulcers is low in volume and quality and we still do not know if particular positions or frequencies of repositioning reduce pressure ulcer development. None of the trials reported on pain or quality of life. There is a need for further research to measure the effects of repositioning on pressure ulcer development and to find the best repositioning regimen in terms of frequency and position. It is important to emphasise that this lack of evidence showing that repositioning is effective or which repositioning regimen is the best does not mean that repositioning is ineffective.
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ
Additional Notes Article number CD009958. [Protocol] This record is updated from its original publication on 11 July 2012, DOI: 10.1002/14651858.CD009958

Document type: Journal Article
Sub-type: Critical review of research, literature review, critical commentary
Collections: Non HERDC
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Created: Wed, 09 Apr 2014, 16:02:59 EST by Jenny Whitty on behalf of School of Pharmacy