“We are the 1st private health institution to have a Specialized Wound Unit, made up of highly trained professionals to care for: pressure ulcers, diabetic foot, venous, varicose; ostomies and wounds that are difficult to heal ”, says Ana Cabello, head of UNEH, Director of Nursing of our clinic and President of the Society of Latin American Wound Nurses (SELH) who, within the framework of World Pressure Ulcer Day, provides us with valuable information:

What are the main causes of this type of skin lesion?

Pressure and friction, in addition to immobility, malnutrition, altered consciousness, incontinence, and advanced age. Older adults or patients in bed, immobilized in a wheelchair, or those who have altered sensitivity and do not perceive ischemic pain, are the most likely to present this type of injury and eventual infections that can put their health at risk and, even his life.

What are the highest risk areas and how can we prevent pressure injuries?

The bones of the hips, heels and lower back, at the level of the sacrum. Prevention is based on skin care, constant posture changes and the use of special surfaces.

Recommendations if the patient is in bed:

• Change position every 2 hours or whenever necessary
• Placing pillows and foam wedges under or between the legs
• Do not use float-shaped cushions
• Prevent the patient’s skin from rubbing the sheet when trying to pull it up
• Patients should not be supported on their hip when they are on their side

Recommendations if the patient is sitting:

• Change position every 15 minutes. If the patient can’t move on his own, at least every hour
• Keep the back as straight as possible
• Place cushions in the support areas, made with air cells to distribute the pressure, preventing it from concentrating in a single area
• Maintain a diet rich in protein, vitamins and drink plenty of fluids. If you cannot have a proper diet, nutritional supplements can be added

Ana Cabello, head of UNEH
Director of Nursing of our clinic and
President of the Society of Latin American Wound Nurses (SELH)