Waterlow j. pressure ulcer prevention manual. 2005

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The aim of this review was to examine health literature on the reliability and validity of the Waterlow pressure sore assessment scale. A systematic review of published studies relating to the topic was conducted and literature was examined for its relevancy to the topic under investigation.
The National Institute for Health and Care Excellence (NICE) recommends the use of a validated assessment framework for pressure ulcer prevention, assessment and management [ 7 ]. This guidance identifies ameliorative care pathways for skin care, mechanical loading and equipment resource provision.
Ideal pressure ulcers prevention is possible, when we accurately select a few high-risk pressure ulcers occurrences among the total patient group by using qualified pressure ulcer risk scales. It also can be solved when we conduct education for patient/guardian and nursing management with concentrated prevention activity, thereby maximizing the
The Waterlow Pressure Ulcer Risk Assessment Tool (‘Waterlow’) [9] was developed in 1985, for use in medical and surgical settings and is thought to be the most commonly used pressure ulcer risk assessment tool in the UK [10]. Pressure ulcer prevention manual. Taunton: J Waterlow; H. Guy Pressure ulcer risk assessment. Nurs Times (2012
Box 3: International pressure ulcer classification system 1 Grade 1: Non-blanchable erythema of intact skin. Discolouration of the skin, warmth, oedema, induration, or hardness can also be used as indicators, particularly on individuals with darker skin Grade 2: Partial thickness skin loss affecting epidermis, dermis, or both.

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