Self-turning for pressure injury prevention
Gammon HM, Shelton CB, Siegert C, Dawson C, Sexton E, Burmeister C, Gnam G, and Siddiqui A. Self-turning for pressure injury prevention. Wound Medicine 2016; 12:15-18.
The study objective was to determine if hospitalized patients who are designated as self-turn would reposition themselves appropriately in the acute care setting. This was a prospective case series in a general practice unit of an 800-bed urban tertiary care hospital. Patients were instructed on the importance of mobility for pressure ulcer prevention and subsequently monitored on a continuous bedside pressure mapping device. Primary outcomes included intervals of inactivity and pressure ulcer incidence. During the 3-month study interval, only 2 patients had a documented 4-h interval without measurable repositioning. None of the 101 consecutive patients enrolled in the study developed pressure ulcers. General practice unit patients that are given proper instruction and designated as self-turn can reliably be considered low-risk for hospital acquired pressure ulcers. Based on our prospective study, patients designated as self-turn do reposition themselves.