The development of a pressure ulcer is a serious event for hospitals and can be costly. In 2008, the Centers for Medicare and Medicaid (CMS) changed reimbursement practices in a way that no longer reimburses facilities for the management of pressure ulcers that develop during a patient’s hospital admission. Pressure ulcer development is multi-factorial with unrelieved pressure being a primary factor. Prolonged pressure can occur from immobilization in a bed, stretcher, or chair/wheelchair. While the culture in healthcare facilities is slowly changing to promote mobilization of patients, patients admitted to hospitals have been found to spend the majority of their day in bed. Pressure redistribution surfaces have become a standard of care for hospital beds, but not for other surfaces. Clinicians need to have an understanding of the pressure redistribution properties of the surfaces that patients are getting out of bed to in order to prevent pressure ulcers.
Discuss proper positioning of a patient in the chair position
Apply current research recommendations for patient repositioning while up to chair, interpreting risk factors and methods to alleviate the risk factors for skin breakdown and pressure ulcers