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Pressure
Ulcer Path

Prevent and Treat
Step by Step

Welcome to the Pressure Ulcer (PU) Path - a step by step guide on how to prevent or treat pressure ulcers.

First consider your patient, their level of need and their care setting.

So, let's get started. Is the first step of caring for your patient:

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Reference documents
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Reference documents
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Reference documents
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Reference documents
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Reference documents
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Eliminating avoidable
grade 2, 3 and 4 pressure ulcers
is one of the ambitions of the NHS
in the Midlands and East of England.

The Path is designed for use on screen,
to provide access to everything you need.
If you require a printed version, please either
print all the elements you require from the
Documents screen
or request a pocket version from the communications team in your organisation.

start documents

visit stopthepressure.com for more information

Pressure Ulcer Path version 2. September 2012. © Copyright NHS Midlands and East. All rights reserved
No reproduction in whole or in part without written authorisation from NHS Midlands and East

Designed and developed by NHS Midlands and East and Norfolk and Suffolk NHS Foundation Trust (graphics & software)

We will attempt to update these files whenever necessary

Settings where you must Screen a patient

Setting Additional criteria
MIU and A&E For patients who have been in the unit for 4 or more hours
Complex outpatient appointment Where a patient is scheduled to be in unit for 4 or more hours
Prisons In reception
Maternity On admission, in labour with epidural and post complex delivery

Settings where you must Risk Assess a patient

Setting Additional criteria
MIU and A&E On decision to admit
In-patient beds (including community hospitals and mental health) On admission and then in accordance with local guidelines. This should be a minimum of weekly
Assessment units (e.g. EAU, MAU, SAU) Within 6 hours of decision to admit
Single episode of day care On admission
Sessional (repeat) day care (e.g. Dialysis) On first occasion and at each planned review
Equipment and wheelchair clinics On initial attendance and at each planned review
Patients own home/residential home On admission to clinical caseload and then at least monthly
Children with complex needs On full assessment/review
Neonatal On admission and then in accordance with local guidelines. This should be a minimum of weekly