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European Pressure Ulcer Advisory Panel (EPUAP) and National Pressure Ulcer Advisory Panel (NPUAP)1
1.1 Repositioning should be undertaken to reduce the duration and magnitude of pressure over vulnerable areas of the body.
1.2 The use of repositioning as a prevention strategy must take into consideration the condition of the patient and the support surface in use.
3.2 Avoid subjecting the skin to pressure and shear forces.
3.6 Repositioning should be undertaken using the 30-degree tilted side-lying position (alternately, right side, back, left side)...
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Wound Ostomy and Continence nurses Society (WOCN)2
III. Interventions: Prevention
A. Reducing Risk of Developing Pressure Ulcers
- Minimize friction and shear.
- Use 30-degree side lying position (alternating from the right side, the back and left side) to prevent pressure, sliding and shear-related injury.
- Minimize Pressure.
- Schedule regular repositioning and turning for bed and chair bound individuals.
B. Managing Incontinence
- Select underpads...that are absorbent to wick incontinence
moisture away from the skin.
I. Education
- Educate patients, caregivers, and health care providers involved in the continuum of care about prevention, treatment and factors contributing to recurrence of pressure ulcers. Areas to be addressed should include: ... positioning and use of support surfaces.
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Hartford Institute for Geriatric Nursing (HIGN)3
- Use a 30-degree lateral side lying position; do not place client directly on their trochanter.
- Protect high-risk areas such as elbows, heels, sacrum, back of head from friction injury.
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Registered Nurses Association of Ontario (RNAO)4
For individuals restricted to bed:
- Reposition at least every 2 hours or sooner if at high risk.
- A 30-degree turn to either side is recommended to avoid positioning directly on the trochanter.
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