FOCUS GOAL(S) TIMELINES INTERVENTIONS ACCOUNTABILITY Resident’s skin Perform skin care as per facility policy. PSW/HCA Skin Integrity integrity will be Resident‘s skin integrity is at maintained under Perform skin ______ x day, during PSW/HCA risk due to: splints and braces. bathing and dressing activities, toileting Immobility and/or during _____activities. Weakness/numbness of Resident will reduce affected side PURS score from Observe for redness, blisters, discharge or PSW/HCA Braces/splints ___ to ___. skin breakdown, feel the skin for moisture, Incontinence heat, swelling, and induration, smell the skin related to stroke. for foul or unusual odor (pay special attention to skin under braces and splints). , Section 3.5 Taking Action for Optimal Community and Long Ensure all braces/splints are clean, dry and PSW/HCA/Registered Term Stroke Care, A Resource odor-free. Staff for Healthcare Providers (2015) Report concerns or signs of skin irritation to PSW/HCA registered staff. Reposition resident every two hours or per PSW/HCA facility policy if resident is unable to reposition themselves in bed. Reposition resident every hour or per facility PSW/HCA policy for those who are unable to shift their weight while in sitting position. Remind resident to shift weight at least every PSW/HCA 15 minutes when they are sitting. Use re-positioning, positioning and pressure PSW/HCA redistribution devices as instructed to maintain resident’s proper body alignment and reduce pressure on bony prominences.
FOCUS GOAL(S) TIMELINES INTERVENTIONS ACCOUNTABILITY Skin Integrity Resident‘s skin integrity is at risk due to: Immobility Weakness/numbness of affected side Braces/splints Incontinence related to stroke. , Section 3.5 Taking Action for Optimal Community and Long Term Stroke Care, A Resource for Healthcare Providers (2015) Resident’s skin integrity will be maintained under splints and braces. Resident will reduce PURS score from ___ to ___. Perform skin care as per facility policy. Perform skin ______ x day, during bathing and dressing activities, toileting and/or during _____activities. Observe for redness, blisters, discharge or skin breakdown, feel the skin for moisture, heat, swelling, and induration, smell the skin for foul or unusual odor (pay special attention to skin under braces and splints). Ensure all braces/splints are clean, dry and odor-free. Report concerns or signs of skin irritation to registered staff. Reposition resident every two hours or per facility policy if resident is unable to reposition themselves in bed. Reposition resident every hour or per facility policy for those who are unable to shift their weight while in sitting position. Remind resident to shift weight at least every 15 minutes when they are sitting. Use re-positioning, positioning and pressure redistribution devices as instructed to maintain resident’s proper body alignment and reduce pressure on bony prominences. PSW/HCA PSW/HCA PSW/HCA PSW/HCA/Registered Staff PSW/HCA PSW/HCA PSW/HCA PSW/HCA PSW/HCA
Skin-Care-Hygiene-Final-June-2016.docx