BEST PRACTICES

Pressure Injury Prevention in Long-Term Care Facilities

HW

Heritage Wound Care Team

Best Practices

July 18, 2025
8 min read
Doctor conducts medical examination

Pressure injuries remain one of the most preventable complications in long-term care settings. Through evidence-based protocols, proper staff training, and consistent implementation of prevention strategies, facilities can dramatically reduce pressure injury rates while improving resident comfort and quality of life.

Key Prevention Strategies

  • Comprehensive risk assessment protocols
  • Evidence-based repositioning schedules
  • Appropriate support surface selection
  • Nutritional optimization for skin health

Understanding Pressure Injuries

Pressure injuries, formerly known as pressure ulcers or bedsores, develop when sustained pressure on the skin restricts blood flow to the tissue. This reduced circulation causes tissue damage that can range from superficial skin redness to deep wounds extending to muscle and bone.

In long-term care facilities, residents face multiple risk factors including limited mobility, poor nutrition, incontinence, and chronic health conditions. A comprehensive prevention program must address all these factors systematically.

Risk Assessment and Screening

Effective prevention begins with identifying at-risk residents. Use validated assessment tools such as the Braden Scale to evaluate risk factors including:

  • Sensory perception and ability to respond to pressure-related discomfort
  • Skin moisture levels and incontinence management
  • Physical activity and mobility limitations
  • Nutritional status and protein intake
  • Friction and shear during transfers

Evidence-Based Prevention Protocols

Repositioning Schedule

Turn immobile residents every 2 hours, using proper technique to minimize shear and friction.

Support Surfaces

Select appropriate mattresses and cushions based on individual risk assessment.

Nutritional Support

Ensure adequate protein, calories, and hydration for skin integrity and healing.

Skin Care

Maintain clean, dry skin with appropriate moisture barrier products.

Staff Education and Compliance

Even the best protocols fail without proper staff training and consistent implementation. Heritage Wound Care offers complimentary educational programs tailored to your facility's needs, covering:

  • Pressure injury staging and documentation
  • Proper repositioning techniques
  • Risk assessment and prevention planning
  • Early identification and intervention

"Pressure injury prevention requires a facility-wide commitment. When everyone from nursing assistants to administrators understands the protocols and their importance, prevention rates improve dramatically."

Heritage Wound Care Clinical Education Team

Monitoring and Quality Improvement

Establish systems to track pressure injury incidence, analyze root causes when injuries occur, and implement continuous quality improvement initiatives. Regular audits of prevention protocols and staff competency assessments ensure sustained success in pressure injury prevention.

Elevate Your Prevention Program

Learn how Heritage Wound Care can support your pressure injury prevention efforts with expert training and clinical support.

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Pressure InjuriesPreventionBest PracticesLong-Term Care