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Module 2: When Pressure Persists: Prevention of Pressure Ulcers for Those at Risk

Module 2 addresses:

  1. What pressure ulcers are and what happens to tissues when ulcers develop;
  2. The causes of skin injury, including pressure, friction/shear, moisture, and
    suspected deep tissue injury (DTI);
  3. Specific risk factors for pressure ulcers;
  4. The specific contributions of various team members in prevention of pressure
  5. Specific preventive measures such as how to care for and inspect the skin,
    reduce pressure in bed and wheelchair, and maintain nutrition;
  6. Staging of pressure wounds including unstageable wounds and suspected DTI;
  7. Issues related to defining unavoidable pressure ulcers.

When Pressure Persists: Prevention of Pressure Ulcers for Those at Risk

Written by:

Barbara Levine, PhD, CRNP
Gerontological Nurse Consultant

Reviewed and revised in Summer 2011 by:

Ingrid Sidorov, MSN, RN
Gerontological Nursing Consultant

Pressure ulcers are a serious and costly condition. The cost of treatment is about $2000-$40,000 per pressure ulcer depending on the stage of development. (1)Additional costs of hospitalization, survey penalties, potential litigation, pain and suffering, and marred public image are inestimable! Prevention of pressure ulcers is a clinical imperative. Nurses and CNAs provide the first line of defense in pressure ulcer prevention. This module is intended to assist you, the staff development educator and instructor, in assuring the knowledge and skill of direct care staff to meet these responsibilities.

The teaching materials for this module include a PowerPoint presentation that contains notes for the speaker. These notes provide additional information so that the speaker can ellaborate on each concept presented within the PowerPoint.

If you would like to create handouts from the PowerPoint file for your attendees and do not know how, please visit the following link:

How to Create Handouts for Attendees from PowerPoint

If you would like to create a printout of the slides that also contains the notes for the instructor, please visit the following link:

How to Create Notes Pages for Presenters in PowerPoint

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Teaching Materials

Generic module files:

How to Use This Module

Logistics Checklist

Module-specific files:

Module 2: Pressure Ulcers - Introduction

Module 2: Pressure Ulcers - Key Concepts

Module 2: Pressure Ulcers - Learning Objectives

Module 2: Pressure Ulcers - Instructor's PowerPoint Slides with Speaker's Notes

Module 2: Pressure Ulcers - Pre-Test and Answer Key

Module 2: Pressure Ulcers - Post-Test and Answer Key

Module 2: Pressure Ulcers - Participant Evaluation

Module 2: Pressure Ulcers - References List


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