Pressure Ulcers Top 10

  1. How effective is repositioning in the prevention of pressure ulcers?
  2. How effective at preventing pressure ulcers is involving patients, family and lay carers in patient care? 
  3. Does the education of health and social care staff on prevention lead to a reduction in the incidence of pressure ulcers and, if so, which are the most effective education programmes (at organisational and health/social care level)?
  4. What is the relative effectiveness of the different types of pressure relieving beds, mattresses, overlays, heel protectors and cushions (including cushions for electric and self-propelling wheelchairs) in preventing pressure ulcers?
  5. What impact do different service models have on the incidence of pressure ulcers including staffing levels, continuity of care [an on-going relationship with same staff members] and the current organisation of nursing care in hospitals?  
  6. What are the best service models (and are they sufficiently accessible) to ensure that patients with pressure ulcers receive the best treatment outcomes (including whether getting people with pressure ulcers and their carers more involved in their own pressure ulcer management improves ulcer healing and if so, the most effective models of engagement)?
  7. For wheelchair users sitting on a pressure ulcer, how effective is bed rest in promoting pressure ulcer healing?
  8. How effective are wound dressings in the promotion of pressure ulcer healing?
  9. Does regular turning of patients in bed promote healing of pressure ulcers?
  10. Does improving diet (eating) and hydration (drinking) promote pressure ulcer healing?
  11. How effective are surgical operations to close pressure ulcers?
  12. How effective are topical skin care products and skin care regimes at preventing pressure ulcers? 

The remaining questions discussed at the workshop were (in no order of priority):

  • Does improved diet (eating) and hydration (drinking) promote the prevention of pressure ulcers?
  • How effective are dressings and zero-friction fabric products in preventing pressure ulcers?
  • For people with limited mobility, does exercise coaching help in the prevention of pressure ulcers (e.g. community physiotherapy interventions)?
  • Is using a pressure ulcer risk rating scale/tool better than clinical judgement in preventing pressure ulcers and is there a best scale?
  • How effective are incontinence devices in the prevention of pressure ulcers?
  • Does (surgical and non-surgical) debridement promote healing in patients with pressure ulcers, and if so, what is the most effective debridement strategy?
  • Does getting people with pressure ulcers and their carers more involved in their own pressure ulcer management improve ulcer healing, and if so, what are the most effective models of engagement?
  • For people with pressure ulcers, which analgesics (pain relief) are effective and safe for the treatment of pressure-ulcer related pain?
  • What is the value of topical products in promoting pressure ulcer healing?
  • How effective is negative pressure wound therapy as a treatment for pressure ulcers?
  • How effective are pressure ulcer grading systems in determining the amount of skin damage and does the use of such scales improve ulcer healing?