Glamorgan Pressure Injury Risk Assessment

Glamorgan Pressure Injury Risk Assessment is a reference guide to determine whether the patient is at risk, high risk or very high risk of having a pressure injury. 

NOTE: It is very important the patient to be assessed by a qualified healthcare professional. Please contact your doctor or your local hospital for assistance.

PRESSURE INJURY RISK ASSESSMENT

SCORE

SELECT ONE SCORE PER SECTION

MOBILITY

 

Child cannot be moved without great difficulty or deterioration in condition/general anaesthetic

20

Unable to change his/her position without assistance

/cannot control body movement

15

Some mobility, but reduced for age

10

Normal mobility for age

0

EQUIPMENT

 

Equipment/ objects / hard surface pressing or rubbing on skin

15

 

RISK SCORE

CATEGORY

ACTION

PRESSURE RELIEVING DEVICES

10+

At Risk

Inspect skin at least twice a day. Maintain adequate nutrition and hydration.

Relieve pressure by helping the child move every 2 hours.

Constant low-pressure foam

mattress

Gel pads for high risk areas

Alternating pressure overlay

(Refer table 4.2 Pressure Injury Clinical Guideline)

15+

High Risk

Inspect the skin with each

repositioning. Consider

dietician referral. Reposition

child/ equipment/ devices at

least every 2 hours.

Low Air Loss mattress or overlay

Alternating Pressure mattress or overlay

(Refer table 4.2 Pressure Injury Clinical Guideline)

20+

Very High

Risk

Inspect the skin hourly.

Consider dietician referral.

Reposition child/ equipment/

devices at least every 2

hours.

Low Air Loss mattress

Alternating Pressure mattress

(Refer table 4.2 Pressure Injury Clinical Guideline)

 

Download Guide Lines

Disclaimer: The Royal Children's Hospital - does not promote, endorse or fund Think Mobility. These links are provided by Think Mobility only as a convenience to our customers.

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