Mitigating Risk Factors
The comprehensive care plan is established to include risk, skin break reasons,
resident’s strengths or weaknesses, goals, time frames, measurable objectives, interventions and periodic evaluations. Care plans must mitigate and lower risk factors that support appropriate interventions (e.g. - high risk due to immobility might lead to interventions that include (not limited to) exercise rehabilitation program, turning and repositioning, and/ or toileting schedule. The team monitors plan for needed change at least quarterly (and more often to add or delete interventions). Outcome of the pressure ulcer healing progress is noted. A high percent (above 98%) of residents with pressure ulcer were admitted with their skin breaks. The skin care team concentrated more on the risk factors and healing rates rather than the quality indicators of high risk pressure ulcers.