- Unavoidable pressure injuries may develop in people in the following circumstances:
- Movement is restricted as a result of hemodynamic instability
- Appropriate nutrition and fluids cannot be provided and/or maintained (e.g., person refuses to eat or to be fed or hydrated artificially)
- A person is at end-of-life
- Other circumstances impede or limit the optimization of preventative pressure injury care
- Regardless of a person’s level of risk (e.g., high risk for pressure injuries), all patients should receive preventative pressure injury care (e.g., turning and repositioning, nutrition).
- High-risk conditions do not make the development of pressure injuries inevitable. For example, not all high-risk individuals (e.g., individuals in intensive care units) will develop pressure injuries.
- It is also important to highlight that pressure injuries develop as a result of a combination of individual and environmental influences.
- Pressure injury avoidability is “usually determined when the outcome is known and preventive interventions are evaluated.”
Assessment and Management of Pressure Injuries for the Interprofessional Team, Third Edition