References

AlFadhalah T, Lari M, Al Salem G, Ali S, Al Kharji H, Elamir H Prevalence of pressure injury on the medical wards of public general hospitals in Kuwait: a national cross-sectional study. BMC Health Serv Res. 2024; 24:(1) https://doi.org/10.1186/s12913-024-10615-x

El-Saidy TMK, Aboshehata OK Effect of skin care and bony prominence protectors on pressure ulcers among hospitalized bedridden patients. Am J Nurs Research. 2019; 7:(6)912-921 https://doi.org/10.12691/ajnr-7-6-2

Gillespie BM, Walker RM, Latimer SL Repositioning for pressure injury prevention in adults. Cochrane Database Syst Rev. 2020; 6:(6) https://doi.org/10.1002/14651858.CD009958.pub3

Ishizaki Y, Fukuoka H, Katsura T Psychological effects of bed rest in young healthy subjects. Acta Physiol Scand Suppl. 1994; 616:83-87

Kandula UR Impact of multifaceted interventions on pressure injury prevention: a systematic review. BMC Nurs. 2025; 24 https://doi.org/10.1186/s12912-024-02558-9

Kortebein P, Symons TB, Ferrando A Functional impact of 10 days of bed rest in healthy older adults. J Gerontol A Biol Sci Med Sci. 2008; 63:(10)1076-1081 https://doi.org/10.1093/gerona/63.10.1076

Mondragon N, Zito PM Pressure injury.Treasure Island (FL): StatPearls Publishing; 2025

National Institute for Health and Care Excellence. Pressure ulcers: prevention and management. 2014. https://www.nice.org.uk/guidance/cg179 (accessed 8 February 2025)

National Institute for Health and Care Excellence. Pressure ulcers: how common are pressure ulcers?. 2024. https://cks.nice.org.uk/topics/pressure-ulcers/background-information/incidence/ (accessed 8 February 2025)

National Pressure Injury Advisory Panel. Pressure injury stages. 2016. https://npiap.com/general/custom.asp?page=PressureInjuryStages (accessed 8 February 2025)

Making a difference in pressure injury prevalence: the community nurse's guide

02 March 2025
Volume 30 · Issue 3

Abstract

Many patients in the community experience prolonged bedrest and are exposed to the risk of complications arising from inactivity, including the development of pressure injuries. Community nurses, with their wide-ranging expertise and position at the frontline of patient care, are well-equipped to make an impact on pressure injury prevalence. Francesca Ramadan explores evidence-based strategies for the assessment, prevention and treatment of pressure injuries, equipping the community practitioner with the necessary knowledge and guidance.

Managing the impact of prolonged bedrest in patients comprises a significant proportion of the community nurse's caseload. A patient may choose or require prolonged bedrest for a number of reasons, including injury, recovery from surgery, neurocognitive decline, disability, and age-related frailty or decreased mobility and difficulty in performing activities of daily living.

Prolonged bedrest can have harmful effects on both a patient's psychological wellbeing and physiological functioning. Just 10 days of bedrest has been found to result in a substantial loss of lower extremity strength, power and aerobic capacity, even in healthy older adults, and 20 days of bedrest was associated with the development of depression in a cohort of young, healthy adults (Ishizaki et al, 1994; Kortebein et al, 2008).

One of the primary areas of concern for the healthcare professional caring for individuals who are bedridden should be the patient's skin and soft tissue. In the absence of movement, pressure injuries can develop quickly-sometimes in only a matter of hours-especially in those with fragile skin or long-term chronic conditions, such as diabetes. These types of injuries pose a massive financial burden on the healthcare system and a substantial personal cost to affected individuals, because of their prevalence and severity. An incidence rate ranging from 4.5–25.2% has been approximated for the UK, with over 700 000 people affected by pressure ulcers each year across all care settings, including people in their own homes, at an estimated annual cost to the NHS of £1.8–2.6 billion (El-Saidy and Aboshehata, 2019).

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