From Screening to Full Risk Assessment in Pressure Injury Prevention
Summary: Article outlines 2019 International Guideline’s two-step PI prevention: screening (quick, on admission for mobility/friction/Stage 1) then full assessment if risk not ruled out (scales like Braden + clinical judgment, head-to-toe skin check). PURPOSE-T tool supports both; high-risk settings may skip screening. Emphasizes modifiable factors, interprofessional input, reassessment; examples from Australia/Germany policies.
Key Highlights:
- Screening: Dichotomous (risk/no risk); fast, no full skin exam.
- Full: Scales + judgment; factors like perfusion/nutrition.
- Tools: Braden/Norton/Waterlow; PURPOSE-T qualitative.
- Best Practices: Structured, population-specific, ongoing evaluation.
Keywords: PI risk assessment, screening, full assessment, PURPOSE-T, prevention