Ontario Health Technology Advisory Committee. Turning for the prevention and management of pressure ulcers: OHTAC Recommendation. Toronto: Health Quality Ontario (HQO). OHTAC Recommendation. 2014
For prevention of pressure ulcers in acute care, OHTAC recommends that a high-density foam mattress should be provided to all persons receiving acute care.
For prevention of pressure ulcers in the operating room, a high-quality support surface (foam or gel) should be used during surgical procedures longer than 90 minutes. Strong evidence exists for using a gel pad for this population.
For prevention of pressure ulcers in long-term care, a high-density foam mattress should be provided to all residents in long-term care facilities.
The Community Care Access Centre (CCAC) should use the Braden Scale or Pressure Ulcer Risk Score to assess a client's risk for developing a pressure ulcer.
Where risk is identified, a high-density foam mattress should be used to prevent development of pressure ulcers in a community care setting.
For prevention of pressure ulcers in the emergency department, OHTAC recommends using a high-density foam mattress for all persons accessing emergency department care.
Given new evidence presented to OHTAC in June 2012 and results of a study supported by OHTAC, it is recommended that persons with Braden scores of 10 or greater using a high-density foam mattress be turned a minimum of every 4 hours. Individuals with Braden scores of less than 10 should continue to be repositioned every 2 hours.
Subject indexing assigned by CRD
Beds; Humans; Posture; Pressure Ulcer
Country of organisation
An English language summary is available.
Address for correspondence
Evidence Development and Standards, Health Quality Ontario, 130 Bloor Street West, 10th floor, Toronto, Ontario Canada M5S 1N5 Email: EDSinfo@hqontario.ca
Date abstract record published