Repositioning older persons at risk of pressure ulcers every three hours at night, using the “30 degree tilt” method, reduces the incidence of pressure ulcers, according to Irish researchers.
They studied 99 patients who were repositioned every three hours at night using the 30 degree tilt – the patient is placed in a laterally-inclined position, supported by pillows, with their back making a 30 degree angle with the support surface.
The authors compared pressure ulcer development in this first group with a second “usual care” group of 114 patients who were repositioned every six hours using 90 degree lateral rotation.
The authors found 3% in the 30 degree group developed an ulcer compared to 11% in the usual care group.
The authors said: “An effective method of pressure ulcer prevention has been identified; in the light of the problem of pressures ulcers, current prevention strategies should be reviewed.
“It is important to implement appropriate prevention strategies, of which repositioning is one.”