EPUAP Guidelines

European Pressure Ulcer Advisory Panel

Decubitus is gelokaliseerd letsel aan de huid en / of onderliggende weefsel meestal over een uitstekend bot als gevolg van druk of druk in combinatie met wrijving . Decubitus wordt door de EPUAP (European Pressuer Ulcer Advisory Panel) ingedeeld in vier categorieën (I, II, III en IV). Deze hebben de volgende guidelines opgesteld voor decubitus preventie.

Repositioning for treating existing heel pressure ulcers

  1. Relieve pressure under the heel(s) with Category/Stage I or II pressure ulcers by placing legs on a pillow to ‘float the heels’ off the bed or by using heel suspension devices. (Strength of Evidence = B; Strength of Recommendation = C)
  2. For Category/Stage III, IV and unstageable pressure ulcers, place the leg in a device that elevates the heel from the surface of the bed, completely offloading the pressure ulcer. Consider a device that also prevents footdrop. (Strength of Evidence = C; Strength of Recommendation = CC) Pressure on Category/Stage III, IV, and unstageable heel pressure ulcers should be completely offloaded as much as possible. Elevation of the heel on a pillow is usually inadequate.

Quote from 2014 EPUAP Guidelines

epuap logo decubities categorieën richtlijnen