When planning care for a client at risk for developing pressure ulcers, which intervention should be included? Select all that apply
A) Initiate a frequent toileting schedule.
B) Raise the heels off of the bed.
C) Turn the client every 4 hours.
D) Use inflatable doughnut-style devices to reduce pressure on the sacrum.
E) Massage pressure areas with lotion every 4 hours.
Answer: A, B
Urine and feces are destructive to skin. A frequent toileting schedule will reduce periods of incontinence and potential for skin breakdown. Raising the heels off of the bed should be done to remove pressure from this area of the client's body. The client should be turned at least every 2 hours. Massage of pressure areas can cause friction and damage to problem skin areas. Inflatable doughnut-style devices are contraindicated, as they increase pressure and reduce perfusion to affected areas.
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