Sterken et al reported the Pediatric Pressure Ulcer Prediction and Evaluation Tool (PPUPET) for pediatric patients. This can help to identify a pediatric patient who may benefit from interventions to reduce the risk of skin breakdown. The authors are from DeVos Children's Hospital and Spectrum Health in Grand Rapids, Michigan.
Patient selection: pediatric
Parameters:
(1) mobility
(2) activity
(3) sensory perception
(4) moisture
(5) external devices (braces, traction, oxygen, ET tube, etc)
(6) friction/shear
(7) nutrition
(8) tissue perfusion and oxygenation
(9) skin conditions
Parameter
Finding
Points
mobility
mobile (no immobility)
1
some immobility
2
significantly immobile
3
activity
ambulates or held by parents
1
some activity
2
bed bound
3
sensory perception
no limitations
1
some limitations
2
significant limitations
3
moisture
none
1
some moisture
2
moist
3
external device
0 or 1
1
2
2
>= 3
3
friction/shear
no risk
1
some risk
2
significant risk
3
nutrition
adequate
1
inadequate
2
tissue perfusion/oxygenation
no compromise
1
some compromise
2
compromise
3
skin conditions
no compromise
1
some compromise
2
compromise
3
total score =
= SUM(points for all 9 parameters)
Interpretation:
• minimum score: 9
• maximum score: 26
• A score >= 18 is associated with a high risk for skin breakdown.
• A score of 3 in any category, or a score of 2 in nutrition, should prompt an intervention to reduce the risk.
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