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Table 4 Participant nominated strategies to facilitate patient participation in PIP (open-ended responses)

From: The role of patients in pressure injury prevention: a survey of acute care patients

Strategies for patient participation in PIP

Enablers

Barriers

(Illustrated by participant quotes)

(Illustrated by participant quotes)

Manage pain and discomfort

Nurses to check pain and comfort levels- we cant move if uncomfortable

Patient factors

Constant pain, stiffness, numbnesspain, the psychological barrier

Confidence to move

Have not moved much because Im in pain

Dont have strength to change and shift position

Trying to get comfortable is hard because of my surgery

Fairly helpless because can only use one arm

Rheumatoid arthritis

Risk of dislocation

Sleeping on side is difficult

Lack of confidence to move (due to illness, pain, injury, surgery)

Equipment factors

Hard, hot and sticky mattress; sinking in the middle therefore I need assistance to move; terrible pillows; mattress too small

Afraid the monkey bar will break.

Treatment factors

Heavy splinting, bandaging, infusion pumps, IDCs, drains, monitors, attached to vac machine; negative pressure wound therapy

All the buttons, wires and call buttons

Knees are heavily bandaged in the straight position

Painful cannula

Work together

Co-operation between patient and nurse

Waiting for staff

Staff assistance to moisturise legs as unable to reach them

Reluctant to ask for help

Work with nurses when time to be turned

Staff are too busy

Call for assistance

 

Tell nurses when signs of PI appear

 

Regular checking and reminding by staff of things that should be done (eg reminders to move)

 

Motivate self

 

Ongoing PI education

Verbal and written information during preadmission and hospital admission

Information too early in the patient journey

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