The development of a sDTI is complex and multifactorial. In critical care, the patient is often being resuscitated with fluids and receiving multiple vasopressor medications to promote hemodynamic balance. The patient is nutritionally depleted, totally immobile and cold. Once the sDTI develops, it can quickly deteriorate into a stage III or IV pressure ulcer. Managing this pressure ulcer will have a tremendous impact on the patient’s quality of life should he survive. .
A cost effective, practical treatment for early deep tissue injury that the ICU staff RN can initiate was implemented. Once the sDTI is identified, the patient is placed on an air-fluidized bed and a honey impregnated dressing is placed over the pressure ulcer, and covered with a silicone foam dressing. Forty one patients were treated with this protocol. The results are encouraging. Only 2/41 (4.4%) progressed to full-thickness. The benefit to the patient, nursing practice and the healthcare system will result in enhanced quality care, patient satisfaction,and financial savings for the institution.