Q: All of the following are parts of skin care to avoid pressure ulcer in long term ICU patients except?

A) Keep the skin clean and dry (but avoid excess dryness)
B) Clean the skin cleansing with a pH-balanced cleansing agent 
C) Use the hot water to clean skin
D) Avoid vigorous massage over bony prominences
E)  Keep skin clean from incontinence or wound drainage


Answer: C

Pressure ulcers in long term ICU patients is a major issue. It is extremely underscored. Education of ICU staff including intensivists is lacking in this area.

All of the choices above are true except "C" as hot water will increase damage to the skin.



Related article: 

Pressure Ulcers in the Intensive Care Unit: An Analysis of Skin Barrier Risk Factors - He, Minjuan BS; & et al  Advances in Skin & Wound Care: November 2016 - Volume 29 - Issue 11 - p 493–498

Link: http://journals.lww.com/aswcjournal/Fulltext/2016/11000/Pressure_Ulcers_in_the_Intensive_Care_Unit___An.6.aspx