1. How well do you know your
ALL TOGETHER NOW PUSH
Pressure Ulcers should be HISTORY.
How well do you know your
Waterlow Assessment

2. How well do you know your Waterlow Assessment?
sacrum ,b) elbows, d) heels.
Don’t forget all areas over lying bone are susceptible to pressure damage.
Which areas of the body named below are defined by Waterlow as “at risk” a) sacrum b) elbows c) stomach d) heels, e) face f) hands.
All together now PUSH .Pressure ulcers should be history.

3. Waterlow Assessment.
Why do women score higher than men in Waterlow? a) age b) menopausal changes c) Increased moisture risk, d) women move less.
Both b and c. Menopause increases the risk of urinary incontinence because the lack of oestrogen results in atrophy of the external and internal genitalia. Age increases risk in both males and females
All together now PUSH. Pressure ulcers should be history.

4. Waterlow Assessment
Could an obese person being assessed ,be classified as nutritionally impaired?.
yes,
no.
a) yes: their diet may not be sufficient to meet their health requirements.
All together now PUSH. Pressure ulcers should be history

5. Waterlow Assessment
Score these high risk factors between 4 & 6.
a ) a patient with controlled diabetes.
b) a patient with left dense hemiplegia requiring assistance with moving.
c) a patient with Parkinson's disease with minimal sensation
.d) a mobile patient with multiple co- morbidities ,COPD,LVF and left sided CVA . 4
5-6 6
All together now PUSH. Pressure ulcers should be history

6. Waterlow Assessment What is terminal cachexia?
End of life with only limited expectancy of life.
End of life patient who only has months to live.
Patient newly diagnosed with terminal cancer.
a) an end of life patient with a limited life expectancy
All together now PUSH. Pressure ulcers should be history

7. Waterlow Assessment
a) Yes, you would record a Waterlow score.
b) answer is no because the time that the patient was on the trolley is longer than 24 hours since the incident.
A patient has been discharged following a day stay surgery (orthopaedic) .You visit the same day and undertake the assessment. Patient informs you that the surgery took longer than expected and that they were in theatre for 3 hours. a) Would you register this on the Waterlow score? You revisit 48 hours later. b) Would you register this on the Waterlow score now? yes or no and give the reason for your answer
All together now PUSH. Pressure ulcers should be history.

8. Last one!
What types of medication would you acknowledge on the Waterlow? a) anti-inflammatories. b) Paracetamol c) Prednisolone. d) Frusemide. e) Temazepan /other strong
a) A
b) C
c) E
All together now PUSH. Pressure ulcers should be history.