Foundational

Assessment

Prevention and Treatment

Document Overview

Design and created by Guideline Central in participation with the Registered Nurses' Association of Ontario.

Pressure Injury Management: Risk Assessment, Prevention and Treatment

Registered Nurses' Association of Ontario

Publication Date: Nov 21, 2024

Page Last Updated: May 5, 2026

Grading of Recommendations, Assessment, Development, and Evaluation (GRADE)-Based Recommendations

Implications for:	Strong Recommendation (S)	Conditional Recommendation (C)
Patients	Most individuals in this situation would want the recommended course of action, and only a small proportion would not.	The majority of individuals in this situation would want the suggested course of action, but many would not.
Clinicians	Most individuals should receive the intervention. Adherence to this recommendation according to the guideline could be used as a quality criterion or performance indicator. Formal decision aids are not likely to be needed to help individuals make decisions consistent with their values and preferences.	Recognize that different choices will be appropriate for individual patients and that you must help each patient arrive at a management decision consistent with his or her values and preferences. Decision aids may be useful in helping individuals to make decisions consistent with their values and preferences.
Policy	The recommendation can be adopted as policy in most situations.	Policymaking will require substantial debate and involvement of various stakeholders.

Certainty in the Evidence
High	H	Low	L
Moderate	M	Very Low	VL

Source: Grading of Recommendations Assessment, Development and Evaluation Working Group (Schunemann HJ et al. Am J Respir Crit Care Med. 2006;174:605-14. Guyatt GH et al. BMJ 2008;336:924-6).

Document Overview

Document Title: Pressure Injury Management: Risk Assessment, Prevention and Treatment

Authoring Society: Registered Nurses' Association of Ontario

Document Publication Date: Nov 21, 2024

Page Last Reviewed/Updated: May 5, 2026

Document Type: Guideline

Country of Publication: Canada

Full Text Freely Available: Yes

Full Text Guideline: rnao.ca/bpg/guidelines/pressure-injuries

Source Citation: Registered Nurses’ Association of Ontario (2024). Pressure injury management: Risk assessment, prevention and treatment, Fourth Edition. Toronto, ON: Registered Nurses’ Association of Ontario.

Document Scope, Criteria, and Use Cases

Document Objectives: The purpose of this guideline is to provide nurses, members of the interprofessional team and other collaborators (i.e., administrators and policy-makers) with evidence-based recommendations for risk assessment, prevention, and treatment of pressure injuries .

Scope: Assessment and Screening, Management, Prevention

Diseases/Conditions (MeSH)

D003668 - Pressure Ulcer

Keywords: Pressure Injuries, pressure injury, wound care

Health Care Settings: Home Health, Hospital, Long Term Care

Intended Users: Nurse, Nurse Practitioner, Physician, Physician Assistant

Pressure Injury Management: Risk Assessment, Prevention and Treatment

Foundational

Good practice statement 1.0

Good practice statement 2.0

Good practice statement 3.0

Assessment

Good practice statement 4.0

Good practice statement 5.0

Recommendation 1.0

Recommendation 1.1

Prevention and Treatment

Recommendation 2.0

Good practice statement 6.0

Recommendation 3.0

Recommendation 4.0

Recommendation 5.0

Recommendation 5.1

Grading of Recommendations, Assessment, Development, and Evaluation (GRADE)-Based Recommendations

Document Overview

Document Scope, Criteria, and Use Cases