Preventing Heel Pressure Ulcers – Sustained Quality Improvement Initiative in a Canadian Acute Care Facility
Hanna-Bull D
J Wound Ostomy Continence Nurs. 2016;43(2):129-132.
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Preventing Heel Pressure Ulcers and Plantar Flexion Contractures in High Risk Sedated Patients
Meyers T
J Wound Ostomy Continence Nurs. 2010 Jul-Aug;37(4):372-8.
View abstract – PubMed 

Evaluation of a protocol for prevention of facility-acquired heel pressure ulcers
Walsh JS, Plonczynski DJ
Journal of Wound, Ostomy & Continence Nursing. March/April 2007; 34(2):178-183.
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	Four Years of Heel Pressure Ulcer Prevention Hanna-Bull D, RN, BScN, MN; Stephen Martin MD FRCS(c); Maclean J, OT Reg(Ont) Poster presented at the 19th Annual CAWC Conference; November 7-10, 2013, Vancouver, Canada Download poster (PDF)
	A Successful Quality Improvement Initiative Results in Reduction of Hospital Acquired Heel and Sacral Pressure Ulcers Bell K, MS, RN, CCRN, CCNS; Clinical Nurse Specialist, CCU/ICU Poster presented at the 27th Annual Symposium on Advanced Wound Care Spring/Wound Healing Society, April 23-27, 2014 in Orlando, FL Download poster (PDF)
	Evidence-Based Quality Improvement Initiative and Nursing/Physical Therapy Collaboration Results in Decreased Hospital-Acquired Heel Pressure Ulcers Dyckman F, MSN, BSN, PHN, APRN-CNS, CWOCN; Love C, PT, DPT Presented at The Symposium on Advanced Wound Care, October 16–18, 2014; Las Vegas, NV Download poster (PDF)
	Limited Mobility and the Foot: Plantar Flexion Contractures, Heel and Malleoli Pressure Ulcers, Peroneal Nerve Damage  How Can We Prevent Them? What Happens If We Dont? Loehne H, PT, DPT, CWS, FACCWS Poster presented at the 26th Annual Symposium on Advanced Wound Care (SAWC); May 1-5, 2013 Download poster (PDF)
	Never Events: Can The Congressional Mandate Be Met? Lyder C Poster Presented at the Institute for Health Care Improvement (IHI), Orlando, FL December 6-8, 2010 Download poster (PDF)
	Pressure Ulcer Prevention Protocols and Evidence-Based Interventions Reduce Pressure Ulcers at Sacrum and Heel Heighton R, BScOT Reg NS; Interim Director of Rehabilitation Services, Guysborough Antigonish Strait Health Authority Poster presented at the CAWC and CAET 20th Annual Conference, Toronto, Ontario, Canada; October 30, 2014-November 2, 2014 Download poster (PDF)
	Successful Quality Improvement Initiative Results in 95% Decrease of Facility-Acquired Heel Pressure Ulcers Witkowski K, Reg.N., BScN, ET – Nurse Clinician Enterostomal Therapy – Skin/Wound & Ostomy Poster presented at the 18th Annual Conference of the Canadian Association of Wound Care, November 8-11, 2012, London, Ontario Download poster (PDF) Download handout (PDF)
	Human Cadaver Testing to Determine the Reliability of Heel Boot Positioning or Grip of Eight Commercially Available Pressure Relieving Heel Protector Boots Bill B, Pedersen J, and Call E, MS RSM (NRM) Poster presented at the Poster presented at the 25th Annual Symposium on Advanced Wound Care (SAWC); April 19-22, 2012 Download poster (PDF)
	Heel Pressure Ulcer Prevention: A Comparative Effective Evaluation McGovern J, DiPerri J Poster presented at the 25th Annual SAWC Conference April 19-22 2012 Download poster (PDF)
	Heel Pressure Reduction through use of Assistive Boots Leitkam S, Bush TR, Linden B, Friederichs K, Deland T Poster presented at APMA the Conference, July 15-18 2010 Download poster (PDF)

A healthcare provider must always rely on his or her own professional clinical judgement when deciding whether to use a particular product when treating a particular patient. Sage Products does not dispense medical advice and recommends that healthcare providers be trained in the use of any particular product before using it in surgery.

The information presented is intended to demonstrate the breadth of Sage Products’ product offerings. A healthcare provider must always refer to the package insert, product label, and/or instructions for use before using any of Sage Products’ product. Products may not be available in all markets because product availability is subject to the regulatory and/or medical practices in individual markets. Please contact your Sage Products representative if you have questions about the availability of Sage Products’ products in your area.

Pressure Ulcers in Adults: Prediction and prevention
AHRQ (formerly AHCPR) Clinical Practice Guideline Number 3, AHCPR Pub. No. 92-0047: May 1992.
View Clinical Page
View Quick Reference Guide

Pressure Ulcer Prevention and Treatment
National Pressure Ulcer Advisory Panel and European Pressure Ulcer Advisory Panel. Prevention and treatment of pressure ulcers: clinical practice guideline. Washington DC: National Pressure Ulcer Advisory Panel; 2009.
Download Quick Reference Guide (PDF)

Pressure Ulcer Prevention
Association of Perioperative Registered Nurses (AORN) Standards Recommended Practices and Guidelines
“Use devices that eliminate or redistribute pressure” to prevent perioperative* heel ulcers.
*Perioperative defined as a pressure-related deep tissue injury under intact skin that presents within the first 5 days following surgical procedures.
View AORN website

IHI 5 Million Lives Campaign targets pressure ulcer prevention 
The 5 Million Lives Campaign is an initiative to protect patients from five million incidents of medical harm over the next two years (December 2006 – December 2008).
View campaign highlights
View campaign materials for pressure ulcer prevention

A healthcare provider must always rely on his or her own professional clinical judgement when deciding whether to use a particular product when treating a particular patient. Sage Products does not dispense medical advice and recommends that healthcare providers be trained in the use of any particular product before using it in surgery.

The information presented is intended to demonstrate the breadth of Sage Products’ product offerings. A healthcare provider must always refer to the package insert, product label, and/or instructions for use before using any of Sage Products’ product. Products may not be available in all markets because product availability is subject to the regulatory and/or medical practices in individual markets. Please contact your Sage Products representative if you have questions about the availability of Sage Products’ products in your area.

Successful Heel Pressure Ulcer Prevention Program in a Long-term Care Setting
Lyman V
Journal of Wound, Ostomy and Continence Nursing: November/December 2009 – Volume 36 – Issue 6 – p 616-621
View abstract

A healthcare provider must always rely on his or her own professional clinical judgement when deciding whether to use a particular product when treating a particular patient. Sage Products does not dispense medical advice and recommends that healthcare providers be trained in the use of any particular product before using it in surgery.

The information presented is intended to demonstrate the breadth of Sage Products’ product offerings. A healthcare provider must always refer to the package insert, product label, and/or instructions for use before using any of Sage Products’ product. Products may not be available in all markets because product availability is subject to the regulatory and/or medical practices in individual markets. Please contact your Sage Products representative if you have questions about the availability of Sage Products’ products in your area.

Intervention with a new heel protection device and silver alginate dressing to prevent amputation of the leg due to stage IV ulcer of the heel and malleolus
Garrett D
Salem Village Nursing and Rehabilitation Center, Joliet, IL
Download case study (PDF)

Pressure mapping Comparison of unprotected heels on a hospital bed vs. heels positioned in the Prevalon^® Pressure Relieving Heel Protector.
Bush T, Ph.D.
Michigan State University Biomechanical Design and Research Laboratory, September 2009
Download case study (PDF)

A healthcare provider must always rely on his or her own professional clinical judgement when deciding whether to use a particular product when treating a particular patient. Sage Products does not dispense medical advice and recommends that healthcare providers be trained in the use of any particular product before using it in surgery.

The information presented is intended to demonstrate the breadth of Sage Products’ product offerings. A healthcare provider must always refer to the package insert, product label, and/or instructions for use before using any of Sage Products’ product. Products may not be available in all markets because product availability is subject to the regulatory and/or medical practices in individual markets. Please contact your Sage Products representative if you have questions about the availability of Sage Products’ products in your area.

Skin Monitoring Assessment (PDF)
Customize this protocol for your facility or use it as is. (doc)
Decision Tree for Heel Pressure Relief: Prevalon vs. Orthodic (doc) 
Decision Tree for Heel Pressure Relief (doc)
Decision Tree for When to use Prevalon (doc)
Product Evaluation Form
Prevalence Data Collection Form (PDF)
Helpful Definitions (PDF)
Pressure Ulcer Staging Guide (PDF)