Shear-NationalPressureUlcerAdvisoryPanel.PDFVIP

Shear A contributory factor in pressure ulceration A presentation aimed at clinicians and associated professionals Introduction Although shear is understood to be a major contributor to the formation of pressure ulcers, the measurement of shear and how shear contributes to the formation of pressure ulcers have not yet been fully established. In 2005, an international consensus group, the Shear Force Initiative’ (SFI) was created in order to explore the current level of knowledge and to shape future research. Mission Statement To define, study and measure shear and its effect on the various physiological, metabolic and physical characteristics that influence the assessment, prevention, treatment and development of pressure ulcers in order to improve patient management. Shear: What DO we know? This section represents the evidence for the role of shear in pressure ulceration based upon an extensive literature review and the agreement of the expert panel Shear: What DO we know? We know that… …shear is a normal mechanical force with physiological effects Shear: What DO we know? Defining Shear A n act ion or st ress resulting from applied forces which causes or tends to cause two cont iguous internal parts of t he body to deform in t he t ransverse plane (i.e. shear strain) Ohura T (Sapporo, Japan) provided in 2007 Shear: What DO we know? Visualizing Shear Ohura T (Sapporo, Japan) provided in 2007 Shear: What DO we know? We know that… …load has an internal effect or influence on the tissue Shear: What DO we know? Distribution of stresses inside tissue from the view of biomechanics Bone Inside Tensile