‘Tissue tolerance’ refers to the ability of the skin and underlying tissue to tolerate exposure to pressure without adverse effects. Tissue tolerance is done by examining the skin and tissue after the pressure has been been applied and relieved. After pressure to the area has been relieved, the following assessment should be completed by skilled personnel:
- Skin should be inspected for discoloration
- Skin and tissue should be examined for any temperature change (warm / cold)
- The consistency of the skin should be assessed to see if the area has become firm or softened
Each person’s tissue tolerance is different. In order to provide the most effective bed sore prevention measures, staff should figure in the tissue tolerance when composing an individuals care plan / turning intervals.