Eligibility criteria {10}
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ALLERGY, RECRUITMENT, FAECAL INCONTINENCE
A consecutive sample of all eligible at-risk adult patients admitted to the participating medical-surgical wards are invited to participate in the trial by registered nurse research assistants (ResN). Patients who meet the following inclusion criteria are eligible for recruitment into the sample:Inclusion criteria:≥18 years of agePatients assessed as being at-risk of HAPI within medical-surgical settings that have been screened within 36 h of hospital admission. ‘At-risk’ is defined as patients with either a completed PI risk assessment (Waterlow Score, or clinical judgement scores of ‘Yes, at risk’ or ‘No, not at risk’) that scores them at-risk of PI, or limited mobility (where human or resource assistance is needed to move), for those who do not have a completed risk assessmentExpected hospital length of stay ≥24h following recruitmentPatient or their proxy able to provide written informed consentExclusion criteria:Patients who are unable to be turned (e.g. due to unstable spinal injury)Patients with existing sacral PI, injury, allergy, or lesion in the sacral area at the time of recruitmentPatients with urinary and/or faecal incontinence at the time of recruitmentPatients who are unable to speak or understand English where no interpreter is present at the time of recruitment