Objective:To describe the pressure ulcer healing process in critically ill patients treated with conventional dressing therapy plus low-intensity laser therapy evaluated by the Pressure Ulcer Scale for Healing (PUSH) and the result of Wound Healing: Secondary Intention, according to the Nursing Outcomes Classification (NOC). Method: Case report study according to nursing process conducted with an Intensive Care Unit patient. Data were collected with an instrument containing the PUSH and the result of the NOC. In the analysis we used descriptive statistics, considering the scores obtained on the instrument. Results: A reduction in the size of lesions of 7cm to 1.5cm of length and 6cm to 1.1cm width, in addition to the increase of epithelial tissue and granulation, decreased secretion and odor. Conclusion: There was improvement in the healing process of the lesion treated with adjuvant therapy and the use of NOC allowed a more detailed and accurate assessment than the PUSH.
Cross-sectional study that aimed to identify subscales scores that evaluate the risk for pressure ulcer in the implementation of the Braden Scale, and associate them with reasons for hospitalization, comorbidities and demographic characteristics of the hospitalized adult patients. The sample consisted of 187 patients at risk for pressure ulcer with a total score ≤13 on that scale. Data were collected retrospectively in the sheets with the Braden Scale and medical records, analyzed by descriptive statistics and tests of Mann-Whitney and Spearman. The results showed majority of women and elderly with cerebral, pulmonary, cardiovascular, metabolic and cancer diseases. The scores verified by the subscales indicated bedfast patients with limited mobility and activity. The altered nutrition was also an important factor, followed by the problems of friction and/or shearing, alteration of sensory perception and moisture. These findings allow us to support the prevention qualification of pressure ulcer.DESCRIPTORS: Pressure ulcer. Nursing care. Protocols. ANÁLISE DAS SUBESCALAS DE BRADEN COMO INDICATIVOS DERISCO PARA ÚLCERA POR PRESSÃO RESUMO: Estudo transversal com objetivo de identificar a pontuação das subescalas que avaliam o risco para úlcera por pressão na aplicação da Escala de Braden e associá-las aos motivos de internação hospitalar, às comorbidades e às características demográficas de pacientes adultos hospitalizados. A amostra constou de 187 pacientes em risco para úlcera por pressão com escore total ≤13 na referida escala. Os dados foram coletados retrospectivamente em fichas com a Escala de Braden e em prontuários, analisados pela estatística descritiva e testes de Mann-Whitney e Sperman. Os resultados demonstraram maioria de mulheres, idosos, portadores de doenças cerebrovasculares, pulmonares, cardiovasculares, metabólicas e neoplásicas. Os escores verificados pelas subescalas apontaram pacientes acamados, com mobilidade e atividade limitadas. A nutrição alterada também se mostrou fator importante, seguido pelos problemas de fricção e/ou cisalhamento e alteração da percepção sensorial e umidade. Estes achados permitiram subsidiar a qualificação da prevenção da úlcera por pressão. DESCRITORES:Úlcera por pressão. Cuidados de enfermagem. Protocolos. ANÁLISIS DE LAS SUBESCALAS BRADEN COMO INDICATIVO DE RIESGO PARA LAS ÚLCERAS POR PRESIÓNRESUMEN: Estudio transversal con objetivo de identificar la puntuación de sub escalas que evalúan el riesgo para la úlcera por presión en la aplicación de la Escala de Braden, y asociarlas a los motivos de hospitalización, comorbilidades y características demográficas de pacientes adultos. La muestra fue de 187 pacientes con riesgo de úlcera por presión con un puntaje total ≤13 en la referida escala. Los datos fueron recolectados retrospectivamente en fichas que contiene la Escala de Braden y en los registros médicos, analizados por estadística descriptiva y test de Mann-Whitney y Spearman. La mayoría eran mujeres, ancianos, con enfermedades cerebrovasculares, pulmona...
Epidermolysis bullosa has marked impacts on the lives of EB patients and their families, which are strongly correlated with disease severity. The Brazilian Portuguese version of the QoLEB is validated and can be recommended for use in subsequent studies.
Objective:To identify the nursing care prescribed for patients in risk for pressure ulcer (PU) and to compare those with the Nursing Interventions Classification (NIC) interventions. Method: Cross mapping study conducted in a university hospital. The sample was composed of 219 adult patients hospitalized in clinical and surgical units. The inclusion criteria were: score ≤ 13 in the Braden Scale and one of the nursing diagnoses, Self-Care deficit syndrome, Impaired physical mobility, Impaired tissue integrity, Impaired skin integrity, Risk for impaired skin integrity. The data were collected retrospectively in a nursing prescription system and statistically analyzed by crossed mapping. Result: It was identified 32 different nursing cares to prevent PU, mapped in 17 different NIC interventions, within them: Skin surveillance, Pressure ulcer prevention and Positioning. Conclusion: The cross mapping showed similarities between the prescribed nursing care and the NIC interventions.
RESUMOObjetivo: conhecer a atuação dos enfermeiros no cuidado aos pacientes com lesões de pele. Método: trata-se de estudo qualitativo, descritivo e exploratório, por meio de entrevistas com roteiro semiestruturado com 21 enfermeiros, analisadas pela Técnica de Análise de Conteúdo na modalidade Análise Temática. Resultados: resultaram-se do corpus empírico, as categorias << A importância do saber >>, << Realizar ou delegar a prática do cuidado >>, << Trabalho em equipe >> e << Dedicação no cuidado da pele >>. Conclusão: considerou-se o aprimoramento do enfermeiro, pela educação permanente, pelo trabalho em equipe e pelo auxílio da Comissão de Prevenção e Tratamento de Feridas, uma estratégia para o cuidado da pele estimulando o raciocínio clínico por meio de discussões de estudos de casos, analisando as condutas dos enfermeiros e direcionando a prática profissional para o cuidado coletivo, dialogado e crítico. Descritores: Enfermagem; Ferimentos e Lesões; Cuidados de Enfermagem; Assistência ao Paciente; Hospitais Universitários; Atenção Terciária à Saúde.ABSTRACT Objective: to know the role of nurses in the care of patients with skin lesions. Method: this is a qualitative, descriptive and exploratory study, through interviews with a semi-structured script with 21 nurses, analyzed by the Content Analysis Technique in the Thematic Analysis modality. Results: The categories << The importance of knowing >>, << Realize or delegate the practice of care >>, << Teamwork >> and << Dedication to skin care >> were derived from the empirical corpus. Conclusion: the improvement of the nurse, by the permanent education, by the team work and by the help of the Commission of Prevention and Treatment of Wounds, was considered a strategy for the care of the skin stimulating the clinical reasoning through discussions of case studies, analyzing the behaviors of the nurses and directing the professional practice for the collective, dialogic and critical care. Descriptors: Nursing; Wounds and Injuries; Nursing Care; Patient Care; Hospitals University; Tertiary Healthcare.RESUMEN Objetivo: conocer la actuación de los enfermeros en el cuidado a los pacientes con lesiones de piel. Método: se trata de un estudio cualitativo, descriptivo y exploratorio, por medio de entrevistas con guion semiestructurado con 21 enfermeros, analizadas por la Técnica de Análisis de Contenido en la modalidad Análisis Temática. Resultados: como resultado del corpus empírico, las categorías << La importancia del conocimiento >>, << realizar o delegar la práctica del cuidado >>, << El trabajo en equipo >> y << La dedicación en el cuidado de la piel. Conclusión: se consideró el perfeccionamiento del enfermero, por la educación permanente, por el trabajo en equipo y por el auxilio de la Comisión de Prevención y Tratamiento de Heridas, una estrategia para el cuidado de la piel estimulando el raciocinio clínico por medio de discusiones de estudios de casos, analizando las conductas de los enfermeros y conduciendo la práctica profesional para el cuidado colectivo, dialogado y crítico. Descriptores: Enfermería; Heridas y traumatismos; Atención de Enfermería; Atención al Paciente; Hospitales Universitarios; Atención Terciaria de Salud.
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