Evaluation of the risk for pressure ulcers in bedridden elderly at home

Moraes, Geridice Lorna de Andrade; Araújo, Thiago Moura de; Caetano, Joselany Áfio; Lopes, Marcos Venícios de Oliveira; Silva, Maria Josefina da

doi:10.1590/s0103-21002012000800002

Cited by 7 publications

(6 citation statements)

References 12 publications

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“…Literature findings demonstrate that the elderly are the most prone to the development of PU, due to decreased skin elasticity, insufficient skin hydration, and changes in sensitivity, as well as other factors that may be aggravated when associated to chronic diseases (13) . A higher occurrence of PU in men and white individuals occurred, which corroborates the study of Blanes et al (14) ; however, these variables are still controversial in the literature.…”

Section: Discussionmentioning

confidence: 99%

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Úlcera por pressão em pacientes críticos: incidência e fatores associados

et al. 2016

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RESUMENObjetivo: identifi car la incidencia y describir los factores asociados con las úlceras de presión en pacientes críticamente enfermos. Métodos: es un estudio de cohorte prospectivo con 77 pacientes, uso clínico, metabólico y factores asociados a la evaluación de las úlceras de presión, la aplicación de las escalas de riesgo (Braden y Waterlow) y clasifi cación en categorías de las úlceras. Resultados: se encontró una incidencia del 22% (IC del 95%: 12.6-31.5), y el 17 con 32 úlceras por presión en la región sacra (47%) y Clase I (72%). Duración de la estancia superior a 10 días (71%), tipo de hospital quirúrgico (53%), insufi ciencia cardíaca congestiva (24%) y alto riesgo en la escala de Braden (59%). Conclusión: el estudio pone de manifi esto la alta incidencia de úlceras de presión, clínicas, metabólicas y factores asociados y el resultado de muerte, lo que requiere, por lo tanto, de medidas preventivas. Descriptores: Úlcera de Presión; Evaluación de Riesgos; Escalas; Cuidados de Enfermería; Incidencia. RESUMO Objetivo: identifi car a incidência e descrever os fatores associados à úlcera por pressão em pacientes críticos. Método: tratase de uma coorte prospectiva, com 77 pacientes, usando a avaliação clínica, metabólica e de fatores associados à úlcera por pressão, aplicando as escalas de risco (Braden e Waterlow) e classifi cando as úlceras em categorias. Resultados: constatou-se uma incidência de 22% (IC 95% 12,6 -31,5), sendo 17 com 32 úlceras por pressão em região sacral (47%) e na categoria I (72%). Tempo de internação maior que 10 dias (71%), tipo de internação cirúrgica (53%), insufi ciência cardíaca congestiva (24%) e alto risco na Escala de Braden (59%). Conclusão: ressalta-se a elevada incidência de úlcera por pressão, características clínicas, metabólicas e fatores associados, além do desfecho por óbito, necessitando, portanto, de medidas de prevenção. Descritores: Úlcera por Pressão; Medição de Risco; Escalas; Cuidados de Enfermagem; Incidência.ABSTRACT Objective: to identify the incidence and describe the associated factors for pressure ulcers in critically ill patients. Method: this was a prospective cohort study with 77 patients, using a clinical, metabolic assessment and the associated factors for pressure ulcer, applying the risk scales (Braden and Waterlow) and assigning ulcers to categories. Results: an incidence of 22% (95% CI 12.6 -31.5), with 17 patients with 32 pressure ulcers in the sacral region (47%), and of Class I (72%). The length of stay was greater than ten days (71%), most admissions were surgical (53%) or for congestive heart failure (24%), and were high risk on the Braden Scale (59%). Conclusion: the study highlights the high incidence of pressure ulcers, clinical and metabolic characteristics and associated factors, as well as the outcome of death, requiring, therefore, preventive measures. Descriptors: Pressure Ulcer; Risk Assessment; Scales; Nursing Care; Incidence. Pressure ulcers in critically ill patients: incidence and associated factors. When PU development wa...

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Section: Discussionmentioning

confidence: 99%

“…The Braden Scale included six parameters: sensory perception, moisture, activity and mobility, nutrition, friction and shearing. Each parameter is assigned a score ranging from 1 to 4, in total the score ranges are: risk (> 16), moderate risk (12)(13)(14)(15)(16), and high-risk (≤ 11). Thus, lower values indicate the worst conditions (10) .…”

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confidence: 99%

Úlcera por pressão em pacientes críticos: incidência e fatores associados

et al. 2016

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“…In addition to other peculiarities of the elderly, such as impaired mobility, altered cognitive pattern and comorbidities. These characteristics make the elderly person more susceptible to cardiovascular diseases, besides causing implications and prolonged hospitalizations (BUSO et al, 2016;MORAES et al, 2012).…”

Section: Discussionmentioning

confidence: 99%

Sociodemographic and clinical characterization of patients with vasculogenic ulcers

Araújo¹,

Nogueira²,

Figueiredo³

et al. 2017

Biosci. J.

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ABSTRACT:Vasculogenic ulcers may be of arterial, venous or arteriovenous (mixed) origin and compromise the dermis and epidermis, and may also affect deeper tissues, characterized by a chronic, painful and slow healing process, which impacts the quality of life and in the mental, physical and social aspects of the affected persons, thus leading them to the total dependence of the health service. The objective was to characterize the sociodemographic and clinical profile of patients with vasculogenic ulcers. This is a cross-sectional descriptive study developed at the Surgical Clinic in an Emergency Hospital in the Northeastern region of Brazil, with 38 patients with vasculogenic ulcers, from September to October 2016. Data were collected in patients' records and confirmed by interview. As a result of the sociodemographic profile, the majority were male (55.3%), brown (55.3%), elderly and adult (50%, each), married (50%), with income up to a minimum wage (81.6%), retirees (55.3%), attended the elementary school (57.9%) and all were from the Northeastern region of Brazil. Clinically, 34.2% had peripheral angiopathy, venous ulcers (50%), Arterial Hypertension and Diabetes Melitus (50%). The most frequent surgical procedure was amputation of the limb affected by the ulcer (55.3%). Knowing the profile of the clientele is fundamental for making better decisions and defining a clinical reasoning more appropriate to patients, which should be conducted in a comprehensive manner by the nursing team.

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“…The appearance of skin lesions has been used to assess the quality of care provision, and facilities that prevent are more highly recognized than those that treat (19) . One of the risk factors for the appearance of lesions is old age (20) . Moreover, chronic-degenerative diseases, physical limitations, sarcopenia, malnutrition, frailty, disability and dependency are elements that can lead to patients being bedridden, making them even more susceptible to skin problems.…”

Section: Discussionmentioning

confidence: 99%

Indicators of health and safety among institutionalized older adults

Cavalcante

Borges

Moura

et al. 2016

Rev. esc. enferm. USP

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Objective:To identify the incidence of mortality, diarrheal diseases, scabies and falls; and the prevalence of pressure ulcers -all of which are related to the safety of institutionalized older adults. Method: This was a documentary retrospective study developed in a longterm residential care institution for older adults in the Northeast region of Brazil. The data were gathered from records of health assessment indicators filed between January 2008 and December 2015. Analysis included absolute case frequency; the sum of monthly prevalence and incidence rates; mean values of cases; and mean annual incidence and prevalence rates. Results: The incidence of mortality over these nine years ranged from 9% to 13%; of acute diarrheic disease from 13% to 45%; and scabies from 21% to 63%. The prevalence of pressure ulcers ranged from 8% to 23%. Between 2012 and 2015, the incidence rate of falls without injury varied from 38% to 83%, and with injury from 12% to 20%. Conclusion: Analysis of the health indicators revealed a high incidence of scabies and falls and a high prevalence of pressure ulcers. The identification of less than optimal rates for performance indicators can help improve the quality of nursing care.

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Evaluation of the risk for pressure ulcers in bedridden elderly at home

Cited by 7 publications

References 12 publications

Úlcera por pressão em pacientes críticos: incidência e fatores associados

Úlcera por pressão em pacientes críticos: incidência e fatores associados

Sociodemographic and clinical characterization of patients with vasculogenic ulcers

Indicators of health and safety among institutionalized older adults

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