Aplicabilidade do protocolo de prevenção de úlcera de pressão em unidade de terapia intensiva

Abstract

Objective: The avoidance of pressure ulcers development in critically ill patients is a major nursing challenge. Prevention is thus relevant for assurance of high quality care. This study aimed to evaluate the applicability of the Braden scale in intensive care unit patients. Methods: This was a prospective study based which evaluated all adult patients staying in the intensive care unit from July 14 to August 10, 2009. The data were collected using the Braden's scale by three examiners who identified the pressure ulcer development risk. The data were analyzed using the SAS Statistical Software. For determination of the examiners' rates degree of coincidence, the Kappa value was used (95%CI). Results: Regarding the related risk factors: 36.4% had mild sensory perception impairment; 50.9% had occasionally moist skin; 97.3% bedfast; 39.1% had very limited mobility; 45% probably had inappropriate nutrition; 61.8% had friction and shear problems. An agreement between the examiners was identified for nutrition and physical activity (38.1% to 100.0%); the Kappa population zero hypothesis was rejected; a paired examiners agreement (41.7% to 100.0%) was identified for the items humidity and physical activity, and the Kappa values ranged from 0.13 to 1. Conclusions: These intensive care patients were identified to have increased risk of developing pressure ulcers. This tool was considered appropriate to support the implementation of preventive measures.

Social representations of nurses about professional autonomy and the use of technologies in the care of patients with wounds

“…From some professionals can be seen as a factor that hinders the fullness of care, especially for those graduates who need to deal with the new. [7][8][9] Nursing technology in care to patients with wounds comprises systematized knowledge (scientific and humanistic), which is perform in the act of care. [7][8][9][10] The technology is not just what is tangible and material, but also on the subjective features that guide the work of the professional, ahead of care.…”

Assessment of risk for pressure ulcers in intensive care units: an integrative review

“…31 This finding supports with other studies that have shown a greater incidence for ulcers since it increases age. 20,23 Despite knowing the risk factors related to PU, it is still possible to identify the record of UPP in people admitted to ICU as shown by the prevalence of selected studies with 9,1% 19 , 31,7% 25 , 59,5% 24 and 76% 26 being required assistance through the use of scales of risk for PU.…”

Medical conditions and risk associated with pressure ulcers

“…[6] When a patient presents a change in sensory perception, there is a need for increased attention, given the patient's inability to express discomfort, which makes him or her more susceptible to forming a pressure ulcer. [16] Thus, the importance of gradually undoing the sedation and using all available resources to prevent these injuries is reinforced.…”