Campanha Diga Não à Lesão por Pressão

Abstract

Pressure ulcer (PU) can be classified according to tissue impairment, etiology, healing time and tissue characteristics. Currently, it is the third type of adverse event most reported by the patient safety centers of health services in the country, according to the National Report of Incidents Related to Health Care. The classification and the identification of risk factors are essential for implementation of preventive and therapeutic actions in susceptible patients. Nutritional status is a fundamental piece for the prevention and development of PU, making it essential to integrate the interdisciplinary team in the prevention and treatment of PU, with a focus on quality, safety and patient experience. In this sense, the objective of this campaign is to disseminate knowledge, providing technical support for patient care and reducing PU rates. A mnemonic was developed with the word “CICATRIZATION”, in which each letter proposes steps that help in the identification of risk, assessment, treatment and monitoring of PU. Thus, the sequence of 12 steps established in this campaign is suggested as a measure to assist health professionals in this management

Epidemiological profile of patients with chronic lower extremity ulcers in two public hospitals in southern Brazil

“…Nevertheless, BMI is a limited method for analyzing nutritional status. It is recognized the role of validated nutritional assessment tools such as Mini Nutritional Assessment, Subjective Global Assessment, and Global Leadership Initiative on Malnutrition criteria as important in the screening of malnutrition 12,15,23,28,29 . The Mini Nutritional Assessment, for instance, seems to be the best predictor for the risk of developing pressure injuries 30 .…”

“…The Mini Nutritional Assessment, for instance, seems to be the best predictor for the risk of developing pressure injuries 30 . Knowledge on a CLEU patient's nutritional status may allow interventions that will benefit wound healing, such as a hyperproteic diet and nutritional supplements with amino acids (arginine and glutamine), vitamins (A, C, D, and folic acid), and minerals 12,14 .…”

“…Nutrition is another very important factor for a healthy healing. Proteins are essential to collagen production, angiogenesis, and tissue regeneration, and a hyperproteic diet may be indicated 12 . Supplementation of amino acids such as arginine and glutamine may benefit healing 13,14 .…”

“…In developed countries, this neuropathy is most commonly associated to DM 16 . Pressure injuries are another frequent cause of skin ulcers in inpatients and those with impaired mobility 12 .…”

The Mini Nutritional Assessment‐Short Form is more effective in predicting clinical outcomes among hospitalised patients with overweight than the Nutritional Risk Screening‐2002

“…The relationship between malnutrition and nutritional risk is well-established (Toledo et al, 2018). However, the association between being overweight and nutritional risk remains insufficiently explored (Agarwal et al, 2019;Uemura et al, 2020;Van Vliet et al, 2021) which is a major challenge in clinical practice and requires further specific studies.…”