Medical device-related pressure injury prevention in critically ill patients: nursing care

Abstract

Objectives: to know the care implemented by the nursing team to prevent medical device-related pressure injuries in critically ill patients. Methods: this is a qualitative research conducted with 15 nursing professionals from Intensive Care Unit. Sampling was carried out by theoretical saturation. For data analysis, the Discourse of the Collective Subject technique was used. Results: six speeches emerged, whose central ideas were interventions for medical device-related pressure injury prevention: care in fixation; frequent repositioning; protection and padding of body areas in contact; preferences for flexible materials, when available; attention of professionals so that they do not comer under patients; early assessment and removal, when clinically possible. Final Considerations: nursing care was directed mainly to respiratory devices, catheters in general and monitoring equipment, indicating that professionals have the knowledge to provide safe assistance consistent with the literature.

Efeitos adversos relacionados ao uso de máscaras faciais durante a pandemia da COVID-19: Revisão Integrativa

“…As lesões por pressão são definidas como alterações da integridade cutânea que afetam regiões de proeminências ósseas, especialmente causadas por pressão, cisalhamento e alterações do microambiente da pele. (Galetto et al, 2021). A prevalência de lesão por pressão foi bastante elevada entre os médicos (59,2%), porém inferior a outros estudos recentes.…”

Lesão Por Pressão Relacionada a Dispositivos Médicos:

“…Entre as principais formas de evitar a LPRDM, apontadas pelos acadêmicos participantes desta pesquisa estão a mudança de decúbito, inspeção da pele, diminuir forças de pressão, fricção e cisalhamento, descompressão e reposicionamento dos dispositivos, tal como aponta site administrado por pesquisadores da Escola de Enfermagem da Universidade de São Paulo (6) , e ainda, estudos realizados em Rondônia (19) e Santa Catarina (20) Além destes cuidados, é fundamental que a equipe de enfermagem se atente aos intervalos de mudança de decúbito, por meio do relógio para mudanças de decúbito, uso de escalas de predição de risco (4) , como a Escala de Braden (16,21) e utilização de protocolos institucionais que promovam assistência segura ao paciente (22) .…”

Effect of Educational Program about Preventive Nursing Measures of Medical devices related Pressure Injuries on Nurses' Performance and Patients' Clinical Outcome

“…Three tools were utilized to collect pertinent data. Tool I: Structured Interview Schedule: It was developed by the researcher based on reviewing recent relevant literature (8,11,12), it included two parts:…”

“…The appropriate preventive measures of pressure injuries related medical devices present a special challenge for critical care nurses. They should had knowledge and practice about examination of the skin around and underneath the device, stage of pressure injuries, techniques of device securement to prevent dislodgment, and following the manufacturer's instructions for applying and removing this device (8) . The nursing preventive measures should be designed in accordance with the evidence based practice.…”