Nutritional therapy and wound healing in pressure injury situations: an integrative review

Nutrire ◽  
2021 ◽  
Vol 46 (2) ◽  
Author(s):  
Guilherme Vasques Segalla ◽  
Sarah Trindade Teixeira ◽  
Marcelo Macedo Rogero
Keyword(s):  
Wound Healing ◽  
Nutritional Therapy ◽  
Integrative Review ◽  
Pressure Injury

scholarly journals Evidence in Practice of Tissue Healing with Latex Biomembrane: Integrative Review

2019 ◽  
Vol 2019 ◽  
pp. 1-17 ◽  
Author(s):  
Suélia de Siqueira Rodrigues Fleury Rosa ◽  
Mário Fabrício Fleury Rosa ◽  
Marcos Augusto Moutinho Fonseca ◽  
Glécia Virgolino da Silva Luz ◽  
Carlos Federico Domínguez Avila ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Wound Healing ◽  
Chronic Diseases ◽  
Low Cost ◽  
Rubber Tree ◽  
Antimicrobial Effect ◽  
Integrative Review ◽  
Complication Rates ◽  
Biocompatible Material ◽  
Tissue Healing

Wound healing is a perfectly coordinated cascade of cellular, molecular, and biochemical events which interact in tissue reconstitution. Chronic diseases such as pressure ulcers (PU) and diabetes mellitus (DM) are considered risk factors for wound healing. Patients with such diseases often have higher sepsis, infection, and complication rates, since they have revascularization inhibition and low growth factor expression. Thus, latex biomembrane (LBM), a biocompatible material, derived from the latex of the rubber tree (Hevea brasiliensis) appears to create tendencies as an angiogenic-inducing tissue healing agent and as biomaterial, resulting from its structural qualities and its low cost when compared to conventional treatments. Therefore, this work aims at summarizing the results, experiments, and scientific findings that certify or recommend the use of LBM as a new technique to be applied effectively in the treatment of wounds. An integrative review was held in the BIREME, LILACS, Burns, MEDLINE, PubMed, and SciELO databases, from 2000 to 2016, using the following descriptors: “healing,” “diabetes mellitus,” “wounds,” and “latex membrane.” As a result, 600 experiments (out of 612) presented satisfactory results; however, 33% of the cases received explicit recommendations, 11% required more studies on the subjects, and 1% was denied. On the other hand, half of the studies did not expressly endorse its use, despite presenting satisfactory results. The LBM was characterized as a good therapeutic alternative in cases of wounds, including chronic diseases, such as diabetes mellitus and PU, due to its relevant potential for wound healing stimulation, acceleration of cell tissue mending and revascularization, or the reestablishment of angiogenic functions (creation of new blood vessels). The LBM was also confirmed to be safe as a biocompatible material whose structural qualities (elasticity, adaptability, impermeability, and possibility of suture), devoid of toxicity, allowed interaction between tissues and presented no hypersensitivity inducer and no antimicrobial effect.

scholarly journals Clinical-epidemiological profile of patients with pressure injuries in the hospital context

2020 ◽  
Author(s):  
Lidiane Souza Lima ◽  
Neylor Rodrigo Oliveira Aragão ◽  
Gleyce Kelly de Brito Brasileiro Santos ◽  
Eduesley Santana Santos ◽  
Cátia Suely Palmeira
Keyword(s):  
The Elderly ◽  
Nutritional Therapy ◽  
University Hospital ◽  
Smoking History ◽  
The People ◽  
Sacrococcygeal Region ◽  
Pressure Injury ◽  
Assistance Service ◽  
Care Assistance ◽  
Epidemiological Profile

Objective: describe the clinical-epidemiological profile of patients with pressure injuries admitted to a university hospital. Method: descriptive study with 122 patients with pressure injuries admitted to a university hospital between January 2018 and December 2019. Data were collected from patients’ medical records and from the Serviço Assistencial de Cuidados com a Pele (Skin Care Assistance Service) database. Descriptive statistics were used for data analysis. Results: pressure injuries predominated among adults and the elderly, browns, who studied up to elementary school and had no partner. There was a similarity between the sexes. The patients had, mainly, infectious disease, one or more comorbidities, nutritional alteration, mixed incontinence and used nutritional therapy, but did not present dermatitis associated with incontinence and smoking history. Most patients were classified as high risk of pressure injury. The study totaled 237 lesions, most of which were acquired before admission, not classifiable, located in the sacrococcygeal region, treated topically with hydrogel with alginate and hydrocolloid, and not healed at the time of hospital discharge. Conclusion: the studydescribed important aspects of the characterization of pressure injuries, as well as the people affected by this serious health problem, which can optimize prevention and treatment actions.

scholarly journals LESÃO POR PRESSÃO EM INSTITUIÇÕES DE LONGA PERMANÊNCIA PARA IDOSOS: UMA REVISÃO INTEGRATIVA / PRESSURE INJURY IN LONG-TERM INSTITUTIONS FOR THE ELDERLY: AN INTEGRATIVE REVIEW

2021 ◽  
Vol 7 (2) ◽  
pp. 12127-12139
Author(s):  
Kyara Marcondes Sardeli ◽  
Marcelli Cristine Vocci ◽  
Mayara Spin ◽  
Clarita Terra Rodrigues Serafim ◽  
Bruna Cristina Velozo ◽  
...  
Keyword(s):  
The Elderly ◽  
Integrative Review ◽  
Pressure Injury

scholarly journals Intervenções de enfermagem para pacientes com lesão por pressão

2019 ◽  
Vol 13 ◽  
Author(s):  
Danielle Martins Oliveira ◽  
Marta Miriam Lopes Costa ◽  
William Malagutti
Keyword(s):  
Wound Healing ◽  
Continuing Education ◽  
Nursing Care ◽  
Wounds And Injuries ◽  
Scientific Production ◽  
Nursing Interventions ◽  
Nursing Process ◽  
Skin Change ◽  
Pressure Injury ◽  
Bibliographic Study

Objetivo: analisar a produção científica acerca das intervenções de enfermagem da CIPE® para pacientes com lesão por pressão. Método: trata-se de um estudo bibliográfico, tipo revisão integrativa em artigos publicados entre 2014 a 2018, realizado nas bases da Biblioteca Virtual de Saúde e portal de periódicos CAPES. Analisaram-se os dados de forma descritiva pelos resultados apresentados em figuras. Resultados: selecionaram-se 31 artigos, que evidenciaram diversas intervenções de enfermagem, como a supervisão periódica da pele, mudança de decúbito, uso de coberturas e escalas, ensino do autocuidado, educação continuada da equipe e desenvolvimento de protocolos. Conclusão: espera-se o desenvolvimento de novos estudos envolvendo a temática, considerando a complexidade do cuidar de lesões, evidenciando a necessidade de mais pesquisas com intervenções direcionadas a sistematizar o cuidado, minimizar o sofrimento e alcançar a cicatrização da lesão. Descritores: Enfermagem; Lesão por Pressão; Processo de Enfermagem; Ferimentos e Lesões; Cuidados de Enfermagem; Terminologia Padronizada em Enfermagem.ABSTRACTObjective: to analyze the scientific production about ICNP® nursing interventions for patients with pressure injury. Method: this is a bibliographic study, integrative review type in articles published from 2014 to 2018, conducted in the bases of the Virtual Health Library and CAPES journal portal. Data were analyzed descriptively by the results presented in figures. Results: 31 articles were selected, which showed various nursing interventions, such as periodic supervision of the skin, change of position, use of covers and scales, self-care teaching, continuing education of the team and development of protocols. Conclusion: it is expected the development of new studies involving the theme, considering the complexity of caring for injuries, highlighting the need for further research with interventions aimed at systematizing care, minimizing suffering and achieving wound healing. Descriptors: Nursing; Pressure Injury; Nursing Process; Wounds and Injuries; Nursing Care; Standardized Nursing Terminology.RESUMEN Objetivo: analizar la producción científica sobre las intervenciones de enfermería ICNP® para pacientes con lesión por presión. Método: este es un estudio bibliográfico, tipo revisión integradora en artículos publicados de 2014 a 2018, realizado en las bases de la Biblioteca Virtual en Salud y el portal de la revista CAPES. Los datos fueron analizados descriptivamente por los resultados presentados en las figuras. Resultados: se seleccionaron 31 artículos que mostraban diversas intervenciones de enfermería, tales como supervisión periódica de la piel, cambio de posición, uso de cubiertas y escalas, enseñanza de autocuidado, educación contínua del equipo y desarrollo de protocolos. Conclusión: se espera el desarrollo de nuevos estudios que involucren el tema, considerando la complejidad del cuidado de las lesiones, destacando la necesidad de una mayor investigación con intervenciones destinadas a sistematizar la atención, minimizar el sufrimiento y lograr la curación de la herida. Descriptores: Enfermería; Lesión por Presión; Proceso de Enfermería; Heridas y Lesiones; Atención de Enfermería; Terminología Normalizada de Enfermería.

scholarly journals Use of amniotic membrane in wound healing: integrative review / Uso da membrana amniótica na cicatrização de feridas: revisão integrativa

2021 ◽  
Vol 13 ◽  
pp. 1361-1366
Author(s):  
Kauan Gustavo De Carvalho ◽  
Karla Joelma Bezerra Cunha ◽  
Nanielle Silva Barbosa ◽  
Ana Caroliny de Barros Soares Lima ◽  
Jefferson Abraão Caetano Lira ◽  
...  
Keyword(s):  
Wound Healing ◽  
Amniotic Membrane ◽  
Allied Health ◽  
Medical Literature ◽  
Integrative Review ◽  
Literature Analysis ◽  
Health Literature

Objetivo: identificar na literatura o uso da membrana amniótica na cicatrização de feridas. Método: revisão integrativa onde aplicou-se os descritores: ‘’feridas’’, ‘’membrana amniótica’’ e ‘’cicatrização’’ às bases de dados Literatura Latino-Americana e do Caribe em Ciências da Saúde, Medical Literature Analysis and Retrieval Sistem Online e Cummulative Index to Nursing and Allied Health Literature, entre Janeiro e Fevereiro de 2019. Resultados: foram selecionados 18 artigos os quais embasaram a construção de duas categorias temáticas. Evidenciou-se que a membrana aminiótica possui capacidade para diminuir o exsudato e adesões, reduzir a dor local e agir como um substrato para o crescimento de tecidos. Conclusão: a membrana amniótica constitui-se alternativa eficaz para o tratamento de feridas. Faz-se necessário o desenvolvimento de estudos mais aprofundados a fim de ampliar o conhecimento da equipe da saúde e contribuir para o avanço e fortalecimento de práticas em estomaterapia.

Olive oil promotes wound healing of mice pressure injuries through NOS-2 and Nrf2

2019 ◽  
Vol 44 (11) ◽  
pp. 1199-1208 ◽  
Author(s):  
Fernanda Seabra Schanuel ◽  
Bianca Oliveira Saguie ◽  
Andréa Monte-Alto-Costa
Keyword(s):  
Wound Healing ◽  
Protein Expression ◽  
Olive Oil ◽  
Ischemia Reperfusion ◽  
Related Factor ◽  
Type I ◽  
Cutaneous Wound Healing ◽  
External Application ◽  
Cutaneous Wound ◽  
Pressure Injury

The pressure injury environment is characterized by overproduction of reactive oxygen species and exacerbated inflammation, which impair the healing of these lesions. Mediterranean-like diet may be a good intervention to improve the healing of pressure injury owing to its anti-inflammatory and antioxidant components. Thus, this study evaluated the hypothesis that olive oil, as a main source of lipid in Mediterranean diet, could improve cutaneous wound healing of pressure injury in mice. Male Swiss mice were randomly divided into standard, olive oil, or soybean oil plus olive oil groups and fat represented 10% of total calories in all groups. Four weeks after the beginning of diet administration, 2 cycles of ischemia–reperfusion (IR) by external application of 2 magnets disks were performed in the dorsal skin to induce pressure injury formation. Fourteen days after the end of the second IR cycle, olive oil-based diet reduced neutrophils cells and cyclooxygenase-2 protein expression and increased nitric oxide synthase-2 and protein and lipid oxidation. Olive oil based-diet also increased nuclear factor erythroid 2-related factor 2 protein expression and collagen type I precursor protein expression. In addition, administration of olive oil-based diet promoted wound closure at 7, 10, and 14 days after the end of the second IR cycle. These findings support the hypothesis that olive oil-based diet improves cutaneous wound healing of pressure injury in mice through the reduction of inflammation and stimulation of redox equilibrium.

scholarly journals Role of microRNAs in Pressure Ulcer Immune Response, Pathogenesis, and Treatment

2020 ◽  
Vol 22 (1) ◽  
pp. 64
Author(s):  
Stephen M. Niemiec ◽  
Amanda E. Louiselle ◽  
Kenneth W. Liechty ◽  
Carlos Zgheib
Keyword(s):  
Immune Response ◽  
Wound Healing ◽  
Pressure Ulcer ◽  
Healthcare Costs ◽  
Chronic Wounds ◽  
Impaired Wound Healing ◽  
Biochemical Pathways ◽  
Patient Morbidity ◽  
Pressure Injury

Pressure ulcers are preventable, yet highly prevalent, chronic wounds that have significant patient morbidity and high healthcare costs. Like other chronic wounds, they are characterized by impaired wound healing due to dysregulated immune processes. This review will highlight key biochemical pathways in the pathogenesis of pressure injury and how this signaling leads to impaired wound healing. This review is the first to comprehensively describe the current literature on microRNA (miRNA, miR) regulation of pressure ulcer pathophysiology.

scholarly journals Instruments for the care of pressure injury in pediatrics and hebiatrics: an integrative review of the literature

2018 ◽  
Vol 26 (0) ◽  
Author(s):  
Mayara Kelly Moura Ferreira ◽  
Sabrina de Souza Gurgel ◽  
Francisca Elisângela Teixeira Lima ◽  
Maria Vera Lúcia Moreira Leitão Cardoso ◽  
Viviane Martins da Silva
Keyword(s):  
Pressure Ulcer ◽  
Injury Risk ◽  
Scientific Literature ◽  
Descriptive Analysis ◽  
Decubitus Ulcer ◽  
Integrative Review ◽  
Care Practice ◽  
Advisory Panel ◽  
Curative Care ◽  
Pressure Injury

ABSTRACT Objective: to identify existing instruments in the scientific literature about the care of pressure injuries in pediatric and hebiatric patients. Method: an integrative review that selected 32 articles from the PubMed/Medline, LILACS, Scopus and CINAHL databases using the descriptors pressure ulcer, decubitus ulcer, pediatrics, adolescent and protocols and their equivalent terms in Portuguese and Spanish. Inclusion criteria: research articles in full, in Portuguese, English or Spanish without any temporal cut-off. The descriptive analysis was adopted to categorize the instruments found into the three domains of care: evaluative, preventive and curative. Results: 25 instruments for the care of pressure injuries in pediatric and hebiatric patients were found, with an emphasis on the Braden Q Scale being the most commonly used to assess pressure injury risk, and the protocols containing pressure injury staging guidelines developed by the National Pressure Ulcer Advisory Panel (NPUAP) and the European Pressure Ulcer Advisory Panel (EPUAP). Conclusion: the scientific literature has valid and reliable instruments that can be used in nursing care practice aimed at the evaluative, preventive and curative care of pressure injuries in pediatric and hebiatric patients.

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