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

2021 ◽  
Vol 74 (2) ◽  
Author(s):  
Sabrina Guterres da Silva Galetto ◽  
Eliane Regina Pereira do Nascimento ◽  
Patrícia Madalena Vieira Hermida ◽  
Josefine Busanello ◽  
Luciana Bihain Hagemann de Malfussi ◽  
...  
Keyword(s):  
Injury Prevention ◽  
Medical Device ◽  
Critically Ill ◽  
Nursing Care ◽  
Critically Ill Patients ◽  
Early Assessment ◽  
Pressure Injury ◽  
Respiratory Devices ◽  
Nursing Professionals ◽  
Pressure Injury Prevention

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.

scholarly journals Effects and Interventions of Pressure Injury Prevention Bundles of Care in Critically Ill Patients: A Systematic Review

2021 ◽  
Vol 11 (2) ◽  
pp. 154-176
Author(s):  
Wenny Trisnaningtyas ◽  
Retnaningsih Retnaningsih ◽  
Nana Rochana
Keyword(s):  
Injury Prevention ◽  
Nutrition Education ◽  
Critically Ill ◽  
Critically Ill Patients ◽  
Developed Countries ◽  
Support Surface ◽  
Intervention Measures ◽  
Pressure Injury ◽  
Single Intervention ◽  
Pressure Injury Prevention

Background: Many studies on pressure injury prevention bundles have been conducted outside the Intensive Care Unit (ICU). The bundles, which include multi interventions, have proven effective in reducing pressure ulcer incidents compared to a single intervention. However, the existing review studies on pressure injury prevention in ICUs still only investigate a single intervention rather than multi interventions. Only few reviews, to our knowledge, involves prevention bundle strategies in the ICU.Purpose: This study aims to review the effects of the pressure injury prevention bundles of care on the incidents of pressure injury in critically ill patients and the intervention measures of the care bundles.Methods: This review searched published articles from several databases, namely EBSCO, ScienceDirect, PubMed, ProQuest, Google Scholar, and Scopus from 2009 up to 2020. PRISMA flowchart was used to select relevant articles using several inclusion and exclusion criteria, resulting in 17 article from 50 eligible full-text articles for assessment. The included studies were assessed for their quality using Joanna Briggs Institute (JBI) critical appraisal tools. The synthesis was then conducted narratively.Results: As many as 17 studies, which mostly had good quality yet evidence level of II, were included in the analysis. The findings showed that the pressure injury prevention bundles of care decreased pressure injury incidents as many as 4.3%-36.2% in developed countries and 4.16%-21% in developing countries. Moreover, the bundles of care which significantly reduced the incidents of pressure injury consisted of 7 intervention measures, which were pressure injury risk assessment using Cubbin Jackson scale, skin assessment and care, repositioning, nutrition, education, support surface, and medical device care.Conclusion:The review concluded that the pressure injury prevention bundles of care in critically ill patients significantly reduced the incidents of pressure injury. The study recommends more studies with stronger evidence levels to carry out and utilize 7 intervention measures as a preventive standard of care in critically ill patients. 

scholarly journals Variables associated with pressure injury prevention: knowledge for nursing care

2020 ◽  
pp. 1172-1178
Author(s):  
Thaís da Silva Oliveira ◽  
Daniela de Aquino Freire ◽  
Nauã Rodrigues de Souza ◽  
Franciene Marília Elias dos Santos ◽  
Katiane Santana dos Santos ◽  
...  
Keyword(s):  
Injury Prevention ◽  
Nursing Care ◽  
Pressure Injury ◽  
Pressure Injury Prevention

Objetivo: Identificar na literatura científica as variáveis associadas à prevenção da LPP para subsidiar o cuidado de enfermagem. Método: Trata-se de uma revisão integrativa da literatura. Resultados: Foram analisados 18 artigos analisados, destes, 13 eram exclusivamente elaborados por enfermeiros. A análise possibilitou a identificação de 39 variáveis associadas as três dimensões emanadas do termo “conhecimento”. Foi possível observar uma predominância de valorização da literatura daquelas associadas a dimensão técnico-cientifica com um quantitativo de 35 variáveis. Nesta dimensão pode-se notar que as medidas de prevenção estão associadas à utilização de procedimentos para alívio de pressão. Conclusão: A revisão integrativa permitiu verificar que os cuidados voltados a medidas de prevenção se constituem como um tema que demanda preocupação por parte da equipe multiprofissional, principalmente, pelos enfermeiros que tem investido de forma expressiva no melhor entendimento do problema e na busca de soluções através de pesquisas metodologicamente mais refinadas.

Efficacy of Epidural Analgesia for Pain Management of Critically Ill Patients and the Implications for Nursing Care

1991 ◽  
Vol 2 (4) ◽  
pp. 729-740 ◽  
Author(s):  
Jeanne F. Slack ◽  
Margaret Faut-Callahan
Keyword(s):  
Critical Care ◽  
Pain Relief ◽  
Epidural Analgesia ◽  
Critically Ill ◽  
Nursing Care ◽  
Critically Ill Patients ◽  
Continuous Epidural Analgesia ◽  
Analgesic Agents ◽  
Care Problems ◽  
Critical Care Patients

Management of pain for critically ill patients has been shown to be inadequately controlled and can have serious deleterious effects on a patient’s recovery. Continuous epidural analgesia can be used to control pain in critical care patients. This mode of analgesia administration provides pain relief without the delays inherent in the as-needed administration of analgesics. Fifteen critical care unit patients were part of a multidisciplinary, prospective, randomized, double-blind study of various epidural analgesic agents in 43 thoracic and 66 abdominal surgery patients. The purpose of the study was to identify the benefits and problems associated with continuous epidural analgesia administration and the implications for the nursing care of critically ill patients. Evaluation of the effectiveness of the analgesia was based on the following measures: 1) pain measured at regular intervals in the 72-hour period with a visual analog; 2) pain as measured after 72 hours with the word descriptor section of the McGill pain questionnaire; 3) amount of supplemental systemic narcotic analgesic needed; 4) recovery of ambulatory and respiratory function, including ability to perform coughing and deep-breathing exercises; 5) occurrence of adverse effects, and 6) the type and distribution of nursing care problems associated with continuous epidural infusions. The results of this study showed that the level of pain relief and recovery of postoperative function was superior to that provided by the more widely used as-needed systemic administration of narcotics. Although some nursing care problems were identified, continuous epidural analgesia can be used for pain relief in critical care patients, if the analgesia is administered by accurate reliable infusion systems and carefully monitored by nursing staff who are knowledgeable about the pharmacologic considerations of epidural analgesic agents and the management of patient care

scholarly journals Adherence to evidence-based pressure injury prevention guidelines in routine clinical practice: a longitudinal study

2017 ◽  
Vol 14 (6) ◽  
pp. 1290-1298 ◽  
Author(s):  
Wendy Chaboyer ◽  
Tracey Bucknall ◽  
Brigid Gillespie ◽  
Lukman Thalib ◽  
Elizabeth McInnes ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Longitudinal Study ◽  
Injury Prevention ◽  
Routine Clinical Practice ◽  
Evidence Based ◽  
Pressure Injury ◽  
Prevention Guidelines ◽  
Pressure Injury Prevention
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