scholarly journals Atuações do enfermeiro na prevenção de úlcera por pressão em idosos institucionalizados

2015 ◽  
Vol 5 (13) ◽  
pp. 12
Author(s):  
Ivete Santa de Almeida ◽  
Luiz Faustino dos Santos Maia
Keyword(s):  
Soft Tissue ◽  
Pressure Ulcer ◽  
Pressure Ulcers ◽  
Skin Lesions ◽  
External Pressure ◽  
Assessment Tools ◽  
Inclusion Criteria ◽  
Pressure Ulcer Prevention ◽  
Nursing Team ◽  
Use Of Assessment

As ulceras por pressão (UPP) são lesões cutâneas ou de partes moles, localizadas normalmente sobre áreas de proeminências ósseas, originada por aumento da pressão externa. Trata-se de um estudo de revisão bibliográfica e qualitativa, cuja fonte foi as bases de dados da Bireme e os objetos foram artigos que atenderam aos critérios de inclusão estabelecidos. A análise foi baseada em Minayo (2014). Como resultado emergiram as categorias: “ações do enfermeiro na prevenção de UPP representadas pelas execuções corretas dos procedimentos” e “ações do enfermeiro representadas pelo uso de instrumentos de avaliação”. Infere-se que a prevenção da UPP é dever da equipe do enfermeiro no atributo das suas funções. No entanto para que isso aconteça, é preciso conhecimento atualizado para a aplicação da precaução.Descritores: Enfermagem, Prevenção, Úlcera por Pressão. The nurse acting in pressure ulcer prevention in institutionalized elderlyAbstract: The pressure ulcers (UPP) are skin lesions or soft tissue, usually located on areas of bony prominences, caused by increased external pressure. This is a bibliographic and qualitative review, whose source was the Bireme databases and objects were articles that met the inclusion criteria established. The analysis was based on Minayo (2014). As a result the following categories emerged: “nurses actions in UPP prevention represented by the correct executions of procedures” and “nursing shares represented by the use of assessment tools”. It is inferred that the prevention of UPP is nursing team duty in the attribute of their duties. However for this to happen, we need updated knowledge for the application of precaution.Descriptors: Nursing, Prevention, Pressure Ulcer. Las actuaciones de enfermería en la prevención de úlceras por presión en ancianosResumen: Las úlceras por presión (UPP) son lesiones en la piel o tejidos blandos, generalmente ubicados en áreas de prominencias óseas, causada por el aumento de la presión externa. Esta es una revisión bibliográfica y cualitativa, cuya fuente era las bases de datos y objetos de BIREME, fueron los artículos que cumplieron los criterios de inclusión establecidos. El análisis se basó en Minayo (2014). Como resultado surgieron las siguientes categorías: ”Las acciones de enfermería en la prevención de UPP representado por las ejecuciones correctas de procedimientos” y “acciones de enfermería representados por el uso de las herramientas de evaluación”. Se infiere que la prevención de UPP es deber equipo de enfermería en el atributo de sus funciones. Sin embargo, para que esto suceda, necesitamos el conocimiento actualizado para la aplicación de la precaución.Descriptores: Enfermería, Prevención, Úlcera por Presión.

scholarly journals Atuações do enfermeiro na prevenção de úlcera por pressão em idosos institucionalizados

2015 ◽  
pp. 12
Author(s):  
Ivete Santa de Almeida ◽  
Luiz Faustino dos Santos Maia
Keyword(s):  
Soft Tissue ◽  
Pressure Ulcer ◽  
Pressure Ulcers ◽  
Skin Lesions ◽  
External Pressure ◽  
Assessment Tools ◽  
Inclusion Criteria ◽  
Pressure Ulcer Prevention ◽  
Nursing Team ◽  
Use Of Assessment

As ulceras por pressão (UPP) são lesões cutâneas ou de partes moles, localizadas normalmente sobre áreas de proeminências ósseas, originada por aumento da pressão externa. Trata-se de um estudo de revisão bibliográfica e qualitativa, cuja fonte foi as bases de dados da Bireme e os objetos foram artigos que atenderam aos critérios de inclusão estabelecidos. A análise foi baseada em Minayo (2014). Como resultado emergiram as categorias: “ações do enfermeiro na prevenção de UPP representadas pelas execuções corretas dos procedimentos” e “ações do enfermeiro representadas pelo uso de instrumentos de avaliação”. Infere-se que a prevenção da UPP é dever da equipe do enfermeiro no atributo das suas funções. No entanto para que isso aconteça, é preciso conhecimento atualizado para a aplicação da precaução.Descritores: Enfermagem, Prevenção, Úlcera por Pressão. The nurse acting in pressure ulcer prevention in institutionalized elderlyAbstract: The pressure ulcers (UPP) are skin lesions or soft tissue, usually located on areas of bony prominences, caused by increased external pressure. This is a bibliographic and qualitative review, whose source was the Bireme databases and objects were articles that met the inclusion criteria established. The analysis was based on Minayo (2014). As a result the following categories emerged: “nurses actions in UPP prevention represented by the correct executions of procedures” and “nursing shares represented by the use of assessment tools”. It is inferred that the prevention of UPP is nursing team duty in the attribute of their duties. However for this to happen, we need updated knowledge for the application of precaution.Descriptors: Nursing, Prevention, Pressure Ulcer. Las actuaciones de enfermería en la prevención de úlceras por presión en ancianosResumen: Las úlceras por presión (UPP) son lesiones en la piel o tejidos blandos, generalmente ubicados en áreas de prominencias óseas, causada por el aumento de la presión externa. Esta es una revisión bibliográfica y cualitativa, cuya fuente era las bases de datos y objetos de BIREME, fueron los artículos que cumplieron los criterios de inclusión establecidos. El análisis se basó en Minayo (2014). Como resultado surgieron las siguientes categorías: ”Las acciones de enfermería en la prevención de UPP representado por las ejecuciones correctas de procedimientos” y “acciones de enfermería representados por el uso de las herramientas de evaluación”. Se infiere que la prevención de UPP es deber equipo de enfermería en el atributo de sus funciones. Sin embargo, para que esto suceda, necesitamos el conocimiento actualizado para la aplicación de la precaución.Descriptores: Enfermería, Prevención, Úlcera por Presión.

scholarly journals Nurses’ Knowledge, Practices, and Barriers in Care of Patients with Pressure Ulcers in a Ugandan Teaching Hospital

2014 ◽  
Vol 2014 ◽  
pp. 1-6 ◽  
Author(s):  
Ivan Mwebaza ◽  
Godfrey Katende ◽  
Sara Groves ◽  
Joyce Nankumbi
Keyword(s):  
Teaching Hospital ◽  
Pressure Ulcer ◽  
Pressure Ulcers ◽  
Assessment Tools ◽  
Critical Parameters ◽  
Cross Sectional ◽  
Pressure Ulcer Prevention ◽  
Staff Shortage ◽  
Ulcer Prevention ◽  
Nurses Knowledge

Pressure ulcers have been identified as a major burden of hospitalization worldwide, and nurses are at the forefront of prevention. The purpose of this study was to determine the nurses’ knowledge and practices regarding risk factors, prevention, and management of pressure ulcers at a teaching hospital in Uganda. The study employed a descriptive cross-sectional design. Fifty-six Ugandan registered practicing nurses were sampled. A composite self-administered questionnaire and an observation checklist were utilized. The nurses had limited knowledge about critical parameters of pressure ulcers. Prevention practices were observed to be unreliable and uncoordinated related to a significant shortage of staff and logistics for pressure ulcer prevention. Nurses had poor access to current literature on pressure ulcer prevention. Translation of nurses’ knowledge into practice is possible if barriers like staff shortage, pressure relieving devices provision, and risk assessment tools are addressed at Mulago.

From the Cochrane Library: Foam surfaces for preventing pressure ulcers (Preprint)

2021 ◽  
Author(s):  
Yvonne Nong ◽  
Torunn Sivesind ◽  
Robert P. Dellavalle
Keyword(s):  
Systematic Review ◽  
Pressure Ulcer ◽  
Pressure Ulcers ◽  
Cochrane Library ◽  
Cochrane Systematic Review ◽  
Pressure Ulcer Prevention ◽  
The Cochrane Library ◽  
Ulcer Prevention

UNSTRUCTURED This article summarizes an important Cochrane systematic review on the evidence of foam surfaces for pressure ulcer prevention.

scholarly journals Feasibility of sub-dermal soft tissue deformation assessment using B-mode ultrasound for pressure ulcer prevention

2018 ◽  
Vol 27 (4) ◽  
pp. 238-243 ◽  
Author(s):  
J. Doridam ◽  
A. Macron ◽  
C. Vergari ◽  
A. Verney ◽  
P.-Y. Rohan ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Pressure Ulcer ◽  
Tissue Deformation ◽  
Soft Tissue Deformation ◽  
Pressure Ulcer Prevention ◽  
Ulcer Prevention

Pressure Ulcer Prevention and Management

2002 ◽  
Vol 20 (1) ◽  
pp. 35-61 ◽  
Author(s):  
COURTNEY H. LYDER
Keyword(s):  
Pressure Ulcer ◽  
Applied Research ◽  
Pressure Ulcers ◽  
Pressure Ulcer Prevention ◽  
Randomized Control ◽  
Support Surfaces ◽  
The Cost ◽  
The Impact ◽  
Unpublished Research ◽  
Ulcer Prevention

This chapter reviews 218 published and unpublished research reports of pressure ulcer prevention and management by nurse researchers and researchers from other disciplines. The electronic databases MEDLINE (1966-July 2001), CINAHL (1982-June 2001), AMED (1985-July 2001), and El Compedex*Plus (1980-June 2001) were selected for the searches because of their focus on health and applied research. Moreover, evaluations of previous review articles and seminal studies that were published before 1966 are also included. Research conducted worldwide and published in English between 1930 and 2001 was included for review. Studies using descriptive, correlational, longitudinal, and randomized control trials were included. This review found that numerous gaps remain in our understanding of effective pressure ulcer prevention and management. Moreover, the majority of pressure ulcer care is derived from expert opinion rather than empirical evidence. Thus, additional research is needed to investigate pressure ulcer risk factors of ethnic minorities. Further studies are needed that examine the impact of specific preventive interventions (e.g., turning intervals based on risk stratification) and the cost-effectiveness of comprehensive prevention programs to prevent pressure ulcers. Finally, an evaluation is needed of various aspects of pressure ulcer management (e.g., use of support surfaces, use of adjunctive therapies) and healing of pressure ulcers.

scholarly journals Nurses’ Management of Patients with Pressure Ulcers in Selected Health Facilities in Murang’a County, Kenya

2021 ◽  
Vol 3 (1) ◽  
pp. 78-96
Author(s):  
Jane Muthoni Njoroge ◽  
Priscillah Njeri Kabue ◽  
James Ochieng
Keyword(s):  
Risk Assessment ◽  
Pressure Ulcer ◽  
Pressure Ulcers ◽  
Health Facilities ◽  
Assessment Tools ◽  
Active Management ◽  
Institutional Factors ◽  
Effective Management ◽  
Group Discussions ◽  
Adequate Knowledge

Pressure ulcers are a common health problem in hospitalized patients, especially among patients with chronic illnesses and those with reduced mobility. The prevalence of pressure ulcers varies with health care settings and is highest in critically ill patients ranging between 15-20%. They affect the quality of life of patients and caregivers and have been associated with heavy financial burdens, extended hospital stays, higher morbidity and mortality. Inadequate prevention measures and lack of active management of pressure ulcers in early stages especially in high-risk patients result in recurrence and complicated pressure ulcers. In view of this, a descriptive cross-sectional study was conducted in Murang’a County, Kenya in selected health facilities with the objective of determining the management of patients with pressure ulcers. The study population was composed of one hundred and twenty-four (124) nurses working in medical and surgical wards in selected health facilities. Semi-structured questionnaires, observational checklists and focused group discussions were used to collect data. The qualitative data from the focus group discussions and observational checklist were transcribed and a summary written. The relationship between nurse’s knowledge, nurse-oriented factors and institutional factors affecting management of pressure ulcers among nurses were examined using Pearson correlation analysis and multiple regression analysis. The median age of the respondents was 37 years with at least 112 (90.3%) having diploma level of education, and 63 (50.9%) were from the medical department. The majority of the nurses (93.6%) agreed pressure ulcers can be avoided, while 58.1% preferred pressure ulcer risk assessment tools compared to 27.5% who preferred clinical judgment in the management of pressure ulcers. The majority of nurses (87.5%) who had adequate knowledge on the management of pressure ulcers mentioned immobility and bedridden patients, stroke, spinal injury, dry skin, stool and urine incontinence as major contributors to pressure ulcers. Regarding pressure ulcer risk assessment, 62.9% of nurses assessed patients for pressure ulcers though they relied on clinical judgement as 93.9% indicated there was no risk assessment scale in the wards and 5.1% were not sure. On institutional factors 61.3% of the nurses indicated that health facilities were lacking pressure ulcer reducing devices and those that had pillows and a few ripple mattresses. Regarding guidelines in the management of pressure ulcers, 75.8% of nurses indicated they were not available in the hospital. The study found an association between age and knowledge increasing the odds of effective management age (AOR = 6.83, p = 0.001); experience (AOR = 4.08, p = 0.01), and education (AOR = 22.9, p = 0.000). The nurse-oriented factors increasing the odds of effective management of pressure ulcers include nurse’s positive attitude on prevention of pressure ulcers (AOR = 2.3, p = 0.040) and nurse use of pressure ulcer risk assessment tool (AOR = 4.3, p = 0.010). On institutional factors, nurses trained on management of pressure ulcers were 4.47 times likely to effectively manage patients with pressure ulcers. Nurses who lack in-service training about pressure ulcers were less likely to effectively manage patients with pressure ulcers (AOR = 0.11, p = 0.000).  The study concludes that the nurses had adequate knowledge in management of pressure ulcers, the nurses-oriented factors and institutional factors also influence the management of pressure ulcers

scholarly journals Nurses’ knowledge and practices regarding prevention and management of pressure ulcer for hospitalized patient

2020 ◽  
Vol 6 (2) ◽  
pp. 237-243
Author(s):  
Hasan Mahfuz Reza ◽  
Chinmoy Kanti Das ◽  
China Rani Mittra ◽  
Ashees Kumar Saha
Keyword(s):  
Pressure Ulcer ◽  
Pressure Ulcers ◽  
Heart Diseases ◽  
Moderate Level ◽  
College Hospital ◽  
Pressure Ulcer Prevention ◽  
Level Of Knowledge ◽  
Knowledge And Practice ◽  
Ulcer Prevention ◽  
Nurses Knowledge

Pressure ulcers have been labelled as one of the most expensive and physically debilitating complications in the 20th century. After cancer and heart diseases pressure ulcers are the third most expensive disorder. Several studies have indicated that nurses' knowledge and practices about pressure ulcer prevention and management are inadequate. This is a descriptive co-relational study aimed to assess nurses‟ knowledge and practices related to pressure ulcer prevention and management. It also examines the relationships between nurses‟ knowledge and practice with respect to pressure ulcer prevention and management. The subjects were nurses working at Rajshahi Medical College Hospital. Three hundred nurses were selected for this study, two hundred and ninety four nurses were completed the questionnaire and response rate was 98%. Three tools were used for data collection: Demographic, Knowledge and Practice questionnaire. Data were analysed by descriptive and Pearson product-moment correlation statistics. The findings showed that nurses had a moderate level of knowledge and a moderate level of practice when we categorized the findings according to their age, working experience and educational level they scored low level of knowledge. There was a significant correlation was found between nurses knowledge and practice regarding pressure ulcer prevention and management (r =.136, p>.05). Findings of the present study suggest that nurses need to increase knowledge on pressure ulcer prevention and management in order to improve nursing practice in this. Asian J. Med. Biol. Res. June 2020, 6(2): 237-243

Systematic review of behavioral and educational interventions to prevent pressure ulcers in adults with spinal cord injury

2016 ◽  
Vol 31 (7) ◽  
pp. 871-880 ◽  
Author(s):  
Alison M Cogan ◽  
Jeanine Blanchard ◽  
Susan L Garber ◽  
Cheryl LP Vigen ◽  
Mike Carlson ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Pressure Ulcer ◽  
Pressure Ulcers ◽  
Educational Interventions ◽  
Included Study ◽  
Community Dwelling ◽  
Inclusion Criteria ◽  
Skin Breakdown ◽  
Cord Injury

Objective: To investigate the efficacy of behavioral or educational interventions in preventing pressure ulcers in community-dwelling adults with spinal cord injury (SCI). Data sources: Cochrane, Clinical Trials, PubMed, and Web of Science were searched in June 2016. The search combined related terms for pressure ulcers, spinal cord injury, and behavioral intervention. Each database was searched from its inception with no restrictions on year of publication. Review methods: Inclusion criteria required that articles were (a) published in a peer-reviewed journal in English, (b) evaluated a behavioral or educational intervention for pressure ulcer prevention, (c) included community-dwelling adult participants aged 18 years and older with SCI, (d) measured pressure ulcer occurrence, recurrence, or skin breakdown as an outcome, and (e) had a minimum of 10 participants. All study designs were considered. Two reviewers independently screened titles and abstracts. Extracted information included study design, sample size, description of the intervention and control condition, pressure ulcer outcome measures, and corresponding results. Results: The search strategy yielded 444 unique articles of which five met inclusion criteria. Three were randomized trials and two were quasi-experimental designs. A total of 513 participants were represented. The method of pressure ulcer or skin breakdown measurement varied widely among studies. Results on pressure ulcer outcomes were null in all studies. Considerable methodological problems with recruitment, intervention fidelity, and participant adherence were reported. Conclusions: At present, there is no positive evidence to support the efficacy of behavioral or educational interventions in preventing pressure ulcer occurrence in adults with SCI.

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