Care in prevention of pressure ulcers of bedridden patients at home

Abstract

This study was carried out in the catchment area of a Basic Health Unit in Joinville/SC patients bedridden at home. We aimed to characterize the risk of bedridden for developing pressure ulcers, describing the factors favorable to its emergence, and evaluate adherence to treatment prescribed to prevent this injury. This is a descriptive study. Data collection was carried out through an instrument containing identification data, clinical conditions of patients and the application of the Braden scale. It was evaluated 12 patients bedridden. The average age of the patients evaluated was 80.5 years. Most were white, with low education and dependent on public health services. All patients had some underlying disease, the most frequent the Stroke (CVA). The laid up time was 67 months (± 53). The mobility and sensory perception were completely or limited to 83% and 50% of the evaluated, respectively. 67% of users had very poor nutritional status or inadequate and 92% constantly moist or too moist skin. Low fluid intake was present for all participants. Adherence to prescribed care of the caregivers was partial. At the end of the study it was found that the findings are consistent with the literature data and the studied patients had an elevated risk for developing pressure ulcers, since the factors favorable to the appearance of the lesion showed with high frequencies.