Application of protocol to prevention ulcer pressure in Intensive Care Unit
DOI:
https://doi.org/10.5433/1679-0367.2002v23n1p25Keywords:
Pressure ulcer, Protocol, Braden Scale, Prevention.Abstract
This study reports the outcomes of a protocol for the prevention of pressure ulcer at an intensive care unit. The protocol was elaborated by nurses that working together in a teaching hospital. The nurses followed the recommendations proposed by AHCPR for the prevention of pressure ulcer. During one month, 51 patients free of pressure ulcers at admission were assessed through this protocol. Twentynine (57%) patients from this group risk developing pressure ulcers, but only 12 developed some stages of pressure ulcer. From this group of 12 patients, 7 (58%) developed pressure ulcer in two areas of the body, and 5 (47%) developed pressure ulcer in only one area of the body. The most affected areas were sacrum and malleolus (72%) and elbow and heel (14%). The alteration in only one area of the body occurred in the elbow (40%), malleolus (20%) and heel (40%). These 12 patients that developed pressure ulcers had lower blood hemoglobin. This study showed that the protocol was efficient to identify patients with a risk of developing pressure ulcer.
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