We talked about pressure ulcer when referring to an area of skin
damage and underlying tissue and bony lining have been subjected to prolonged
pressure on a plane. They occur mainly in patients with sensory disturbances or
debilitated, emaciated, paralyzed or bedridden for a long time. Among the risk
factors are immobility, nutritional deficiencies, circulatory disorders,
urinary incontinence ... not to mention that the appearance is favoured by age.
In my opinion, the present and future of the ulcers are in the hands of
nursing since no other professional has the capacity and experience of
approach. The nurse holds a dominant position on the issue of pressure ulcers.
But for proper treatment in the care of ulcers and wounds is necessary to
consider the theoretical and practical scientific knowledge of the case to try
appropriate action in the treatment of ulcers and wounds involves knowing well
what we have in hand.
Among the objectives of the nurse are:
• Identify the individual at risk of developing pressure ulcers.
• Identify if the person or the primary caregiver is shown capable of
skincare or pressure injury.
• Maintain the health of the skin, eliminating or decreasing the
pressure and monitoring the nutritional status of the patient.
• Characterize by a unified parameter evolution of the lesion.
Finally returning skin its physical integrity.
To achieve these goals, the nurse must perform the following procedures:
assessment of pressure ulcer risk, assessment of care environment, prevention
of pressure ulcer assessment of the injury, treatment of pressure ulcers. The
procedure cures always be reasoned, and the contrast is enriching dialogue with
the experience and knowledge of other nursing professionals.
In my view, appropriate nursing care are not only based on the rationale
and individualized proceed to heal, but also in the care of family involvement
(with nurse supervision), nutrition and skin care and monitoring and evaluating
continuity and care.
In closing, I would like to stress that the treating a pressure ulcer is
much more difficult that prevent it, therefore, for a nurse, the prevention is
the highest priority.
Bibliography.
- Guía de prevención y tratamiento.
Cuidados de enfermería al paciente con úlceras por presión. [Web en Internet]
.Dirección de Enfermería HUPM. Octubre 2003.Servicio Andaluz de
Salud. Disponible en:
http://www.saludmultimedia.net/guests/gneaupp_files/guia_cadiz.
pdf
- Úlceras y heridas crónicas. Rev
ROL. Enf Volumen 28 Nº 1. Enero 2005.
- Manual de prevención y cuidados locales de
úlceras por presión. [Web en
Internet]. Servicio Cántabro de
Salud. 1ª edición. Marzo 2005.
Disponible en:
No hay comentarios:
Publicar un comentario