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- Title
Development of Pressure Ulcer in a Burn-Injured Patient: An Evidence-Based Nursing Care Process - Case Report.
- Authors
Uysal, Duygu Akbas; Yildirim, Yasemin; Aykar, Fisun Senuzun
- Abstract
The joint definition of pressure ulcers by the European Pressure Ulcer Advisory Panel (EPUAP) and the National Pressure Ulcer Advisory Panel (NPUAP) states, "Localized injury to the skin and/or underlying tissue usually over a bony prominence, as a result of pressure alone or in combination with shear." Treating pressure ulcers proves challenging and contributes to increased costs due to prolonged hospitalization stays. In this case study, we address the care of a patient, 18 years of age, hospitalized due to burns, tracheostomized, with a percutaneous endoscopic gastrostomy tube, unconscious, and developed a pressure ulcer. The objective is to provide care for the patient with a stage 3 pressure ulcer on the sacrum by current guidelines. When planning care, a multidimensional assessment was scheduled alongside wound care. Skin assessment and care, appropriate wound dressing selection, nutrition, weight monitoring, hydration, repositioning, and the utilization of support surfaces were carried out as per guidelines. The overall roadmap followed includes: recognizing and staging pressure ulcers, treatment modalities for staged ulcers, monitoring, and basic care principles for pressure ulcers (nutrition, pain management). Following the implemented interventions, the patient's pressure ulcer showed signs of healing.
- Subjects
WOUND healing; EVIDENCE-based nursing; TRACHEOTOMY; ACCIDENTS; SKIN grafting; BURNS &; scalds; LOSS of consciousness; SKIN physiology; SKIN care; BANDAGES &; bandaging; BODY weight; TREATMENT effectiveness; BURN patients; HYDRATION; FIRES; WORK-related injuries; TRACHEA intubation; ENTERAL feeding; PAIN management; INTENSIVE care units; SACRUM; WOUND care; SURGICAL dressings; CARDIAC arrest; CARDIOPULMONARY resuscitation; VENTILATOR weaning; PRESSURE ulcers; FEEDING tubes; NUTRITION; PATIENT positioning; MECHANICAL ventilators
- Publication
International Journal of Caring Sciences, 2024, Vol 17, Issue 2, p1171
- ISSN
1791-5201
- Publication type
Article