EWMA 2013 - Ep534 - Prevention of pressure ulcers in cardiac surgery patients

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Anaelí Brandelli Peruzzo, Sandra Simon, Silvana Prazeres

Brazil

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EWMA 2013 - Ep534 - Prevention of pressure ulcers in cardiac surgery patients

  1. 1. PREVENTION OF PRESSURE ULCERS (PU) IN CARDIAC SURGERY PATIENTS Anaelí Brandelli Peruzzo RN, Manager of ulcer pressure prevention group of Hospital Nossa senhora da Conceição – Brazil Sandra Simon RN, Member of ulcer pressure prevention group of Hospital Nossa senhora da Conceição - Brazil Silvana Prazeres RN, ET, ET NEP Coordenation Unisinos - Brazil
  2. 2. INTRODUCTION The unsettling concern of the care team with the formation of pressure ulcers (PU) in patients admitted to the cardiac surgery unit, especially in the postoperative period, generated several discussions on methods for prevention and treatment. With the intention of assisting on improving the process, the risk management committee members, working in patient safety, have proposed to perform a brief situational diagnosis with the nurse in charge of the sector.
  3. 3. PREVENTION Preventing pressure ulcers is indispensable for patient care. This care needs to include Identifying individuals at risk for developing pressure ulcers, preserving skin integrity, relieving pressure, correcting any deficiencies, and educating the patient and his family about the topic. Baranoski, Ayello, 2008
  4. 4. OBJECTIVE This study aims to preserve the skin integrity using general care and introducing a new technology, with soft silicone, to preserve the integrity of the skin in cardiac surgery patients. The patients use the new technology in pre, trans and post operatory.
  5. 5. METHODOLOGY Cross-sectional, exploratory, observational survey by worksheet designed to investigate the occurrence of PU on the return of patients from the cardiac surgery unit, in the period of June- August 2012. The research led to an electronic medical record.
  6. 6. RESULTS 26 patients were monitored for two months. 9 of these had a higher risk of developing PU. It was noted that on the 1st post-operatory it was impossible to move 6 out of the 9 patients because of oxygenation instability. The use of sacred region protection adherent dressings with soft silicone foam was initiated. They were placed in the pre- operatory period, before the patients were directed to the operating room. In the period of use of these dressings, the patients did not develop PU and expressed comfort in using the product.
  7. 7. CONCLUSIONS It was observed that in the First post-operatory, 70% of the 9 high-risk patients presented impossibility of passive motion and 100% of these had hemoglobin decrease, showing that extrinsic and intrinsic factors predispose to PU occurrences.
  8. 8. Prevention Measures: o  Increase the usage of pyramid mattresses; o  Use of adherent dressings with silicone foam (level of evidence B) placed in the sacral region pre-operatory. o  Patients did not develop UP and expressed comfort using the product. CONCLUSIONS
  9. 9. The patients not developed PU, and they said that the technology was confortable CONCLUSIONS
  10. 10. It’s necessary to increase the care involving prevention measures. We are trying. This is only the beginning. silprazeres@hotmail.com

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