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Educare

Educare

NOVIEMBRE 2010 N° 9 Volumen 8

Moisture and pressure mixed wounds. Clinical case

Section: LEARNING TO TEACH

How to quote

Zapata Sampedro MA, Castro Varela L. Lesiones mixtas por humedad y presión. Caso clínico. Educare21 2010; 70. [En línea] [fecha de acceso: 1 de noviembre de 2010]. URL disponible en: http://www.educare21.net

Authors

1Marco A. Zapata Sampedro, 2Laura Castro Varela

Position

1Enfermero del Centro de Salud Polígono Norte, distrito sanitario de Atención Primaria, Sevilla.2Enfermera, Unidad de Medicina Interna, Hospital Universitario Virgen Macarena, Sevilla, España.

Contact email: In.ictv.ocvli@hotmail.com

Abstract

There is often confusion between what is a pressure ulcer and a lesion caused by the presence of moisture, for example, when there is urinary and/or fecal incontinence.
In order to differentiate between a pressure ulcer and a moisture lesion, the wound-related characteristics (causes, location, shape, depth, edges and colour) and the patient them self are necessary.
However, if moisture and pressure are simultaneously present, it could be a mixed lesion.
This article describes the case of a 59 year old female who showed a mixed lesion (pressure and moisture).
A nursing care plan, including outcome criteria and nursing interventions, was developed.
The good results obtained allow us to reflect on the importance of health education as an essential intervention for primary care nurses.

Keywords:

clinical report; mixed injury; moisture lesions; nursing care plan; pressure ulcerswounds

Versión en Español

Título:

Lesiones mixtas por humedad y presión. Caso clínico