Individually-tailored positioning versus standardized postural changes in patients at risk or showing pressure ulcerations
Section: LEARNING TO TEACH
Authors
1Raquel Ramírez Moreno, 1Mª Fernanda Santana Morales, 1Arminda Corujo Armas, 1Sara Montesdeoca Lorenzo, 2Bienvenida Rodríguez de Vera, 2Juan Fernando Jiménez Díaz
Position
1Estudiante de 2º curso de Grado de Enfermería. Facultad de Ciencias de La Salud. Universidad de Las Palmas de Gran Canaria.2Profesor titular de Enfermería de la Universidad de Las Palmas de Gran Canaria.
Contact email: mailto:rramirez@becarios.ulpgc.es
Abstract
Pressure ulcers are ischemic injuries resulting in a loss of skin integrity. Pressure ulcers are a major health issue and are being used as a nursing care quality index. They are caused by an increased pressure on a hard plane or a bony prominence, resulting in a reduced tissue perfusion and dermis ulceration. Furthermore, other extrinsic factors as well as factors inherent to the patient result in an increased risk for pressure ulceration.
Postural changes are a nursing procedure mainly intended to prevent damage caused by a persistent pressure. They have commonly become a nursing procedure that does not follow a protocol based on scientific evidence, is routinely applied in clinical practice, and is performed by other healthcare professionals under no nursing supervision.
Our literature search and review was based on the database encuentr@, and is intended to highlight the value of postural changes as an important key nursing procedure for pressure ulcers prevention and therapy. Moreover, the review clearly shows the need for wider studies to establish appropriate postural change frequency both in high-risk patients and in patients with existing pressure ulcers, as well as for new interventional protocols development.
Postural changes are a nursing procedure mainly intended to prevent damage caused by a persistent pressure. They have commonly become a nursing procedure that does not follow a protocol based on scientific evidence, is routinely applied in clinical practice, and is performed by other healthcare professionals under no nursing supervision.
Our literature search and review was based on the database encuentr@, and is intended to highlight the value of postural changes as an important key nursing procedure for pressure ulcers prevention and therapy. Moreover, the review clearly shows the need for wider studies to establish appropriate postural change frequency both in high-risk patients and in patients with existing pressure ulcers, as well as for new interventional protocols development.
Keywords:
assessment scales; interventional protocols; postural changes; pressure ulcerscientific evidence
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