Authors

Rita Rocío Márquez Díaz

Position

Graduada en Enfermería. Universidad de Granada

Contact address

Rita Rocío Márquez Díaz. Ronda de Segovia, 6. 28005 Madrid.

Contact email: rociomard@hotmail.com

Abstract

Pressure ulcers (PUs) represent a major public health problem, due to the great negative impact on patients and the health system. Specifically, the sacrococcygeal region is considered one of the most vulnerable areas because it supports great pressure; and if other factors are added, such as immobility, unfavorable nutrition or urinary or fecal incontinence, PU development will be guaranteed. We present the case of an 85-year-old woman with a history of cardiovascular, respiratory, and GI conditions, with a PU secondary to hospitalization for hip fracture. Nursing assessment was conducted with the Human Needs Model by Virginia Henderson. NANDA taxonomy was used for the diagnostic stage, and NOC and NIC taxonomies were used respectively for determining results and interventions. The nursing diagnoses identified were: “Impaired Skin Integrity”, “Risk of Caregiver Role Strain” for her main caregiver, and “Anxiety” as a collaborative problem. An increase in the scores for all indicators was achieved, as well as PU tissue epithelialization, a reduction in patient anxiety by increasing her personal satisfaction, and her main caregiver was encouraged to learn coping strategies.

Keywords:

Ulcer; pressure ulcer; bedsore; sacrum; Nursing care; Standardized Nursing LanguageHuman Needs Model

Versión en Español

Título:

Úlceras por presión en el ámbito hospitalario: a propósito de una paciente con fractura de cadera