Pressure ulcer (PU) can be classified according to tissue impairment, etiology, healing time and tissue characteristics. Currently, it is the third type of adverse event most reported by the patient safety centers of health services in the country, according to the National Report of Incidents Related to Health Care. The classification and the identification of risk factors are essential for implementation of preventive and therapeutic actions in susceptible patients. Nutritional status is a fundamental piece for the prevention and development of PU, making it essential to integrate the interdisciplinary team in the prevention and treatment of PU, with a focus on quality, safety and patient experience. In this sense, the objective of this campaign is to disseminate knowledge, providing technical support for patient care and reducing PU rates. A mnemonic was developed with the word “CICATRIZATION”, in which each letter proposes steps that help in the identification of risk, assessment, treatment and monitoring of PU. Thus, the sequence of 12 steps established in this campaign is suggested as a measure to assist health professionals in this management
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RESUMOA síndrome de realimentação (SR) é uma complicação da terapia nutrológica subdiagnosticada em que múltiplos sistemas podem ser afetados, incluindo: cardiovascular, respiratório, hematológico, musculoesquelético e neurológico. Algumas das principaiscaracterísticas são ahipervolemia, aqueda do nível sérico de eletrólitos, principalmente os de predominância intracelular (fósforo, magnésio e potássio), aalteração do metabolismo da glicose (hiperglicemia) e deficiência de vitaminas e oligoelementos. O objetivo desse estudoé realizar umbreve relato de uma série de casos clínicos correlacionando-os com dados da literatura revisada.Palavras-chave: Síndrome de realimentação, subnutrição, hipofosfatemia.
ABSTRACTRefeeding syndrome (RS) is an underdiagnosed complication of nutrologicaltherapy in which multiple systems can be affected, including cardiovascular, respiratory, hematological, musculoskeletal, and neurological. Some key features are fluid overload, decrease in serum electrolyte levels mainly the ones with intracellular predominance (phosphorus, magnesium and potassium), altered glucose metabolism (hyperglycemia) and vitamin and trace element deficiency. The aim of this manuscriptis to conduct a brief report of four cases and review the literature correlating it with the cases described.A síndrome de realimentação (SR) é uma condição descritaem literatura médica há mais de 65 anos, porém ainda pouco reconhecida, caracterizada por um grupo de sinais e sintomas clínicos que ocorrem em pacientes subnutridos e caquéticos submetidos ao jejum prolongado quandosão realimentados. Trata-se de desequilíbrio hidroeletrolítico, muitas vezes grave, desencadeado pelo retorno da alimentação empacientes cronicamente adaptados a produção de energia através do metabolismo lipídico 1 .
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