Enteral Nutrition in the Prevention and Treatment of Pressure Ulcers in Adult Critical Care Patients

Cox, Jill; Rasmussen, Louisa

doi:10.4037/ccn2014950

Cited by 32 publications

(29 citation statements)

References 44 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…While MDRPUs are difficult to cure, they are easy to prevent. The results show that the frequency of occurrence of ETT pressure ulcers was one third more than that of NGT pressure ulcers, a finding which supports those of Black and Kalowes (2016) and Cox and Rasmussen, 2014, in a study of enteral nutrition in the prevention and treatment of pressure ulcers in adult critical care patients. However, Black et al (2010) tested MDRPUs in hospitalized patients, finding that the frequency of occurrence of NGT pressure ulcers was one third greater than that of ETT pressure ulcers.…”

Section: Discussionsupporting

confidence: 85%

Impact of a suggested nursing protocol on the occurrence of medical device-related pressure ulcers in critically ill patients

Zakaria¹,

Taema²,

Ismael³

et al. 2018

Cent Eur J Nurs Midw

View full text Add to dashboard Cite

Aim: Medical Device-Related Pressure Ulcers are skin breakdowns related to certain medical devices that increase morbidity, lengthen hospital stays, and increase the cost of treatment. Approximately one third of reported pressure ulcers are associated with medical devices. The aim of this study is to examine the impact of a suggested nursing intervention protocol on the occurrence of medical device-related pressure ulcers in critically ill patients. Design: A prospective, quasi-experimental research design was used in this study. Methods: 100 patients participated in our study, divided into study and control groups. The researchers selected Endo-tracheal and Nasogastric tubes to examine their association with the development of pressure ulcers. The researchers observed the prevalence of pressure ulcers caused by the selected devices through daily clinical observation. Patients receiving routine care were used as a control group, while the suggested nursing intervention protocol was implemented to the study group of patients. The results of the given protocol on the study subjects were compared to the collected base line data for the control group. Results: The study revealed a highly statistically and clinically significant difference between the study and control groups in relation to incidence of endo-tracheal and nasogastric tube pressure ulcers. The results indicate that the incidence of endo-tracheal tube pressure ulcers decreased from 90% to 32.1% after implementation of the suggested nursing intervention protocol (p = 0.031), whereas the incidence of nasogastric tubes pressure ulcers fell from 77.8% to 13.1% (p = 0.012). Conclusion: the examined evidence based suggested nursing intervention protocol proved highly effective in reducing the occurrence of selected Medical Device-Related Pressure Ulcers in critically ill patients.

show abstract

Section: Discussionsupporting

confidence: 85%

Impact of a suggested nursing protocol on the occurrence of medical device-related pressure ulcers in critically ill patients

Zakaria¹,

Taema²,

Ismael³

et al. 2018

Cent Eur J Nurs Midw

View full text Add to dashboard Cite

show abstract

“…Nutrition plays a crucial role in the risk for pressure ulcers 20,38,39 ; however, currently no marker is available to bedside clinicians for evaluation of nutrition risk. 40 Research is needed to expand understanding of nutritional markers of relevance in critically ill patients and the role of the markers in risk for pressure ulcers. Decreased oncotic pressure due to low levels of albumin affects distribution of total body fluids.…”

Section: Resultsmentioning

confidence: 99%

A Model of Pressure, Oxygenation, and Perfusion Risk Factors for Pressure Ulcers in the Intensive Care Unit

Bly

Schallom

Sona

et al. 2016

American Journal of Critical Care

View full text Add to dashboard Cite

This article has been designated for CE contact hour(s). The evaluation tests your knowledge of the following objectives: Background Although most intensive care patients are at risk for pressure ulcers, not all experience such ulcers.Objective To examine a model of variables related to extrinsic and intrinsic pressure on skin and underlying tissues, oxygenation, perfusion, and baseline comorbid conditions to identify risk factors associated with pressure ulcers in critically ill adults. Method A retrospective chart review was conducted on patients identified by weekly rounds from January 2010 through October 2010 to determine the prevalence of pressure ulcers. Variables were analyzed via bivariate analysis and logistic regression for unit-acquired pressure ulcers. Results Data on 345 patients with 436 intensive care admissions were reviewed. Variables were significant in each model category at P < .05. In the regression analysis of first admission only (n = 306), the model was significant (P < .001) and yielded correct classification of 86.3% of patients. For all intensive care admissions (n = 391), the model was significant (P < .001) and yielded correct classification of 83.9% of patients. In both models, 4 of the same variables were significant: any transport off the unit, number of days to bed change, systolic blood pressure less than 90 mm Hg, and use of more than 1 vasopressor. History of pulmonary disease and presence of a feeding tube were also significant in regression analyses. Conclusions Several variables within the model of pressure, oxygenation, and perfusion were significantly associated with development of pressure ulcers.

show abstract

“…[ 17 ] Cox proposed that malnutrition is a state of disproportion in energy, protein, and other nutrients that leads to harmful effects on body structures and tissues. [ 18 ]…”

Section: R Esearch a Bout N mentioning

confidence: 99%

“…The patient should have two of six clinical features to fulfill the criteria. [ 18 ] Other medical conditions may disturb healing of pressure ulcer; cachexia is a condition which may affect the healing of pressure ulcers. “Cachexia is a complex metabolic syndrome associated with underlying sickness and characterized by loss of muscle and fat mass.”[ 28 ] Weight loss is the prominent feature of cachexia (corrected for fluid retention).…”

Section: Alnutrition and P Ressure mentioning

confidence: 99%

Pressure ulcer and nutrition

Saghaleini

Dehghan

Shadvar

et al. 2018

Indian Journal of Critical Care Medicine

118

View full text Add to dashboard Cite

Pressure ulcers can diminish global life quality, contribute to rapid mortality in some patients and pose a significant cost to health-care organizations. Accordingly, their prevention and management are highly important. Nutritional deprivation and insufficient dietary intake are the key risk factors for the development of pressure ulcers and impaired wound healing. Unplanned weight loss is a major risk factor for malnutrition and pressure ulcer development. Suboptimal nutrition interferes with the function of the immune system, collagen synthesis, and tensile strength. No laboratory test can exactly define an individual's nutritional status. Although serum albumin, prealbumin, transferrin, and retinol-binding protein as well as anthropometric measures such as height, weight, and body mass index and the other laboratory values may be suitable to establish the overall prognosis, still they might not well represent the nutritional status. Although the ideal nutrient intake to encourage wound healing is unknown, increased needs for energy, protein, zinc, and Vitamins A, C, and E and also amino acids such as arginine and glutamine have been documented. Hydration plays a vital role in the preservation and repair of skin integrity. Dehydration disturbs cell metabolism and wound healing. Adequate fluid intake is necessary to support the blood flow to wounded tissues and to prevent additional breakdown of the skin. The main aim of the present article is to review the current evidence related to hydration and nutrition for bedsore prevention and management in adults.

show abstract

Enteral Nutrition in the Prevention and Treatment of Pressure Ulcers in Adult Critical Care Patients

Abstract: A pressure ulcer is defined as a localized injury to the skin, the underlying tissue, or both, usually over a bony prominence, that develops as a result of pressure or pressure in combination with shear.

Cited by 32 publications

References 44 publications

Impact of a suggested nursing protocol on the occurrence of medical device-related pressure ulcers in critically ill patients

Impact of a suggested nursing protocol on the occurrence of medical device-related pressure ulcers in critically ill patients

A Model of Pressure, Oxygenation, and Perfusion Risk Factors for Pressure Ulcers in the Intensive Care Unit

Pressure ulcer and nutrition

Contact Info

Product

Resources

About