Incidencia de lesiones cutáneas asociadas a la humedad en una unidad de cuidados intensivos

Incontinence associated dermatitis in elderly people admitted to a university hospital

“…On this variable, a significant association was found in the two major cut-off points: 11-20 days and 21 days or more. This results from the exacerbation of the contributing aspects for IAD (13) , so that the longer the period of hospitalization, the greater the exposure of the elderly to factors such as diaper use, humidity, immobility and infectious agents, which predispose to the development of skin lesions, such as IAD (21) , thus conferring an increase in hospital expenses (24) .…”

“…Nutrition is an important determinant in the prognosis of patients at high risk for developing skin lesions, as well as a fundamental part of their healing process (6,24) . The present study evidenced the association between enteral diet and IAD, corroborating a research-correction of a historical hospital cohort (21) , which aimed to estimate survival and verify factors associated with IAD in critically ill patients at a public hospital: it was evidenced that the risk of bacterial contamination, high osmolarity and lack of fiber related to enteral tube feeding (10,25) favor the establishment of diarrhea, which is considered an important factor for the formation of IAD (26) .…”

Cross mapping between clinical indicators for assistance in intensive care and nursing interventions

“…Endotracheal suction (24,28,32) , mental confusion (29,36,38) , incontinence dermatitis (25,37,41) , dyspnoea (4,18,30) , hypertension (4,31,39) , hyperthermia (17,25,38) , hypotension (2,31,39) , hypothermia (17,25,38) , hemodynamic instability (4,26,43) , skin injury (4,41,44) , obesity (38,41,46) , nasal probe / oroenteral (24,26,44) , bladder catheter (24,26,41) , vomiting (27,35,38) .…”

“…Respiratory acidosis (21) , administration of laxative drugs (37) , administration of insulin (27) , distress (30) , alertness (29) , altered breathing pattern (38) , hallucinations (36) , antibiotic therapy (26) , anuria (2) , apathy (30) , apnea (39) , apprehension (19) , asynchrony with ventilator (33) , aid in feeding (30) , aid in walking (30) , underweight (46) , tiredness (33) , coma (38) , mechanical restraint (26) , compressive dressing in arterial puncture (4) , depression (4) , discomfort (30) , disorientation (14) , communication difficulties (41) , dysphonia (28) , dysrhythmia (18) , abdominal distension (35) , abdominal pain (35) , health education (45) , spirituality (45) , erythema (41) , exhaustion (14) , extubation (44) , fatigue (33) , liquid stools (37) , hemodialysis (27) , oral hygiene (32) , hyperalbuminemia (25) , hypercapnia (21) , hypercreatinemia (38) , hypernatremia (17) , hyperuremia (38) , hypocapnia (38) , hyponatremia (17) , hypoperfusion…”

“…Diarrhea was the most prevalent clinical indicator mapped in the Elimination Management intervention; is a symptom of severe gastrointestinal dysfunction in critically ill patients, associated with an increase in the malnutrition rate, in addition to predisposing to an increase in nursing workload and health costs (10,22) . In parallel, it is necessary to institute other interventions, such as Pressure Ulcer Prevention and Wound Care, since diarrhea is a risk factor for incontinence dermatitis and pressure injury (5,22,25,37,41) .…”