Pressure Ulcers In Palliative
home Care Patients: Prevalence And Characteristics

Abstract

Persons in palliative care develop pressure ulcers (PU) as death approaches, but the extent of the problem is still unknown. The objectives were to identify the prevalence of pressure ulcers in people with cancer in palliative home care, compare the socio-demographic and clinical profile of patients with and without pressure ulcers, and analyze the characteristics of the ulcers. This descriptive, cross-sectional study included 64 people with advanced cancer in palliative home care. Twelve of them (18.8%) had PU, of whom 75.0% were men. The participants had one to three PU, amounting to 19 lesions, 89.4% of those developed at home and 47.4% at stage 3. The presence of PU was higher among those who had a history of previous wound. PU consisted of a significant event occurring in the studied population, indicating that preventive measures should be included in the home palliative care health team.

Atuação do enfermeiro na atenção domiciliar: uma revisão integrativa da literatura

“…In the field of soft technologies, interaction between nurses and patients, family members, and/or caregivers is an important action in HC. Thus, soft care technologies are employed in actions such as active listening, support, comfort, respect, the relationship between help and dialog, effective communication, and establishment of a relationship of confidence with users and family members, which is a fundamental part of these professionals' practice in HC (58)(59)(60) . Analysis reveals that this process of bonding and interpersonal relationships favors the development, in nurses, of skills and professional competencies adjusted to the needs, demands, and unexpected outcomes that arise in the daily practice of HC.…”

“…Thus, to take the most advantage of the home environment of patient learning, nurses must assess, project, develop, and implement teaching plans that are unique to each situation (61) . Moreover, health education is noted in this review as an important practice of HC nurses, a practice that helps patients, families, and caregivers to build knowledge and skills (58)(59)(60)(61)(62)(63) , thus ensuring their understanding of the therapy project (5) and continuity of care when the team is absent. Health education is, thus, a technology that must be explored and valued in home-care services so that it is effective.…”

Prevalence of Pressure Injury of Bedridden Patients, Hospitalized in a Public Hospital

“…[13] The prevalence in males is the result of the difficulty of repositioning the patient due to their overweight, as well as an increased exposure to risk factors and the lower demand for health services. [14] The highest frequency of pressure injuries was observed in the elderly, with a mean age of 68.5 years (SD = 16.6) and with sequelae of circulatory and neurological diseases. This result is justified by the physical limitations and the greater predisposition to chronic diseases, related to the aging process, which increase the occurrences of some complications such as prolonged immobility and sensitivity loss or decrease.…”

Avaliação Dos Níveis Séricos De Proteínas Em Pacientes Com Úlceras Por Pressão

“…A interferência das sequelas causadas pelo AVE no desenvolvimento de UPP, foi observada em um estudo que verificou uma população de pacientes com AVE, na qual 34,1% desenvolveram esse tipo de lesão (10) . Os resultados obtidos para as regiões de maior prevalência de UPP são também citadas na literatura, que mostram valores de UPP na região sacral entre 50% e 73,7% (9,(11)(12) . Estes números podem ser explicados por se tratar de uma região de maior pressão na posição de decúbito dorsal, na qual os pacientes com mobilidade prejudicada ficam por longo período de tempo.…”