Skin tear treatment and prevention by nurses: an integrative literature review

Santos, Érick Igor dos

doi:10.1590/1983-1447.2014.02.45178

Cited by 9 publications

(18 citation statements)

References 13 publications

(29 reference statements)

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“…In order to reach the proposed objective, a study of integrative revision of the literature was developed, aiming at integrating the data abstracted from different studies which, in turn, adopted different methodologies, which enables the search, the critical evaluation and the synthesis of the available evidences on a specific theme. Six steps inherent to this method were followed; which were: the establishment of the matter of research, the search in the literature, the categorization of the studies, the evaluation of the studies included in the revision, data interpretation of the results and the presentation of the revision (6)(7) .…”

Section: Methodsmentioning

confidence: 99%

“…Found Selected Figure 4. It is necessary to highlight the low level of evidence (6)(7) of most part of the studies identified, which in most cases, obtained a punctuation around 4 and 5 points. This result shows the still modest character, in quantitative terms, of the controlled and experimental clinical studies on Fournier's gangrene published in Brazil in the last twenty years.…”

Section: Data Basismentioning

confidence: 99%

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Brazilian scientific evidence on Fournier’s gangrene

Santos¹,

Vale²,

Reis³

et al. 2014

Rev Rene

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The objective of this study was to describe the Brazilian scientific reports published over the past twenty years on Fournier's gangrene. It is an integrative review conducted through incursions in the LILACS, MEDLINE, BDENF and Coleciona SUS databases with the descriptor 'Fournier's Gangrene'. Texts published between January 1994 and July 2014, in Portuguese, and freely available online were selected. According to the 14 articles found, the main symptoms of Fournier's gangrene include discomfort with painful sensations, high fever, edema, malaise, and sweating. In most cases erythema and blistering are observed, evolving into a wound. The clinical profile assists in the selection of empirical antimicrobial therapy even before the culture results. It was concluded that early diagnosis and appropriate and aggressive treatment are crucial in patient prognosis. There is still a shortage of Brazilian scientific production with a high power of evidence on the subject. Descriptors: Fournier Gangrene; Wounds and Injuries; Therapeutics; Review. Objetivou-se descrever os registros científicos brasileiros publicados nos últimos vinte anos acerca da gangrena de Fournier. Trata-se de uma revisão integrativa realizada por intermédio de incursões nas bases LILACS, MEDLINE, BDENF e Coleciona SUS com o descritor "Gangrena de Fournier". Foram selecionados os textos publicados entre janeiro de 1994 e julho de 2014, em português e disponíveis gratuitamente online. De acordo com os 14 artigos encontrados, os principais sintomas da gangrena de Fournier incluem desconforto com sensações dolorosas, febre elevada, edema, mal estar e sudorese. Na maior parte dos casos são observados eritema e formação de bolhas, evoluindo para uma ferida. O quadro clínico auxilia na seleção da terapêutica antimicrobiana empírica antes mesmo do resultado da cultura. Conclui-se que o diagnóstico precoce e o tratamento adequado e agressivo são determinantes no prognóstico do paciente. Ainda há escassez de produções científicas brasileiras com alto poder de evidência sobre o tema. Descritores: Gangrena de Fournier; Ferimentos e Lesões; Terapêutica; Revisão. El objetivo fue describir producciones brasileñas publicadas en los últimos veinte años acerca de la gangrena de Fournier. Revisión integradora realizada en las bases de datos LILACS, MEDLINE, BDENF y Colecciona SUS, con el descriptor "Gangrena de Fournier". Se seleccionaron textos publicados entre enero de 1994 y julio de 2014, en portugués y disponibles gratuitamente en Internet. Según los 14 artículos encontrados, los principales síntomas de la gangrena de Fournier incluyen malestar, con sensaciones dolorosas, fiebre alta, edema, malestar general, sudoración. En la mayor parte de los casos, son observados eritema y formación de bollas, surgiéndose una herida. El cuadro clínico ayuda en la selección de la terapia antimicrobiana empírica antes del resultado de la cultura. En conclusión, el diagnóstico precoz y el tratamiento apropiado y agresivo son cruciales en el pronóstico del paciente. Aún, hay escas...

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Section: Methodsmentioning

confidence: 99%

Section: Data Basismentioning

confidence: 99%

Brazilian scientific evidence on Fournier’s gangrene

Santos¹,

Vale²,

Reis³

et al. 2014

Rev Rene

Self Cite

View full text Add to dashboard Cite

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“…Vale acrescentar que esta técnica tem sido apontada como possibilidade ao tratamento da LP, conforme descrito pelos autores (29) , porém, parece não ser eficaz quando aplicada isoladamente. Em se tratando dos cuidados das LF, apontado por discreta parcela dos participantes, os cuidados mencionados coadunam ao proposto pela literatura (30) , que sugere a terapia tópica enquanto cobertura, desde que haja retalho de pele viável, passível de realinhamento.…”

Section: Introdução Métodounclassified

“…No que diz respeito à retirada atraumática do adesivo, esta medida tem sido mais associada à prevenção de LF, do que ao tratamento da lesão. Porém, ao deparar-se com a necessidade deste uso, o Enfermeiro deve dar preferência a fitas de baixa capacidade adesiva (30) . Chama atenção o fato de uma das entrevistadas mencionar que a padronização do cuidado deve ser evitada, uma vez que a condução do tratamento está diretamente relacionada às características da lesão.…”

Section: Introdução Métodounclassified

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Práticas De Cuidados Do Enfermeiro Na Atenção Primária À Saúde: Gestão Do Cuidado Da Pele Do Idoso

et al. 2020

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Objetivo: identificar práticas de cuidado empregadas pelos Enfermeiros da Estratégia Saúde daFamília para prevenção, diagnóstico de enfermagem e tratamento de lesão por fricção e lesão porpressão em idosos na comunidade.Método: estudo qualitativo descritivo com 25 enfermeiros da Estratégia Saúde da Família, lotadosno âmbito da Secretaria Municipal de São José/Santa Catarina. Para coleta de dados, aplicou-sequestionário semiestruturado entre março e maio de 2018. Os dados foram submetidos à AnáliseTemática de Conteúdo.Resultados: emergiram quatro categorias distintas relacionadas às práticas do enfermeiro paracuidado da pele do idoso: Ferramentas para avaliação clínica da pele do idoso; Avaliação do riscopara as lesões em idosos; Estadiamento das lesões; e Tratamento das lesões em idosos.Conclusão: observou-se a necessidade de maior investimento institucional em ações de educaçãopermanente aos profissionais de Enfermagem, para que sejam efetivadas boas práticas de cuidadona prevenção, estadiamento e manejo das lesões estudadas.

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Dermatological Changes in the Elderly: Risk Assessment for the Development of Skin Tears

Sebold¹

2017

MOJGG

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This is a quantitative, descriptive study whose objective was to identify dermatological alterations related to the development of skin tears in the elderly, in the area covered by a Basic Health Unit of a municipality in the south of Brazil. The study included 42 elderly people aged 80years or over, and a structured interview and inspection of the skin of the elderly by the researchers. The participants age ranged from 80 to 100 years of age, with a prevalence of 80 to 85 years (59.5%); 28 (66.7%) were female; 38 (90.5%) were white. When analyzing the skin of the study participants, it was found that in 41 elderly people (97.6%) they had dermatological alterations, 35 of which were the most frequent resected skin (83.3%) and the absence of hairs on the lower limbs 24 (57, 1%). DiscussionFaced with the dermatological alterations found in the study population, the literature reports that skin dryness is a frequent occurrence in the skin of the elderly, since at this age there is a decrease in the activity of the sebaceous and sweat glands, corroborating the findings of the present study. 7In addition, external factors, such as hot bath and the use of bar soap, may also contribute to the appearance of this finding, since the elevated temperature leads to reduction of the natural oiliness of the skin, decreases the lipid mantle, leads to greater dryness And reduces the resistance to the aggression of alkaline substances, leaving the skin susceptible to friction and therefore to rupture. Thus, it is recommended to use soaps with acidic pH, since they do not interfere in an intense way in the skin flora, since they are close to the physiological pH of the skin. 5,8,9 Regarding the absence of lower limbs, this was also observed in a large part of the sample. Although body hairs are responsible for protecting the skin against solar radiation, these help in reducing the friction with the skin.When analyzing the elderly who presented this condition, it was observed that 21.4% (=09) had the Ankle-Brachial Index (ABI) between 0.41 and 0.90 mmHg. Normal ABI varies from 0.91 to 1.30 mmHg, but it is considered altered when it is <0.90 or>1.30 mmHg. 10This fact suggests possible venous fragility. According to the degrees of Lerich-Fontaine, the first change due to impairment of the blood supply in the lower limbs is the lowering of the hairs on the lower limbs, due to the oxygen and other deficient nutrients, thus increasing the risk of occurrence of skin tears, Since it reduces the resistance of the skin to the friction against an aggressive surface. 11 ConclusionThe results of the present study verified changes commonly observed in the elderly, however, these constitute risk factors for the occurrence of skin tears, since they weaken the skin. Thus, it is up to the nurse and other health professionals who act directly in the care of the elderly, to include in their care horizon the role of educator for health, seeking strategies that allow an aging with health. The adoption of care technologies, such as the application of sc...

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Skin tear treatment and prevention by nurses: an integrative literature review

Cited by 9 publications

References 13 publications

Brazilian scientific evidence on Fournier’s gangrene

Brazilian scientific evidence on Fournier’s gangrene

Práticas De Cuidados Do Enfermeiro Na Atenção Primária À Saúde: Gestão Do Cuidado Da Pele Do Idoso

Dermatological Changes in the Elderly: Risk Assessment for the Development of Skin Tears

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