Silicone Polyurethane and Semipermeable Film in the Prevention of Pression Caused Ulcers in Bedridden Elderly Patients


Silicone Polyurethane and Semipermeable Film in the Prevention of Pression Caused Ulcers in Bedridden Elderly Patients: an Experience Report

FLORÊNCIO, T.M.B1. SILVA, S.C.S.P1, ARAÚJO, W.M1, VALENÇA, M.P1

University of Pernambuco1

Research Journal of Pharmacology and Pharmacy-2d Code


Pressure ulcers are localized lesions in the skin or underlying tissues, which occur due to an increase in pressure over a bony prominence or shear.1 Elderly patients are more likely to develop them due to capilar weakness and decreased skin elasticity, aggravating the issue when they are bedridden.2 The wound assessment and dealing with pressure ulcers applicability of preventive methods is a role of nursery. In the context of technological innovations, it is important to know the best coverage options, effectiveness and consistency of the reality of service.2 So the nurse must be prepared to intervene and recommend the use of these new technologies. This study aims to describe an experience in the use of polyurethane and silicone and semi-permeable film in preventing pressure ulcers in bedridden elderly patients. This report describes the experiences in the academic practice of medical clinic, which occurred from August to September 2015 in a military hospital in the city of Recife / PE. Five patients were selected after nursing diagnosis of risk level of skin integrity, all bedridden with ages between 80-95 years. Products were installed randomly in sacral and calcaneal regions, shoulder, trochanteric and malleolus. The choice of the bandage per patient was randomized for mapping the differences or results. During the installation of prevention methods, polyurethane foam with silicone was installed in 2 patients in sacred and calcaneal and semipermeable Film in 3 patients in sacred and calcaneal regions. In all patients were installed semipermeable Film at shoulder, trochanter and malleolus. The foam was more effective to improve hyperemia in sacral region than calcaneus in relation to the response time, in sacral 1 week and the calcaneus 1 week and a half. Patients who used film semipermeable did not develop ulcers. In regions that already had hyperemia both products presented improvement when used along with measures 3 decubitus change in 3 hours. Both products showed a good therapeutic response associated with changing positions. Positive results reaffirmed a good option for prevention.

Keywords: Nursing care, Quality Indicators, Pressure Ulcer


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REFERENCES

 

  1. National Pressure Ulcer Advisory Panel, European Pressure Ulcer Advisory Panel and Pan Pacific Pressure Injury Alliance. Prevention and Treatment of Pressure Ulcers: Quick Reference Guide. Emily Haesler (Ed.). Cambridge Media: Perth, Austrália; 2014.
  2. Vieira CPB, Sá MS, Madeira MZA, Luz MHBA. Caracterização e fatores de risco para úlceras por pressão na pessoa idosa hospitalizada. Rev Rene. 15(4): 650-8 jul-ago, 2014.