adult patients A randomised controlled trial (RCT) conducted in an ICU demonstrated efficacy of a hyper- oxygenated fatty acid moisturizing regimen used under plastic facial masks. Skin assessments were conducted every four to six hours and moisturizer was reapplied according to skin hydration status Met hods : Inte rven tion/ Inst rum ents A cross-sectional study was carried out based on the analysis of 198 medical records of patients admitted in the two intensive care units of a university hospital in southern Brazil between July and December 2015. Data were collected A convenience sampling was used to recruit 326 patients (195 patients in pre- intervention, 131 patients in intervention group). Adult medical and surgical patients admitted to the study wards of eight hospitals who are (a) deemed to be at risk of pressure injury (i.e. have reduced mobility), (b) expected to stay in hospital for ≥48h, (c) admitted to hospital in the past 36h; and (d) able to provide informed This evidence summary is based on a structured database search combining search terms that describe heel PIs with search terms related to prophylactic dressings. Searches were conducted in EMBASE, PubMed, Medline, Scopus and the Cochrane Library. Evidence published up
CAPSTONE PROJECT PRESSURE INJURIES 15 from April to May 2016, using an instrument drawn up by the authors. Subsequently, the data were double- digitized in Epi Info® and analyzed by the Statistical Package for the Social Sciences® program consent will be eligible to participate. Consenting patients will receive either the pressure injury prevention care bundle or standard care. The care bundle contains three main messages: (1) keep moving; (2) look after your skin; and (3) eat a healthy diet. Nurses will receive education about the intervention. Patients will exit the study upon development of a pressure injury , hospital discharge or 28 days, whichever comes first; transfer to another hospital or transfer to critical care and mechanically ventilated. to June 2017 in English was considered for inclusion. Retrieved studies were appraised for relevance and rigor using Joanna Briggs Institute appraisal tools.2 Anal ysis There is a prevalence of male patients (60.1%), white race (73.2%), mean age 57.5 years-old and the incidence of pressure injury was 39.4%. Statistical analysis was made using Fisher exact test to compare between the two groups. The results showed a reduction of 86% in the incidence of HPI between the two groups (pre- intervention: 10.8% versus post- intervention: 1.5%). Patients in the intervention group were less likely to develop HPIs (p=<0.007). . Data will be analyzed at the cluster (hospital) and patient level. Estimates of hospital acquired pressure injury incidence in each group, group differences and 95% confidence interval and p values will be reported Odds of a MDRPI was 3.43 times higher for preterm infants (p<0.05) using nasal prongs without a prophylactic dressing22 (Level 1c evidence).
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- Winter '16
- Nursing, Health care provider, Intensive care medicine