sábado, 25 de mayo de 2013

PRESSURE ULCERS, PREVENTION IS THE MOST IMPORTANT STEP




I perfectly remember the first day I saw a pressure ulcer. It was when I was in my first practice as a nursing student in November 2011 at the Health Center. We treated a patient in a nursing home who was bedridden for six months. The patient's ulcer was located in the sacrum.

Despite my limited knowledge on the subject in that moment It struck me that the patient was supine, I thought it would be a good idea If the patient would be lying in an other position.
When We mobilized the patient to remove the wound dressing I noticed a slight odor that nowadays I associate when I see other similar injuries. It´s characteristic from infected ulcers.

Carefully uncover the wound dressing and there I saw the first pressure ulcer in a patient, was really big and deep. I´LL NEVER FORGET IT.

After my associate professor teach me how to make the cure that at that moment considered appropriate, we established right there a plan to do it at the next few days and We trained nursing home staff in how conducting postural changes and other therapeutic interventions, We took the car back to the health center and He said me:
This picture belongs to a patient who allowed me to use It for my academic studies.

- "What do you think about the wound?"
And I said:
-Honesty It impressed me a lot
What most surprised me was when He said me:
-That ulcer could have been avoided.


That's when he taught me the importance of prevention of pressure ulcers. I started reading articles about it and I found the fact that an estimated 95% OF PRESSURE ULCERS CAN BE PREVENTED.

This a link wich talks about the steps to follow un evaluate de pressure ulcer´s risk:


It is of such magnitude the importance of preventing pressure ulcers in other countries this is what happens:
"Being a preventable health problem, lawsuits related to pressure ulcers are daily in other nearby countries ..."

REFERENCES
http://www.msc.es/organizacion/sns/planCalidadSNS/pdf/excelencia/Ulceras_por_presion.pdf

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