[Risk factors for pressure ulcer: suggestions for prevention]

Pressure ulcers is one of the most severe complication in the spinal cord injured patients begin the prevention aspects and the early identification of the risk factors are imperative action for the nursing assistance of these patients. This study evaluated the nursing care plans for these patients that at the time of the study were already included in the rehabilitation program in order to identify the risk factors for the pressure ulcer development by analysing the nursing documentation adapting the Taxonomy of NANDA. Evaluate the nursing procedures proposed to the diagnosis risk for impaired skin integrity. The identified risk factors are referred to the physical alterations determinate by the neurologic lesion, wound's history and initial lesions. The proposed nursing procedures were sixteen (16) that emphasized patient and family's instructions on body cleaning, position on bed and wheel chair based on the diagnosis established.