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Peripheral Artery Disease IV: Nursing Management

The nursing management of a patient with peripheral artery disease (PAD) begins with a thorough assessment of the patient’s health history and clinical manifestations.AssessmentHealth History: Evaluate the patient’s history of hypertension, hyperlipidemia, family history of cardiovascular issues, and lifestyle factors such as dietary patterns, smoking, and physical activity.Physical Examination:Assess the affected extremity for decreased or absent peripheral pulses, temperature changes,...
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A Standardized Procedure of Dressing Management for Toxic Epidermal Necrolysis
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Protecting fragile skin: nursing interventions to decrease development of pressure ulcers in pediatric intensive

Christine A Schindler1, Theresa A Mikhailov, Evelyn M Kuhn

  • 1Department of Pediatrics, Medical College of Wisconsin, Children's Hospital and Health System, Milwaukee, 53201-1997, USA. cschindl@mcw.edu

American Journal of Critical Care : an Official Publication, American Association of Critical-Care Nurses
|January 4, 2011
PubMed
Summary
This summary is machine-generated.

The incidence of pressure ulcers in critically ill children is over 10%. Implementing specific nursing interventions, such as using specialty beds and regular repositioning, can significantly reduce pressure ulcer development.

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Area of Science:

  • Pediatric Critical Care
  • Nursing Research
  • Patient Safety

Background:

  • The incidence of pressure ulcers in critically ill infants and children ranges from 18% to 27%.
  • Risk factors and effective nursing interventions for preventing pressure ulcers in this population remain underexplored.

Purpose of the Study:

  • To determine the incidence of pressure ulcers in critically ill children.
  • To compare patient characteristics associated with pressure ulcer development.
  • To identify nursing interventions that reduce pressure ulcer incidence.

Main Methods:

  • A comparative analysis of 5346 pediatric intensive care unit patients.
  • Utilized multiple logistic regression to identify effective prevention strategies.

Main Results:

  • The overall incidence of pressure ulcers was 10.2%.
  • Risk factors included age over 2 years, prolonged intensive care unit stay (≥4 days), and mechanical ventilation (including noninvasive ventilation or extracorporeal membrane oxygenation).
  • Preventive strategies associated with lower incidence included specialty beds, egg crates, foam overlays, gel pads, dry-weave diapers, urinary catheters, disposable under-pads, body lotion, nutrition consultations, regular repositioning (every 2-4 hours), blanket rolls, foam wedges, pillows, and draw sheets.

Conclusions:

  • The incidence of pressure ulcers in critically ill children exceeds 10%.
  • Targeted nursing interventions are crucial for preventing pressure ulcers in this vulnerable group.