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Reducing skin breakdown in patients receiving extracorporeal membranous oxygenation
Linda Clements1, Mary Moore2, Thomas Tribble1
1Nursing Professional Practice, Medical Center, University of Kentucky Chandler, 800 Rose Street, Lexington, KY 40536, USA.
Abstract:
This article describes three strategies a cardiovascular-thoracic intensive care unit implemented to decrease the rate of hospital-acquired pressure ulcers in patients on extracorporeal membranous oxygenation support. These strategies include increased staff awareness of physiologic factors placing a critically ill patient on extracorporeal support at increased risk for development of pressure ulcers, development of a turning guideline and a skin care bundle, and use of coaching by a clinical nurse specialist to promote pressure ulcer prevention.
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