Factors associated with pressure injuries in bedridden older adults in Primary Health Care
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Updated: Oct 10, 2026

Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit
Published on: September 30, 2020
Jessica Fernandes Dos Santos1, Ana Beatriz Marques Fonseca1, Leticia Dantas Teixeira1
1Universidade do Estado do Rio Grande do Norte. Caicó, Rio Grande do Norte, Brazil.
Objectives:
to identify factors associated with the occurrence of pressure injuries (PI) in bedridden older adults treated in Primary Health Care (PHC).
Methods:
this cross-sectional study was conducted with 63 bedridden older adults. Validated clinical assessment instruments were applied, including physical skin examination, the Braden Scale, the Katz test, and indicators of nursing diagnoses from NANDA-International.
Results:
although all presented a risk for pressure injuries, a confirmed diagnosis occurred in 25.4%. The variables most strongly associated were non-intact skin (p<0.001), age spots (p<0.001), erythema (p=0.002), as well as medication use (p=0.024), decreased turgor (p=0.035), excessive moisture (p=0.032), previous history of pressure injuries (p=0.015), and altered sensitivity (p=0.021).
Conclusions:
early recognition of these factors can guide individualized care plans and standardized protocols in primary health care, strengthening the prevention of an avoidable condition.
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