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[Care plan for patients in prone decubitus. An experience from practice]
Enfermeria Intensiva
|October 1, 1995
Summary
Standardizing nursing care for patients with acute respiratory distress syndrome (ARDS) in prone decubitus position improved care delivery. This plan identified potential complications and ensured patient tolerance during prolonged prone positioning.
Area of Science:
- Critical care nursing
- Respiratory therapy
- Patient positioning
Context:
- Acute Respiratory Distress Syndrome (ARDS) management often requires prone positioning.
- Standardized nursing care protocols are essential for optimizing patient outcomes and safety.
Purpose:
- To develop and evaluate a standardized nursing care plan for patients with ARDS undergoing prone decubitus positioning.
- To identify common nursing diagnoses, complications, and interdependent problems associated with this intervention.
Summary:
- A retrospective review of eight ARDS patients managed with prone positioning was conducted, comparing care before and after implementing a standardized plan.
- Patients tolerated nasogastric tube feeding and maintained bowel function; one developed a frontal ulcer, and all experienced facial/periorbital edema.
- Average time in prone position was 77 hours, with no increase in bronchial secretions observed. Mobility issues were noted in two discharged patients, unrelated to prone positioning duration.
Impact:
- Implementation of a standardized care plan enhances specificity and objectivity in nursing interventions for prone positioning.
- Facilitates easier management of complications and real-time patient care challenges in critical settings.
- Provides a framework for evidence-based nursing practice in ARDS management.