| کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
|---|---|---|---|---|
| 5570768 | 1403771 | 2017 | 4 صفحه PDF | دانلود رایگان |
کلمات کلیدی
1. مقدمه
2. کودک بیمار و چالش‌های آن
3. پوست در کودکان: از جنین تا نوزاد تازه متولد شده
4. ریسک زخم فشاری ویژه کودکان
جدول ۱. ویژگی‌های پوست در سن نوزادی
جدول ۲. نقاط تمرکز زخم‌های فشاری در کودکان بیمار (۰ تا ۱۸ سال)
۵. ابزارهای ارزیابی ریسک PU کودکان
۶. پیشگیری از زخم‌های فشاری
شکل‌های ۱ تا ۴- مثال‌هایی از پیشگیری ویژه زخم فشاری در کودکان پدگذاری زیر هر یک از تجهیزات پزشکی است.
۷. پیامدهای اقدامات بالینی
- Category one pressure ulcers are a major nursing care issue in neonates and infants.
- Ventilation support devices increase the risk of pressure ulcers in infants.
- Medical devices not adapt to pediatric body shape changes in PICU dependent patients.
- Effective pressure ulcer prevention includes device related under-padding.
While the problem of Pressure Ulcers (PU) in adults has received a great deal of attention, far less is known about PUs in neonates and children. The overall health status of children is generally better and multi-morbidity is limited to a small percentage of patients, like very low term neonates (born before 32 weeks of gestation age), newborns with congenital abnormalities, genetic disorders, perinatal distress syndrome or children with a limited immunity. Survival rates of both critically and chronically ill neonates, infants and children have improved dramatically in recent years, introducing new challenges for medical and nursing care. Children's skin undergoes several changes throughout the first 18 years of life. The most important function of the skin is to protect against water loss, absorptions of noxious substances, intrusions of microorganisms and physical trauma. Effective PU prevention includes device related under-padding and careful positioning and fixation of such devices. At least regular head-to-toe-skin assessment of neonates and infants at risk of PUs should be performed.
Journal: Journal of Tissue Viability - Volume 26, Issue 1, February 2017, Pages 2-5