More than S.K.I.N. Deep: Decreasing Pressure Ulcer Development in the Pediatric Intensive Care Unit

摘要: MORE THAN S.K.I.N. DEEP: DECREASING PRESSURE ULCER DEVELOPMENT IN THE PEDIATRIC INTENSIVE CARE UNIT Christine A. Schindler, MSN, RN, CPNP Marquette University, 2010 Pressure ulcers are defined as localized areas of tissue destruction that develop when soft is compressed between a bony prominence and an external surface for prolonged period time. Although any hospitalized child at risk the development pressure ulcer, critically ill increased risk. The critical care environment poses special challenges to preventing secondary high acuity patients highly invasive nature interventions therapies those receive. incidence pediatric ulcer in population has been reported be 10.2 27%. This prospective, quasi-experimental study was conducted order determine whether specific prevention bundle associated with significant reduction infants 0 3 months old intensive unit. four main components were (S) support surfaces, (K) keep turning every 2 hours, (I) incontinence management, (N) nutrition consultation. second element survey nursing staff unit gain better understanding barriers facilitators implementing bundle. implementation drop from 18.8% 6.8%. who developed experimental group received significantly more mechanical had longer lengths stay than did not ulcer. demonstrated competing demands on nurses’ time biggest barrier Having appropriate supplies easy access surfaces