Nursing Interventions to Prevent Pressure Ulcers in Critically Ill Patients: A Review of the Evidence
Flavia Castelino
Niraamaya College of Nursing, Vishwothama Nagar Bantakal, Udupi District, Karnataka, India.
Diana Hephzibah
Shantha College of Nursing, Affiliated to RGUHS, Bangalore, India.
Dayananda C
Community Health Nursing, Smt. Padma G Madegowda College of Nursing, Karnataka, India.
Shilpa Rani R
Shantha College of Nursing Chikkaballapura, Karnataka, India.
Geethanjali. S
Shantha College of Nursing Chikkaballapura, Karnataka, India.
Shilpa H M
Department of Medical-Surgical Nursing, Shridevi Institute of Nursing, Tumkur, Karnataka, India.
Divya V
Niraamaya College of Nursing Vishwothama Nagar Bantakal Udupi District Karnataka, India.
Zahid Ahmad Wani *
Shantha College of Allied Health Science, affiliated to RGUHS, Bangalore, India.
*Author to whom correspondence should be addressed.
Abstract
Introduction: Pressure ulcers, also known as bedsores, pose a significant concern in critically ill patients due to prolonged immobility and complex medical conditions.
Objective: This review examines the evidence supporting various nursing interventions to prevent pressure ulcers in critically ill patients.
Methods: A comprehensive literature search was conducted to identify relevant studies published between 2010 and 2023. Key interventions included regular repositioning, specialized mattresses and cushions, skin care protocols, nutritional support, and patient and staff education.
Results: The evidence supports a multifaceted approach, including regular repositioning, specialized support surfaces, comprehensive skin care, nutritional support, and education, in reducing the incidence of pressure ulcers in critically ill patients.
Conclusion: Implementing evidence-based nursing interventions can significantly reduce the incidence of pressure ulcers in critically ill patients, emphasizing the importance of a coordinated approach to prevention.
Keywords: Critically Ill patients, evidence-based practice, nursing interventions, pressure ulcers, prevention