NPunto

18

Authors: Castillejo Tornín, D

Pressure ulcers are one of the biggest challenges for the nursing professional in particular and health care in general. The presence of these lesions is growing in the health field, and they are present in both public and private centres, of an acute or chronic nature. Healthcare professionals must be prepared for the management of this type of lesion, since not only should their presence be highlighted in patients who already suffer them, but there are a multitude of patients who are at risk for various reasons. That is why, as healthcare professionals, we must not allow our actions or lack of knowledge to generate a situation of additional risk to the patient, in which the patient can develop this type of injury due to errors associated with our malpractice. In the health field and outside it, we must be aware of the situations of greater risk in the patient and of how we must manage these situations, to try to prevent the appearance of these wounds in situations where their appearance is close. The health field is one in which should never develop this type of injury, so we must be aware of the risk situations that can occur within this.

23

Authors: Fernández Salomón, I

In the recent years, health professionals must deal with an increasing number of patients who have wounds difficult to treat. Skin ulcers are a problem that occurs in a big amount of people with diverse pathologies, hospitalized or with reduced mobility. These ulcers are avoidable in a high percentage of cases, if dietary and hygienic measures were being followed. In many cases, it is not possible to prevent its appearance, due to caregiver’s difficulty, combined with other factors such as lack of good nutrition, etc. To know how to treat this type of skin lesions will, therefore, be the first priority. Over the years, we have seen the evolution of the techniques and products used for their treatment, but the increase in the number of brandnew kinds of dressings and its utilities in concert with the lack of knowledge of themselves, makes it difficult to choose the most suitable one in each case, so they are frequently used wrong. To be familiar with their functions and applications would greatly assist in health sector because it would accelerate the healing process of the wounds, and it would also reduce health costs. This project is focused to review each type of bandage in detail, its indications and contraindications and all the relevant related information, gathered by the synthesis of pertinent literature. Its purpose is to help in the selection of the best dressing, based on the prior knowledge of their therapeutic indications.

29

Authors: Álvarez Cuervo, B

Ulcers present a significant conflict in public health that affects all levels of care. They integrate a great diversity of elements that are integrated on the arrival of pressure ulcers, being subject to the absolute activity of such as main generator of them. The forecast of pressure ulcers is the most significant, since it hinders the breakdown of the dimension of existence of the patients and minimizes the time of permanence of hospital admission, fully developing this through a list of applications, produced as a group with various health jobs. If an ecchymosis occurs, the most appropriate approach will be chosen about the time of healing and healing so that the hospital admission is not maintained for a long time, also avoid infections, which has a routine negative impact on the evolution. Nursing graduates are the most committed as are all tasks, taking on some of them in others. Likewise, the activities of suspicion and procedure of nurses and nurses will also carry out health care for the sick and/or relatives, so that these guidelines are maintained in their accommodation. The objective of the risk assessment is the identity of the types requiring prophylaxis measures and the identity of the specific delegates who put them in danger. The risk assessment scales used are Braden, Norton, Emina, Waterlow and Cubbin-jackson. The estimation of the danger that a patient can develop to expose UPP is, above all, a basic adema in the prophylaxis. The clinical practice guidelines suggest that a risk assessment be carried out in all patients who are admitted to the health system, in the same way in hospitals, in elderly groups or in patients assisted in their accommodation. The purpose of hazard estimation is the filiation of persons requiring measures of suspicion and the identity of the specific coefficients that classify them in a position of danger. But at the moment, there is no specific agreement between researchers and practitioners on what is the most effective way to carry out this risk assessment of developing UPPs. Some of the methods of working in older health centers have as essential the clinical process of nurses and put the method of estimation stairs as a complement, on the other hand, others currently treated think that many of the stairs obtained should be a more optimal option than clinical litigation, especially when we refer to non-expert nursing staff.