Abstract
To describe the pressure ulcer healing process in critically ill patients treated with conventional dressing therapy plus low-intensity laser therapy evaluated by the Pressure Ulcer Scale for Healing (PUSH) and the result of Wound Healing: Secondary Intention, according to the Nursing Outcomes Classification (NOC). Case report study according to nursing process conducted with an Intensive Care Unit patient. Data were collected with an instrument containing the PUSH and the result of the NOC. In the analysis we used descriptive statistics, considering the scores obtained on the instrument. A reduction in the size of lesions of 7cm to 1.5cm of length and 6cm to 1.1cm width, in addition to the increase of epithelial tissue and granulation, decreased secretion and odor. There was improvement in the healing process of the lesion treated with adjuvant therapy and the use of NOC allowed a more detailed and accurate assessment than the PUSH.
Highlights
Pressure ulcers (PU) are areas of damage in the skin and underlying structures resulting from isolated or combined pressure with shear and/or friction, which can be classified according to the degree of tissue damage observed[1].PU are configured as one of the most prevalent complications in hospitalized patients with high incidence in Intensive Care Units (ICU) due to the severity of the patient and the complexity of their treatment, associated with difficult implementation of preventive measures in skin integrity maintenance[1,2]
The history and physical examination is presented, followed by Nursing diagnosis (ND), initial evaluation of PU with the Nursing Outcomes Classification (NOC)[12] and Pressure Ulcer Scale for Healing (PUSH)[11] before the intervention and the results obtained after implementation of interventions during the study
We conclude that there was significant improvement in the healing process of the PU treated with adjuvant Level Laser Therapy – (LLLT), which was shown by the Healing Wounds: secondary intention according to NOC, and PUSH scale, in addition to evidence of photographic record
Summary
PU are configured as one of the most prevalent complications in hospitalized patients with high incidence in Intensive Care Units (ICU) due to the severity of the patient and the complexity of their treatment, associated with difficult implementation of preventive measures in skin integrity maintenance[1,2]. The high incidence of PU is considered a negative indicator in the quality of nursing care, there are situations in which even though preventable, they are inevitable. In this case, the implementation of appropriate treatment is necessary, which urges nurses to seek new interventions[2,4,5]. New treatments to accelerate the healing process of these lesions have been investigated, among which ultrasound, Ozone therapy and Low-Level Laser Therapy – (LLLT)(8-9)
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