Abstract
Objective: to understand the management of pressure ulcers in palliative care patients from the perspective of nurses. Methods: qualitative study, in which 17 care nurses participated through semi-structured interviews. Data were submitted to thematic categorical analysis. Results: two categories were listed: Nursing management of pressure ulcers in palliative care patients and Outcome of pressure ulcers in palliative care patients. Their management occurs by means of individualized assistance and may vary according to the different moments in which the individual is and should be malleable. The possibility of three outcomes was also observed: complete healing, clinical improvement and clinical stabilization. Conclusion: despite all the frailty of these patients in palliative care, it was perceived that the clinical improvement of the lesions occurs, although it is a slow path, by means of handling the lesions in an individualized manner and focused on the search for comfort.
Highlights
Objective: to understand the management of pressure ulcers in palliative care patients from the perspective of nurses
Methods: qualitative study, in which 17 care nurses participated through semi-structured interviews
Data were submitted to thematic categorical analysis
Summary
Manejo da lesão por pressão em pacientes sob cuidados paliativos: visão dos enfermeiros. RESUMO Objetivo: compreender o manejo da lesão por pressão em pacientes sob cuidados paliativos na perspectiva de enfermeiros. Resultados: elencaram-se duas categorias: Manejo de enfermagem de lesões por pressão em pacientes sob cuidados paliativos e Desfecho das lesões por pressão em pacientes sob cuidados paliativos. O manejo destas ocorre por meio de assistência individualizada, podendo variar de acordo com os diferentes momentos em que àquele indivíduo se encontra, devendo ser maleáveis. Conclusão: apesar de toda fragilidade desses pacientes em cuidados paliativos, percebeu-se que ocorre a melhora clínica das lesões, apesar de ser um caminho lento, por meio de manejo das lesões de modo individualizado e centrado na busca de conforto. Descritores: Cuidados de Enfermagem; Enfermagem; Cuidados Paliativos; Lesão por Pressão; Cicatrização
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