Avaliação da Pele |
Realizar avaliação estruturada do risco através da Escala de Braden e a verificação do Índice de Massa Corporal (IMC) na admissão da pessoa com obesidade1515 Moore Z. Prevention of pressure ulcers among individuals cared for in the prone position: lessons for the covid-19 emergency. J Wound Care. [Internet]. 2020 [cited 2021 Apr 25]; 29(6):312-20. Available from: https://doi.org/10.12968/jowc.2020.29.6.312. https://doi.org/10.12968/jowc.2020.29.6....
-1616 Lucchini A, Russotto V, Barreca N, Villa M, Casartelli G, Marcolin Y, et al. Short and long-term complications due to standard and extended prone position cycles in CoViD-19 patients. Intensive Crit. Care Nurs [Internet]. 2022 [cited 2022 June 22]; 69:103158. Available from: https://doi.org/10.1016/j.iccn.2021.103158. https://doi.org/10.1016/j.iccn.2021.1031...
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Realizar a avaliação da pele a fim de identificar lesões (LP, traumáticas) pré-existentes e notificá-las1515 Moore Z. Prevention of pressure ulcers among individuals cared for in the prone position: lessons for the covid-19 emergency. J Wound Care. [Internet]. 2020 [cited 2021 Apr 25]; 29(6):312-20. Available from: https://doi.org/10.12968/jowc.2020.29.6.312. https://doi.org/10.12968/jowc.2020.29.6....
-1616 Lucchini A, Russotto V, Barreca N, Villa M, Casartelli G, Marcolin Y, et al. Short and long-term complications due to standard and extended prone position cycles in CoViD-19 patients. Intensive Crit. Care Nurs [Internet]. 2022 [cited 2022 June 22]; 69:103158. Available from: https://doi.org/10.1016/j.iccn.2021.103158. https://doi.org/10.1016/j.iccn.2021.1031...
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Realizar a avaliação da pele após eliminações intestinais/vesicais e durante os cuidados de higiene e conforto1515 Moore Z. Prevention of pressure ulcers among individuals cared for in the prone position: lessons for the covid-19 emergency. J Wound Care. [Internet]. 2020 [cited 2021 Apr 25]; 29(6):312-20. Available from: https://doi.org/10.12968/jowc.2020.29.6.312. https://doi.org/10.12968/jowc.2020.29.6....
,1717 Binda F. Complications of prone positioning in patients with COVID-19: a cross-sectional study. Intensive Crit. Care Nurs. [Internet]. 2021 [cited 2022 June 25]; 67:103088. Available from: https://doi.org/10.1016/j.iccn.2021.10308. https://doi.org/10.1016/j.iccn.2021.1030...
-1818 Challoner T, Vesel T, Dosanjh A, Kok K. The risk of pressure ulcers in a proned COVID population. The Surgeon. [Internet]. 2022 [cited 2022 June 22]; 20(4):e144-e148. Available from: https://doi.org/10.1016/j.surge.2021.07.001. https://doi.org/10.1016/j.surge.2021.07....
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Realizar a avaliação da pele em locais de inserção do dispositivo médico e áreas adjacentes a cada troca de plantão1616 Lucchini A, Russotto V, Barreca N, Villa M, Casartelli G, Marcolin Y, et al. Short and long-term complications due to standard and extended prone position cycles in CoViD-19 patients. Intensive Crit. Care Nurs [Internet]. 2022 [cited 2022 June 22]; 69:103158. Available from: https://doi.org/10.1016/j.iccn.2021.103158. https://doi.org/10.1016/j.iccn.2021.1031...
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Em pacientes pronados, avaliar o sítio de inserção do dispositivo e áreas adjacentes.1616 Lucchini A, Russotto V, Barreca N, Villa M, Casartelli G, Marcolin Y, et al. Short and long-term complications due to standard and extended prone position cycles in CoViD-19 patients. Intensive Crit. Care Nurs [Internet]. 2022 [cited 2022 June 22]; 69:103158. Available from: https://doi.org/10.1016/j.iccn.2021.103158. https://doi.org/10.1016/j.iccn.2021.1031...
Avaliar a fixação do dispositivo médico e ajustar sempre que necessário em caso de edema, rubor e pressão ou qualquer alteração da pele1515 Moore Z. Prevention of pressure ulcers among individuals cared for in the prone position: lessons for the covid-19 emergency. J Wound Care. [Internet]. 2020 [cited 2021 Apr 25]; 29(6):312-20. Available from: https://doi.org/10.12968/jowc.2020.29.6.312. https://doi.org/10.12968/jowc.2020.29.6....
-1616 Lucchini A, Russotto V, Barreca N, Villa M, Casartelli G, Marcolin Y, et al. Short and long-term complications due to standard and extended prone position cycles in CoViD-19 patients. Intensive Crit. Care Nurs [Internet]. 2022 [cited 2022 June 22]; 69:103158. Available from: https://doi.org/10.1016/j.iccn.2021.103158. https://doi.org/10.1016/j.iccn.2021.1031...
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Cuidado de higiene da pessoa com obesidade e em uso de dispositivos médicos |
Manter a pele ao redor do dispositivo médico sempre limpa e seca1515 Moore Z. Prevention of pressure ulcers among individuals cared for in the prone position: lessons for the covid-19 emergency. J Wound Care. [Internet]. 2020 [cited 2021 Apr 25]; 29(6):312-20. Available from: https://doi.org/10.12968/jowc.2020.29.6.312. https://doi.org/10.12968/jowc.2020.29.6....
,1717 Binda F. Complications of prone positioning in patients with COVID-19: a cross-sectional study. Intensive Crit. Care Nurs. [Internet]. 2021 [cited 2022 June 25]; 67:103088. Available from: https://doi.org/10.1016/j.iccn.2021.10308. https://doi.org/10.1016/j.iccn.2021.1030...
-1818 Challoner T, Vesel T, Dosanjh A, Kok K. The risk of pressure ulcers in a proned COVID population. The Surgeon. [Internet]. 2022 [cited 2022 June 22]; 20(4):e144-e148. Available from: https://doi.org/10.1016/j.surge.2021.07.001. https://doi.org/10.1016/j.surge.2021.07....
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Realizar limpeza sem fricção nas proximidades dos dispositivos médicos1515 Moore Z. Prevention of pressure ulcers among individuals cared for in the prone position: lessons for the covid-19 emergency. J Wound Care. [Internet]. 2020 [cited 2021 Apr 25]; 29(6):312-20. Available from: https://doi.org/10.12968/jowc.2020.29.6.312. https://doi.org/10.12968/jowc.2020.29.6....
,1818 Challoner T, Vesel T, Dosanjh A, Kok K. The risk of pressure ulcers in a proned COVID population. The Surgeon. [Internet]. 2022 [cited 2022 June 22]; 20(4):e144-e148. Available from: https://doi.org/10.1016/j.surge.2021.07.001. https://doi.org/10.1016/j.surge.2021.07....
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Aplicar creme de barreira ou spray protetor e hidratação da pele1616 Lucchini A, Russotto V, Barreca N, Villa M, Casartelli G, Marcolin Y, et al. Short and long-term complications due to standard and extended prone position cycles in CoViD-19 patients. Intensive Crit. Care Nurs [Internet]. 2022 [cited 2022 June 22]; 69:103158. Available from: https://doi.org/10.1016/j.iccn.2021.103158. https://doi.org/10.1016/j.iccn.2021.1031...
-1717 Binda F. Complications of prone positioning in patients with COVID-19: a cross-sectional study. Intensive Crit. Care Nurs. [Internet]. 2021 [cited 2022 June 25]; 67:103088. Available from: https://doi.org/10.1016/j.iccn.2021.10308. https://doi.org/10.1016/j.iccn.2021.1030...
,1919 Shearer SC, Parsa KM, Newark A, Peesay T, Walsh AR, Fernandez S, et al. Prone facial pressure injuries in the COVID-19 era. The laryngoscope. [Internet]. 2021 [cited 2022 June 20]; 131(7):E2139-E2142. Available from: https://doi.org/10.1002/lary.29374. https://doi.org/10.1002/lary.29374...
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Cuidados de enfermagem com dispositivo médico na pessoa com obesidade |
Avaliar a necessidade de manutenção do dispositivo médico na pessoa com obesidade1616 Lucchini A, Russotto V, Barreca N, Villa M, Casartelli G, Marcolin Y, et al. Short and long-term complications due to standard and extended prone position cycles in CoViD-19 patients. Intensive Crit. Care Nurs [Internet]. 2022 [cited 2022 June 22]; 69:103158. Available from: https://doi.org/10.1016/j.iccn.2021.103158. https://doi.org/10.1016/j.iccn.2021.1031...
-1717 Binda F. Complications of prone positioning in patients with COVID-19: a cross-sectional study. Intensive Crit. Care Nurs. [Internet]. 2021 [cited 2022 June 25]; 67:103088. Available from: https://doi.org/10.1016/j.iccn.2021.10308. https://doi.org/10.1016/j.iccn.2021.1030...
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Avaliar junto à equipe multiprofissional a substituição ou retirada precoce do dispositivo médico1515 Moore Z. Prevention of pressure ulcers among individuals cared for in the prone position: lessons for the covid-19 emergency. J Wound Care. [Internet]. 2020 [cited 2021 Apr 25]; 29(6):312-20. Available from: https://doi.org/10.12968/jowc.2020.29.6.312. https://doi.org/10.12968/jowc.2020.29.6....
,1818 Challoner T, Vesel T, Dosanjh A, Kok K. The risk of pressure ulcers in a proned COVID population. The Surgeon. [Internet]. 2022 [cited 2022 June 22]; 20(4):e144-e148. Available from: https://doi.org/10.1016/j.surge.2021.07.001. https://doi.org/10.1016/j.surge.2021.07....
,2020 Apte Y, Jacobs K, Shewdin S, Murray A, Tung L, Ramanan M, et al. Prone positioning in patients with acute respiratory distress syndrome, translating research and implementing bench-to-bedside practice changes in the era of coronavirus disease 2019. Australian Critical Care. [Internet]. 2021 [cited 2022 June 20]; 34(2):176-81. Available from: https://doi.org/10.1016/j.aucc.2020.08.002. https://doi.org/10.1016/j.aucc.2020.08.0...
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Evitar umidade, atrito, pressão no local onde o dispositivo médico está instalado1515 Moore Z. Prevention of pressure ulcers among individuals cared for in the prone position: lessons for the covid-19 emergency. J Wound Care. [Internet]. 2020 [cited 2021 Apr 25]; 29(6):312-20. Available from: https://doi.org/10.12968/jowc.2020.29.6.312. https://doi.org/10.12968/jowc.2020.29.6....
,1717 Binda F. Complications of prone positioning in patients with COVID-19: a cross-sectional study. Intensive Crit. Care Nurs. [Internet]. 2021 [cited 2022 June 25]; 67:103088. Available from: https://doi.org/10.1016/j.iccn.2021.10308. https://doi.org/10.1016/j.iccn.2021.1030...
-1818 Challoner T, Vesel T, Dosanjh A, Kok K. The risk of pressure ulcers in a proned COVID population. The Surgeon. [Internet]. 2022 [cited 2022 June 22]; 20(4):e144-e148. Available from: https://doi.org/10.1016/j.surge.2021.07.001. https://doi.org/10.1016/j.surge.2021.07....
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Escolher o tamanho adequado do dispositivo médico conforme as características da pessoa com obesidade1818 Challoner T, Vesel T, Dosanjh A, Kok K. The risk of pressure ulcers in a proned COVID population. The Surgeon. [Internet]. 2022 [cited 2022 June 22]; 20(4):e144-e148. Available from: https://doi.org/10.1016/j.surge.2021.07.001. https://doi.org/10.1016/j.surge.2021.07....
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Atentar para os cuidados com os dispositivos no momento da realização do posicionamento pronado1515 Moore Z. Prevention of pressure ulcers among individuals cared for in the prone position: lessons for the covid-19 emergency. J Wound Care. [Internet]. 2020 [cited 2021 Apr 25]; 29(6):312-20. Available from: https://doi.org/10.12968/jowc.2020.29.6.312. https://doi.org/10.12968/jowc.2020.29.6....
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Educação em Saúde sobre hábitos saudáveis |
Estimular e auxiliar a pessoa com obesidade a alimentar-se segundo a prescrição nutricional1515 Moore Z. Prevention of pressure ulcers among individuals cared for in the prone position: lessons for the covid-19 emergency. J Wound Care. [Internet]. 2020 [cited 2021 Apr 25]; 29(6):312-20. Available from: https://doi.org/10.12968/jowc.2020.29.6.312. https://doi.org/10.12968/jowc.2020.29.6....
,1818 Challoner T, Vesel T, Dosanjh A, Kok K. The risk of pressure ulcers in a proned COVID population. The Surgeon. [Internet]. 2022 [cited 2022 June 22]; 20(4):e144-e148. Available from: https://doi.org/10.1016/j.surge.2021.07.001. https://doi.org/10.1016/j.surge.2021.07....
-1919 Shearer SC, Parsa KM, Newark A, Peesay T, Walsh AR, Fernandez S, et al. Prone facial pressure injuries in the COVID-19 era. The laryngoscope. [Internet]. 2021 [cited 2022 June 20]; 131(7):E2139-E2142. Available from: https://doi.org/10.1002/lary.29374. https://doi.org/10.1002/lary.29374...
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Estimular e orientar sobre a importância da ingesta de dieta/nutrição adequada1515 Moore Z. Prevention of pressure ulcers among individuals cared for in the prone position: lessons for the covid-19 emergency. J Wound Care. [Internet]. 2020 [cited 2021 Apr 25]; 29(6):312-20. Available from: https://doi.org/10.12968/jowc.2020.29.6.312. https://doi.org/10.12968/jowc.2020.29.6....
,1717 Binda F. Complications of prone positioning in patients with COVID-19: a cross-sectional study. Intensive Crit. Care Nurs. [Internet]. 2021 [cited 2022 June 25]; 67:103088. Available from: https://doi.org/10.1016/j.iccn.2021.10308. https://doi.org/10.1016/j.iccn.2021.1030...
-1818 Challoner T, Vesel T, Dosanjh A, Kok K. The risk of pressure ulcers in a proned COVID population. The Surgeon. [Internet]. 2022 [cited 2022 June 22]; 20(4):e144-e148. Available from: https://doi.org/10.1016/j.surge.2021.07.001. https://doi.org/10.1016/j.surge.2021.07....
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Estimular e orientar sobre a importância da ingesta hídrica conforme a necessidade da pessoa com obesidade1515 Moore Z. Prevention of pressure ulcers among individuals cared for in the prone position: lessons for the covid-19 emergency. J Wound Care. [Internet]. 2020 [cited 2021 Apr 25]; 29(6):312-20. Available from: https://doi.org/10.12968/jowc.2020.29.6.312. https://doi.org/10.12968/jowc.2020.29.6....
,1717 Binda F. Complications of prone positioning in patients with COVID-19: a cross-sectional study. Intensive Crit. Care Nurs. [Internet]. 2021 [cited 2022 June 25]; 67:103088. Available from: https://doi.org/10.1016/j.iccn.2021.10308. https://doi.org/10.1016/j.iccn.2021.1030...
-1818 Challoner T, Vesel T, Dosanjh A, Kok K. The risk of pressure ulcers in a proned COVID population. The Surgeon. [Internet]. 2022 [cited 2022 June 22]; 20(4):e144-e148. Available from: https://doi.org/10.1016/j.surge.2021.07.001. https://doi.org/10.1016/j.surge.2021.07....
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Educação continuada sobre os cuidados de enfermagem com a pessoa obesa |
Promover cursos de treinamento com a equipe de enfermagem sobre os cuidados com a pele da pessoa com obesidade1818 Challoner T, Vesel T, Dosanjh A, Kok K. The risk of pressure ulcers in a proned COVID population. The Surgeon. [Internet]. 2022 [cited 2022 June 22]; 20(4):e144-e148. Available from: https://doi.org/10.1016/j.surge.2021.07.001. https://doi.org/10.1016/j.surge.2021.07....
,2020 Apte Y, Jacobs K, Shewdin S, Murray A, Tung L, Ramanan M, et al. Prone positioning in patients with acute respiratory distress syndrome, translating research and implementing bench-to-bedside practice changes in the era of coronavirus disease 2019. Australian Critical Care. [Internet]. 2021 [cited 2022 June 20]; 34(2):176-81. Available from: https://doi.org/10.1016/j.aucc.2020.08.002. https://doi.org/10.1016/j.aucc.2020.08.0...
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Promover treinamentos in loco sobre os cuidados de enfermagem com dispositivos médicos em pessoas com obesidade1717 Binda F. Complications of prone positioning in patients with COVID-19: a cross-sectional study. Intensive Crit. Care Nurs. [Internet]. 2021 [cited 2022 June 25]; 67:103088. Available from: https://doi.org/10.1016/j.iccn.2021.10308. https://doi.org/10.1016/j.iccn.2021.1030...
,2020 Apte Y, Jacobs K, Shewdin S, Murray A, Tung L, Ramanan M, et al. Prone positioning in patients with acute respiratory distress syndrome, translating research and implementing bench-to-bedside practice changes in the era of coronavirus disease 2019. Australian Critical Care. [Internet]. 2021 [cited 2022 June 20]; 34(2):176-81. Available from: https://doi.org/10.1016/j.aucc.2020.08.002. https://doi.org/10.1016/j.aucc.2020.08.0...
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Promover treinamentos sobre os cuidados de enfermagem em pessoas com obesidade na posição prona1515 Moore Z. Prevention of pressure ulcers among individuals cared for in the prone position: lessons for the covid-19 emergency. J Wound Care. [Internet]. 2020 [cited 2021 Apr 25]; 29(6):312-20. Available from: https://doi.org/10.12968/jowc.2020.29.6.312. https://doi.org/10.12968/jowc.2020.29.6....
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Observar a aceitação da dieta via oral e/ou enteral e manter informado sobre diarreias e intolerâncias1515 Moore Z. Prevention of pressure ulcers among individuals cared for in the prone position: lessons for the covid-19 emergency. J Wound Care. [Internet]. 2020 [cited 2021 Apr 25]; 29(6):312-20. Available from: https://doi.org/10.12968/jowc.2020.29.6.312. https://doi.org/10.12968/jowc.2020.29.6....
,1717 Binda F. Complications of prone positioning in patients with COVID-19: a cross-sectional study. Intensive Crit. Care Nurs. [Internet]. 2021 [cited 2022 June 25]; 67:103088. Available from: https://doi.org/10.1016/j.iccn.2021.10308. https://doi.org/10.1016/j.iccn.2021.1030...
,1919 Shearer SC, Parsa KM, Newark A, Peesay T, Walsh AR, Fernandez S, et al. Prone facial pressure injuries in the COVID-19 era. The laryngoscope. [Internet]. 2021 [cited 2022 June 20]; 131(7):E2139-E2142. Available from: https://doi.org/10.1002/lary.29374. https://doi.org/10.1002/lary.29374...
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