Evaluación Cutánea |
Realizar una evaluación estructurada del riesgo mediante la escala de Braden y comprobar el índice de masa corporal (IMC) al ingreso de las personas con obesidad1515 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 una evaluación de la piel para identificar lesiones preexistentes (IP, traumáticas) y notificarlas1515 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 una evaluación cutánea tras las evacuaciones intestinales/vesicales y durante la atención higiénica y confort1515 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 una evaluación cutánea de los puntos de inserción de los productos sanitarios y de las zonas adyacentes cada vez que se cambie de turno1616 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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En pacientes pronados, evaluar el lugar de inserción del dispositivo y las zonas adyacentes.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...
Evaluar la fijación del dispositivo médico y ajustar siempre que sea necesario en caso de edema, enrojecimiento y presión o cualquier cambio en la piel1515 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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Atención higiénica a las personas con obesidad y que utilizan dispositivos médicos |
Mantener la piel alrededor del dispositivo médico limpia y seca en todo momento1515 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 una limpieza sin fricción en las proximidades de 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 crema de barrera o spray protector e hidratar la piel1616 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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Atención de enfermería con un dispositivo médico para personas con obesidad |
Evaluar la necesidad de mantener el dispositivo médico en la persona con obesidad1616 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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Evaluar con el equipo multiprofesional la sustitución o retirada precoz del 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 la humedad, la fricción y la presión en el lugar de instalación del 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....
,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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Elegir el tamaño adecuado del dispositivo médico en función de las características de la persona obesa1818 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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Tener atención a los dispositivos cuando se realicen posicionamientos en pronación1515 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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Educación sanitaria sobre hábitos saludables |
Estimular y ayudar a las personas con obesidad a comer de acuerdo con la prescripción 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 y orientar sobre la importancia de seguir una dieta/nutrición adecuada1515 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 y orientar sobre la importancia de la ingesta de agua en función de las necesidades de las personas con obesidad1515 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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Educación continua sobre atención de enfermería a personas obesas |
Promover cursos de entrenamiento para el equipo de enfermería sobre atención cutánea para personas con obesidad1818 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 la formación in situ sobre la atención de enfermería con dispositivos médicos para personas con obesidad1717 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 los entrenamientos en atención de enfermería a personas obesas en posición 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 la aceptación de la dieta oral y/o enteral y mantenerse informado sobre diarreas e intolerancias1515 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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