Proposta de intervenção para melhorar a prevenção das lesões por pressão, no território da equipe multiprofissional de atenção domiciliar em Maceió

Abstract

Pressure injury is defined as localized damage to the skin and/or underlying tissues, usually on a bony prominence or related to the use of a medical device or other artifact. Several factors may be associated with your development including friction, reduced sensation, immobility, nutritional deficit, and excessive exposure to incontinence moisture, which are characteristic of people with chronic disease. We sought to develop an action plan to prevent pressure injury among bedridden users enrolled in the coverage area of the Multiprofessional Home Care Team III, in Maceió. To this end, an intervention plan was carried out based on the Situational Strategic Planning for rapid estimation of the problems observed and definition of the priority problem, critical nodes and actions identified by the Multiprofessional Home Care Team III. A literature review based on published articles available in the Nescon Virtual Health Library, documents from public agencies and other search sources for bibliographic review was also carried out. Pressure injuries are debilitating and greatly decrease the quality of life of users. It is an important problem for bedridden patients, especially the elderly and patients with chronic-degenerative diseases. Because it has a multifactorial cause, a multiprofessional approach to patient evaluation is necessary in order to verify the etiology and risks, as well as optimal prevention measures. It is concluded that, based on the Situational Strategic Planning, the intervention plan is effective for the prevention and reduction of cases of pressure injuries implemented by the Multiprofessional Home Care Team III, of the Home Care Service, Maceió, Alagoas.