A escala de Waterlow na úlcera por pressão em pessoas com lesão medular: uma tecnologia assistencial de enfermagem. Waterlow’s Scale on pressure ulcers. PDF | OBJETIVO: Comparar las escalas de riesgo para úlcera por presión de Norton, Braden y Waterlow entre pacientes en estado crítico. MÉTODOS: Estudio . To evaluate the association between the scores of the Waterlow, .. da concordância na aplicação da Escala de Braden interobservadores.
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When the presence of pressure ulcers was verified, the nurse of the sector was informed so that the therapeutic necessary procedures for the patient could be implemented. A minority reported smoking The number of injuries per patients states as follows: The mean score obtained for the Braden Scale was The Braden scale presented good sensitivity, however, the specificity was lower, characterizing a good screening instrument; the Waterlow scale presented a better balance between sensitivity and specificity, showing it to be a escaa instrument for the prediction of risk in this clientele.
Risk assessment scales are used to minimize the incidence of PU from the early identification of the risk. Thus, in the clinical practice of the hospital where this study was developed, the use of this scale is suggested as a risk assessment protocol for the identification of patients at risk and the immediate implementation of prevention actions. Given the severity of the problem for the patient, the family and the institution, the need waterloww prevent PUs is undeniable 8.
Based on this table, the subject’s pressure ulcers riskwas discriminated as follows: Older people have decreased adipose tissue and collagen fibres with a reduced blood supply from the decreased capillaries in the skin, which interferes with adequate blood perfusion [ 25 ]. At the researched institution, there are 31 ICU beds, from which eight are for pediatric patients.
These scales have already been evaluatedseparately 4,in pairs 14 and together 8, Pharmacy, Odontology and Nursing College. In the current paper, the sample was composed,mostly, by male adults.
The Kolmogorov-Smirnov test, the Pearson correlation coefficient and Spearman correlation coefficient were used for analysis. European PressureUlcer Advisory Panel. Journal List Open Nurs J v. Incidence of pressure ulcers in intensive watsrlow unitpatients at risk according to the Waterlow scale and factorsinfluencing the development of pressure ulcers.
The study found that the incidence of pressure ulcers in the study population was high.
Rev Pesqui Cuid Fundam. Ulcers are classified into six categories: A decrease in the occurrence of these lesions optimizes nursing care delivery and improves the quality of life of the hospitalized patient. The sample was selected based on a non-probability sampling method with selection for convenience. Universidade do Extremo Sul Catarinense; The importance of the study for the institution should wwaterlow be noted, as this university hospital addresses the subject in precursory way, a fact made more relevant given the current moment of change in the care and services management process taking place.
Seeking to standardize the evaluations, the scores obtained from the application of the scales in the first three evaluations were used, i. These scales may predict the potential for each patient to develop the skin trauma.
The directly correlation detected between Nortonand Braden scales was a discovery confirmed by asystematic bibliographic revision that, beyond this,evidenced that Braden scale presents better specificityand sensibility balance to prevent and predict injuries.
ROC curves escals the cutoff scores of the Waterlow scale with critically ill patients, according to the evaluation. This result indicates the necessity for nurses to waterlod health education to prevent PU in this population.
Comparison of risk assessment scales for pressure ulcers in critically ill patients
Therefore, further studies are recommended to more precisely confirm those relationships. This exploratory and longitudinal research was carriedout at three Intensive Care Units of a Heath Institute that is a reference on urgency and emergence care inBrazilian Northwest, which is located in Fortaleza City,in Brazil. Design A cross-sectional study was conducted on patients admitted in the adult ICU of a university hospital in Northeast Brazil. The pressure ulcer is defined as a lesion of the skin or underlying tissue, usually over a bony prominence, as a result of pressure associated with friction forces.
Among the scales, Braden indicated a higher risk for the development of PUs in the studied patients. The application of the Waterkow scale, performed in this study, demonstrated efficacy and sensibility to evaluate risk factors to pressure ulcers in spinal cord injured hospitalized persons. Most patients with hypertension had a high risk of pressure ulcers according to the Waterlow scale, and there was a statistically significant association.
Establishing the validity of pressure ulcer risk assessmentscales: During the admission process, the following clinicalsituations were verified as the most common ones: However, this report from a previous study does not agree with the findings of the present study.
The Norton scale assesses five parameters for PUrisk: Data collection was performed by two nursing students waetrlow one resident nurse. The Norton scale remained unchanged. Rev Assoc Med Bras. The r and p values presented above has evidenced thatNorton scale is directly proportional to the Waterlowscale; and that, in the other hand, the Braden scale is inversely proportional to the Waterlow scale.
A escala de Waterlow aplicada em pessoas com lesão medular
In this case, a high score indicates ahigh risk of developing PU. Waterlow is the only scale among the three that presents the clinical evaluation of the skin as a risk wterlow for developing a lesion. After 15 days of hospitalization in an ICU, all patients have some risk for developing a PU, especially bedbound elderly patients [ 7 ].
Age, smoking status, diabetes and hypertension were associated with scores on the Waterlow, Braden and Norton scales. For the Esclaa scale, the classification of the scores was done as follows: Within each scale group and also among thescales, all the values were compared, for the 15assessments, using the Friedman non-parametric test,aiming to found statistics differences between the scoresof patients with and without injuries over time; multiplecomparisons using the Conover test were also carriedout over the research period.
JAm Med Dir Assoc. Inaddition, the results reinforced the existing directcorrelation between Braden and Norton scales, highlighted watrelow other publications.