Therefore, the reduction and prevention of cases are one of the main concerns in health organizations.
#HAPU NURSING SKIN#
Pam Hibbs in 1987 described this health situation as "An epidemic under the sheets", and stated that 95% of PUs are preventable, but studies such as the one carried out in the United Kingdom (UK) in 5 acute hospitals of the NHS in 2012, concluded that only 43% of HAPU were preventable, that is why "these results suggest that the figure that 95% of the PUs are preventable is questionable, at least with regard to hospital-acquired pressure damage".Ĭurrently, 65% of PUs are of nosocomial origin, primarily affecting people over 65 years of age, with limitations especially in the functional patterns: nutritional-metabolic, elimination, activity-exercise and cognitive-perceptual, and presenting risk factors that contribute to the development of PUs as advanced age, excess pressure and impaired skin sensitivity. These injuries are evidence of a major public health problem, as well as for the health system due to its epidemiological, economic and socio-family impact. They are usually located in the skin and underlying tissues, over a bony prominence, caused by sustained pressure over time, deformation, friction and/or the combination of these.(European Pressure Ulcer Advisory Panel-EPUAP). Pressure ulcers (PUs) are considered chronic cutaneous wounds as they involve a prolonged and slow healing time, with a strategy of cure by second intention and sometimes recurrent in its appearance.
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