The change of decubit in preventing pressure injury in patients in intensive care

Abstract

The aim of this study was to identify the reasons that may be related to the difficulty of changing the position of patients in intensive care. The methodology used was the bibliographic search of articles published between 2013 and 2019, searched at the Nursing VHL and Google Scholar. According to the studies analyzed, the nurse is the professional responsible not only for the care provided, but for the assessment of the risk factors for PI on admission, skin integrity and the results obtained with the actions taken. The patient's decubitus change was the most adopted measure. However, flaws in execution were found due to lack of knowledge, failure to integrate team members, deficient number of staff or no protocol for standardizing the conduct of nursing professionals. It was concluded that the participation of Nurses in the educational programs and the carrying out of actions aimed at the education of the members of their teams are essential so that they can also carry out preventive measures correctly and become health promoters among family members, caregivers or companions and the community, transforming them into co-participants in the process of preventing PIs in the critical patient.