Abstract

SCHMINDT RIO VALLE, Jacqueline; GARCIA GARCIA, Inmaculada  and  GAZQUEZ LOPEZ, María. Compare between different methods of treatment of pressure ulcer. Enferm. glob. [online]. 2014, vol.13, n.36, pp.44-56. ISSN 1695-6141.

Objectives: To describe the different procedures in the pressure ulcer (UPP) of the coccyx and heels and to compare results in the course of the ulcer in two different hospitals. Method: Observational study. The analysed dates were obtained over three months from May to July in two hospitals: Public Hospital (HP) and Concerted Hospital (HC). 25 UPP were followed, 11 located in coccyx and 14 in heels. 18 patients participated, 9 in the HP and 9 in the HC, all patients signed informed consent. The analysed dates were Barthel scale, Pfeiffer scale, Mini Nutritional Assesment (MNA) and the wound evolution by National Pressure Ulcer Advisory Panel (NPUAP), photographs taken on site and the Pressure Ulcer Scale for Heading (PUSH). Results: PUSH was the best instrument used to assess the evolution of the UPP and to discern changes in the lesions. Although there is a protocol in the treatment of UPP there was certain variability in the performance of it in both hospitals. Statistically significant positive trends in injuries in heels were found by using PUSH as method of evaluation in the HP.

Keywords : Pressure ulcer; heel; coccyx; protocols.

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