Pressure Injury Prevention and Wound Management for the Patient Who Is Actively Dying: Evidence-Based Recommendations to Guide Care.

Autor: Vickery J; Jessica Vickery, MSN, RN, AGCNS-BC, Clinical Nurse Specialist, Cardiac Medical Critical/Progressive Care, Indiana University Health-Academic Health Center, Indianapolis, Indiana.; Lauren Compton, MSN, RN, AGCNS-BC, CMSRN, Clinical Nurse Specialist, Medical and Behavioral Care, Indiana University Health-Academic Health Center, Indianapolis, Indiana.; Jackie Allard, MSN, RN, CWOCN, WOC Department, Indiana University Health-Academic Health Center, Indianapolis, Indiana.; Terrie Beeson, MSN, RN, CCRN, AGCNS-BC, Clinical Nurse Specialist, Surgical Intensive/Progressive Care, Indiana University Health-Academic Health Center, Indianapolis, Indiana.; Joycelyn Howard, MSN, RN, AGCNS-BC, Palliative Care, Indiana University Health-Academic Health Center, Indianapolis, Indiana.; Joyce Pittman, PhD, RN, FNP-BC, CWOCN, FAAN, Associate Professor, University of South Alabama, Mobile, Alabama., Compton L; Jessica Vickery, MSN, RN, AGCNS-BC, Clinical Nurse Specialist, Cardiac Medical Critical/Progressive Care, Indiana University Health-Academic Health Center, Indianapolis, Indiana.; Lauren Compton, MSN, RN, AGCNS-BC, CMSRN, Clinical Nurse Specialist, Medical and Behavioral Care, Indiana University Health-Academic Health Center, Indianapolis, Indiana.; Jackie Allard, MSN, RN, CWOCN, WOC Department, Indiana University Health-Academic Health Center, Indianapolis, Indiana.; Terrie Beeson, MSN, RN, CCRN, AGCNS-BC, Clinical Nurse Specialist, Surgical Intensive/Progressive Care, Indiana University Health-Academic Health Center, Indianapolis, Indiana.; Joycelyn Howard, MSN, RN, AGCNS-BC, Palliative Care, Indiana University Health-Academic Health Center, Indianapolis, Indiana.; Joyce Pittman, PhD, RN, FNP-BC, CWOCN, FAAN, Associate Professor, University of South Alabama, Mobile, Alabama., Allard J; Jessica Vickery, MSN, RN, AGCNS-BC, Clinical Nurse Specialist, Cardiac Medical Critical/Progressive Care, Indiana University Health-Academic Health Center, Indianapolis, Indiana.; Lauren Compton, MSN, RN, AGCNS-BC, CMSRN, Clinical Nurse Specialist, Medical and Behavioral Care, Indiana University Health-Academic Health Center, Indianapolis, Indiana.; Jackie Allard, MSN, RN, CWOCN, WOC Department, Indiana University Health-Academic Health Center, Indianapolis, Indiana.; Terrie Beeson, MSN, RN, CCRN, AGCNS-BC, Clinical Nurse Specialist, Surgical Intensive/Progressive Care, Indiana University Health-Academic Health Center, Indianapolis, Indiana.; Joycelyn Howard, MSN, RN, AGCNS-BC, Palliative Care, Indiana University Health-Academic Health Center, Indianapolis, Indiana.; Joyce Pittman, PhD, RN, FNP-BC, CWOCN, FAAN, Associate Professor, University of South Alabama, Mobile, Alabama., Beeson T; Jessica Vickery, MSN, RN, AGCNS-BC, Clinical Nurse Specialist, Cardiac Medical Critical/Progressive Care, Indiana University Health-Academic Health Center, Indianapolis, Indiana.; Lauren Compton, MSN, RN, AGCNS-BC, CMSRN, Clinical Nurse Specialist, Medical and Behavioral Care, Indiana University Health-Academic Health Center, Indianapolis, Indiana.; Jackie Allard, MSN, RN, CWOCN, WOC Department, Indiana University Health-Academic Health Center, Indianapolis, Indiana.; Terrie Beeson, MSN, RN, CCRN, AGCNS-BC, Clinical Nurse Specialist, Surgical Intensive/Progressive Care, Indiana University Health-Academic Health Center, Indianapolis, Indiana.; Joycelyn Howard, MSN, RN, AGCNS-BC, Palliative Care, Indiana University Health-Academic Health Center, Indianapolis, Indiana.; Joyce Pittman, PhD, RN, FNP-BC, CWOCN, FAAN, Associate Professor, University of South Alabama, Mobile, Alabama., Howard J; Jessica Vickery, MSN, RN, AGCNS-BC, Clinical Nurse Specialist, Cardiac Medical Critical/Progressive Care, Indiana University Health-Academic Health Center, Indianapolis, Indiana.; Lauren Compton, MSN, RN, AGCNS-BC, CMSRN, Clinical Nurse Specialist, Medical and Behavioral Care, Indiana University Health-Academic Health Center, Indianapolis, Indiana.; Jackie Allard, MSN, RN, CWOCN, WOC Department, Indiana University Health-Academic Health Center, Indianapolis, Indiana.; Terrie Beeson, MSN, RN, CCRN, AGCNS-BC, Clinical Nurse Specialist, Surgical Intensive/Progressive Care, Indiana University Health-Academic Health Center, Indianapolis, Indiana.; Joycelyn Howard, MSN, RN, AGCNS-BC, Palliative Care, Indiana University Health-Academic Health Center, Indianapolis, Indiana.; Joyce Pittman, PhD, RN, FNP-BC, CWOCN, FAAN, Associate Professor, University of South Alabama, Mobile, Alabama., Pittman J; Jessica Vickery, MSN, RN, AGCNS-BC, Clinical Nurse Specialist, Cardiac Medical Critical/Progressive Care, Indiana University Health-Academic Health Center, Indianapolis, Indiana.; Lauren Compton, MSN, RN, AGCNS-BC, CMSRN, Clinical Nurse Specialist, Medical and Behavioral Care, Indiana University Health-Academic Health Center, Indianapolis, Indiana.; Jackie Allard, MSN, RN, CWOCN, WOC Department, Indiana University Health-Academic Health Center, Indianapolis, Indiana.; Terrie Beeson, MSN, RN, CCRN, AGCNS-BC, Clinical Nurse Specialist, Surgical Intensive/Progressive Care, Indiana University Health-Academic Health Center, Indianapolis, Indiana.; Joycelyn Howard, MSN, RN, AGCNS-BC, Palliative Care, Indiana University Health-Academic Health Center, Indianapolis, Indiana.; Joyce Pittman, PhD, RN, FNP-BC, CWOCN, FAAN, Associate Professor, University of South Alabama, Mobile, Alabama.
Jazyk: angličtina
Zdroj: Journal of wound, ostomy, and continence nursing : official publication of The Wound, Ostomy and Continence Nurses Society [J Wound Ostomy Continence Nurs] 2020 Nov/Dec; Vol. 47 (6), pp. 569-575.
DOI: 10.1097/WON.0000000000000702
Abstrakt: Preventing pressure injuries and wound deterioration can be challenging for the patient at the end of life. Pressure injuries are often deemed unavoidable when a patient is actively dying; however, the time frame for this process is variable. As the skin fails in an actively dying patient, interventions should align with the patient and family's goals. This integrative literature review defines essential concepts to pressure injury and wound management during this final stage of life including (1) actively dying, (2) end of life, (3) palliative care, and (4) comfort measures. We also provide clinically relevant, evidence-based recommendations for pressure injury prevention and wound management of the patient who is actively dying.
Databáze: MEDLINE