Reflexões sobre as recomendações para prevenção de lesões por pressão durante a pandemia de COVID-19

Aline Oliveira Ramalho; Paula  Sousa Silva Freitas; Juliano Teixeira Moraes; Paula  Cristina Nogueira

Authors

Aline Oliveira Ramalho Universidade de São Paulo − Escola de Enfermagem – Programa de Pós-Graduação em Enfermagem na Saúde do Adulto – São Paulo (SP), Brasil and Hospital Sírio Libanês − Enfermagem Especializada - Estomaterapia − São Paulo (SP), Brasil. https://orcid.org/0000-0001-6065-5488
Paula Sousa Silva Freitas Universidade Federal do Espírito Santo – Departamento de Enfermagem – Programa de Pós-Graduação em Enfermagem − Vitória (ES), Brasil. https://orcid.org/0000-0001-9066-3286
Juliano Teixeira Moraes Universidade Federal de São João del-Rei – Programa de Pós-Graduação em Enfermagem − Divinópolis (MG), Brasil. https://orcid.org/0000-0002-1109-962X
Paula Cristina Nogueira Universidade de São Paulo – Escola de Enfermagem – Departamento de Enfermagem Médico-Cirúrgica – São Paulo (SP), Brasil. https://orcid.org/0000-0001-5200-1281

Abstract

Objective: To reflect on specific recommendations for the prevention of pressure injuries in patients affected by the new coronavirus (COVID-19) in intensive care. Method: theoretical reflection study based on the concept of pressure injury defined by the National Pressure Injury Advisory Panel. Results: the contents were categorized into three thematic axes: specific risk factors for the development of pressure injuries for patients with COVID-19; international recommendations on pressure injuries in patients with COVID-19 and challenges for implementing recommendations for preventing pressure injuries in the face of the COVID-19 pandemic in the Brazilian scenario. Conclusion: to promote the prevention of pressure injuries in intensive care patients with COVID-19 it is essential that health professionals are able to implement advanced interventions, in order to mitigate the intrinsic and extrinsic risks specific to that patient. However, it is essential to recognize potentially preventable lesions, differentiating them from possible inevitable ones, as well as making a differential diagnosis of lesions resulting from the pathogenesis of the virus itself.

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