Ošetřovatelské perspektivy 2019, 2(1):77-84 | DOI: 10.25142/osp.2019.009

PRESSURE ULCER CAUSED BY FIXATION PRESSURE – REVIEW

Blažena Ševčíková1,2, Lenka Šáteková1, Lenka Machálková1
1 Ústav ošetřovatelství, Fakulta zdravotnických věd, Univerzita Palackého v Olomouci
2 Traumatologická klinika, Fakultní nemocnice Olomouc

Background: Pressure lesions represent a significant risk and consequently a complication for patients who receive fixation for treatment (plaster, gypsum splints, cervical collars, orthoses).

Aim: To create a review of information describing pressure ulcers due to fixation (plaster, gypsum splints, cervical collars, orthoses).

Methods: Simple search in two licensed and electronic databases and one periodical (EBSCO, PROQUEST, SOLEN) was chosen for the review. The search was conducted in January and February 2019. Seventeen professional publications met the inclusion criteria.

Results: Pressure ulcers are mainly caused by high pressure, external and internal factors. Incorrect and insufficient placement of the fixation, which presses heavily on the skin, results in insufficient arterial blood flow. There is tissue perfusion followed by creation of pressure ulcer. In the worst case, thrombus formation may occur.

Conclusions: Skin monitoring is one of the basic intervention of nursing staff during admission and subsequent care of a patient in a hospital. The education of nursing staff about the correct application of compensatory aids and skin care should be a priority.

Keywords: pressure ulcer, fixation, nursing, pressure lesion, general nurse

Received: June 24, 2019; Accepted: July 10, 2019; Published: October 1, 2019  Show citation

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Ševčíková B, Šáteková L, Machálková L. PRESSURE ULCER CAUSED BY FIXATION PRESSURE – REVIEW. Ošetřovatelské perspektivy. 2019;2(1):77-84. doi: 10.25142/osp.2019.009.
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