Murdoch Vivienne
Immunology Day Centre, Royal Group of Hospitals Trust, Belfast.
Nurs Stand. 2002 Oct 23;17(6):71-4, 76.
Nursing staff in paediatric intensive care units (PICUs) regularly face a complex combination of nursing problems when admitting critically ill children. The assessment of skin integrity might not always be a priority during the initial period following admission. This article outlines some of the difficulties facing nurses involved in the care of critically ill children and reviews the literature on pressure ulcer assessment, highlighting the lack of a universal tool for risk assessment in this area. It also shows how a simple audit changed practice and reduced the incidence of pressure ulcer development in the PICU of the Royal Belfast Hospital for Sick Children over a two-year period.
儿科重症监护病房（PICUs）的护理人员在收治重症患儿时经常面临一系列复杂的护理问题。在入院后的初始阶段，皮肤完整性评估可能并非总是首要任务。本文概述了参与重症患儿护理的护士所面临的一些困难，并回顾了有关压疮评估的文献，强调该领域缺乏通用的风险评估工具。文章还展示了一项简单的审计如何改变了护理实践，并在两年时间里降低了贝尔法斯特皇家儿童医院儿科重症监护病房压疮的发生率。
