Vickery Jessica, Compton Lauren, Allard Jackie, Beeson Terrie, Howard Joycelyn, Pittman Joyce
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.
J Wound Ostomy Continence Nurs. 2020 Nov/Dec;47(6):569-575. doi: 10.1097/WON.0000000000000702.
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.
对于临终患者而言，预防压疮和伤口恶化可能具有挑战性。当患者处于濒死状态时，压疮通常被认为不可避免；然而，这个过程的时间框架是可变的。在濒死患者皮肤功能衰退时，干预措施应与患者及其家属的目标相一致。这篇综合文献综述定义了生命最后阶段压疮和伤口管理的基本概念，包括（1）濒死状态，（2）生命末期，（3）姑息治疗，以及（4）舒适措施。我们还为濒死患者的压疮预防和伤口管理提供了具有临床相关性的、基于证据的建议。
