Nursing Care to Evaluate, Prevent, and Treat Cutaneous Xerosis in the Elderly
DOI:
https://doi.org/10.5294/aqui.2019.19.4.3Keywords:
Nursing, nursing care, aging skin, therapy, health of the elderlyAbstract
Cuidados de Enfermagem para avaliar, prevenir e tratar a xerose cutânea em pessoas idosas
Cuidados de Enfermería para evaluar, prevenir y tratar la xerosis cutánea en personas ancianas
Objective: Identify nursing care performed by nurses to evaluate, prevent, and treat cutaneous xerosis in the elderly. Materials and Methods: Descriptive study with quantitative approach, conducted with 101 care nurses working in the medical clinic and in the intensive care units of four hospitals in Paraíba, Brazil. The data collection took place between July and September 2018 through an instrument composed of sociodemographic variables and by items related with nursing care. The statistical analysis was performed by distribution and frequency calculations, central tendency measures, standard deviation, and chi-squared test for categorical variables. Results: The majority stated always considering the age range (84.2 %), assessing skin color (83.2 %), evaluating skin turgor and elasticity (64.4 %), looking for the existence of skin fissures (53.5 %), and noticing the existence of lesions on the skin (90.1 %). Of the participating professionals, 83.2 % reported never having used imported equipment to evaluate skin hydration. Conclusions: The study showed that nurses emphasized the importance of considering age range, assessing skin color, being aware of areas with hyperemia, and noticing the existence of lesions, as well as the need for continuing education to improve the quality of care.
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Cruz RAO, Agra G, Oliveira JS, Pereira MA, Lopes MEL, Costa MML. Nursing Care to Evaluate, Prevent, and Treat Cutaneous Xerosis in the Elderly. Aquichan 2019; 19(4):e1943. DOI: https://doi.org/10.5294/aqui.2019.19.4.3
Received: 18/03/2019
Accepted: 02/08/2019
Online: 05/12/2019
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References
Pagliuca LMF, Lima BS, Silva JM, Cavalcante LM, Martins MC, Araújo TL. Access of the elderly to primary health care units. REME Rev Min Enferm. 2017;16(21):e-1021. DOI: https://doi.org/10.5935/1415-2762.20170031
Fortes TML, Suffredini IB. Skin evaluation in elderly: literature review. J. Health Sci. Inst. 2014 [cited 2019 Jan 12];32(1):94-101. Available from: http://www.unip.br/comunicacao/publicacoes/ics/edicoes/2014/01_jan-mar/V32_n1_2014_p94a101.pdf
Onselen JV. Dry skin condition: an evidenced-based focus on natural oatmeal emollients. Prim. health care. 2011;21(2):31-8. DOI: https://doi.org/10.7748/phc2011.03.21.2.31.c8363
Costa A, Pires MC, Fabrício LHZ, Torloni LBO, Langen S, Botero EB. Multicenter clinical study to evaluate safety and clinical efficacy of a body moisturizer based on ceramides, omegas, glycerin, Imperata cylindrica, erythritol, and homarine. Surg Cosmet Dermatol. 2014 [cited 2018 Nov 18];6(1):32-8. Available from: https://doi.org/10.5327/Z1806-3144201700010004
Mittag BF, Krause TCC, Roehrs H, Meier MJ, Danski MTR. Cuidados com lesão de pele: ações da enfermagem. Rev Estima. 2017;15(1):19-25. DOI: https://doi.org/10.5327/Z1806-3144201700010004
Marques DKA, Silva KL, Nóbrega MML. Hospitalized school children: proposition of a data collection instrument in light of Horta’s theory. Rev Gaúcha Enferm. 2016;37(esp):e2016-0038. DOI: https://doi.org/10.1590/1983-1447.2016.esp.2016-0038
Morais SCRV, Nóbrega MML, Carvalho EC. Cross-mapping of results and Nursing Interventions: contribution to the practice. Rev. Bras. Enferm. 2018;71(4):1883-90. DOI: https://doi.org/10.1590/0034-7167-2017-0324
NANDA. Diagnóstico de enfermagem da NANDA: definições e classificação 2015-2017. Porto Alegre: Artmed; 2015.
Bulechek MG, Butcher HK, Dochterman JM, Wagner CM. Classificação das Intervenções de Enfermagem. Rio de Janeiro: Elsevier; 2016.
Moorhead S, Johnson M, Maas ML, Swanson E. Classificação dos Resultados de Enfermagem. Rio de Janeiro: Elsevier; 2016.
Cruz RAO, Acioly CMC, Araújo AA, Arruda AJCG, Oliveira PS. Xerose cutânea em idosos: a importância do cuidado de enfermagem especializado. Rev. Uningá. 2016 [cited 10 Nov. 2018];49(3):107-12. Available from: http://revista.uninga.br/index.php/uninga/article/view/1296
Costa RKS, Torres GV, Salvetti MG, Azevedo IC, Costa MAT. Validity of instruments used in nursing care for people with skin lesions. Acta paul. enferm. 2014;27(5):447-57. DOI: https://doi.org/10.1590/1982-0194201400074
Brasil. Ministério da Saúde. Concelho Nacional de Saúde. Resolução 466 de 12 de dezembro de 2012. Dispõe sobre diretrizes e normas regulamentadoras de pesquisas envolvendo seres humanos. Brasília (DF): Ministério da Saúde; 2012 [cited 17 Sept. 2018]. Available from: http://conselho.saude.gov.br/resolucoes/2012/Reso466.pdf
Melo MA, Campos PMBGM. Técnicas para avaliar a hidratação e a oleosidade da pele. Cosmet. toiletries. 2016 [cited 29 Nov. 2018];28(2):30-4. Available from: http://www.cosmeticsonline.com.br/ct/painel/class/artigos/uploads/0b33c-282_EdMar_Abr-2016.pdf
Chmitz EL, Gelbcke FL, Bruggmann MS, Luz SCL. Filosofia e marco conceitual: estruturando coletivamente a sistematização da assistência de enfermagem. Rev. Gaúcha Enferm. 2016;37(spe):e68435. DOI: https://doi.org/10.1590/1983-1447.2016.esp.68435
Ortega MCB, Cecagno D, Llor AMS, Siqueira HCH, Montesinos MJL, Soler LM. Academic training of nursing professionals and its relevance to the workplace. Rev. Latino-Am. Enfermagem. 2015;23(3):404-10. DOI: https://doi.org/10.1590/0104-1169.0432.2569
Ferreira GE, Severob PC, Richterc SA, Santos EP, Santos VCF, Duartef ÊRM. Gerenciamento do cuidado de enfermagem com lesões de pele no contexto rural: percepções de enfermeiros. Rev. Atenção Saúde 2018;16(55):5-13. DOI: https://doi.org/10.13037/ras.vol16n55.4832
Chavaglia SRR, Ohl RIB, Ferreira LA, Santiago VR, Abdanur AF, Soares AS. Characterization of patients with cutaneous lesion in hospitalization medical surgical units. Rev Enferm UFPE online. 2015;9(1):183-92. Available from: https://periodicos.ufpe.br/revistas/revistaenfermagem/article/view/10324
Vieira CPB, Sá MS, Madeira MZA, Luz MHBA. Caracterização e fatores de risco para úlceras por pressão na pessoa idosa hospitalizada. Rev Rene. 2014;15(4):650-8. DOI: https://doi.org/10.15253/2175-6783.2014000400012
Giaretta VMA, Silva AMS, Renó ACM, Aguiar DAF, Arantes CMS, Posso MBS. Proposta de escala para avaliar o turgor da pele em idosos. Rev Ciên Saúde. 2016 [cited 30 Nov. 2018];1(1):1-7. Available from: http://revistaeletronicafunvic.org/index.php/c14ffd10/article/view/7
Santos CT, Almeida MA, Lucena, AF. The Nursing Diagnosis of risk for pressure ulcer: content validation. Rev. Latino-Am. Enferm. 2016;24:e2693. DOI: https://doi.org/10.1590/1518-8345.0782.2693
Blatteis CM. Age-Dependent Changes in Temperature Regulation — a mini Review. Gerontology. 2012;58:289-95. DOI: https://doi.org/10.1159/000333148
Hahnel E, Blume-Peytavi U, Trojahn C, Dobos G, Jahnke I, Kanti V et al. Prevalence and associated factors of skin diseases in aged nursing home residents: a multicentre prevalence study. BMJ Open. 2017;7(9):e018283. DOI: https://doi.org/10.1136/bmjopen-2017-018283
Majczak JÁ, Hohl M. The physical nursing examination of the hospitalized older adult. Cogitare Enferm. 2015;20(2):316-24. DOI: https://doi.org/10.5380/ce.v20i2.39888
Gardona RGB, Ferracioli MM, Salomé GM, Pereira MTJ. Assessing the quality of records in the dressing charts, performed by nursing. Rev. Bras. Cir. Plást. 2013 [cited 2018 Nov. 27];28(4):686-92. Available from: http://www.rbcp.org.br/details/1460/avaliacao-da-qualidade-dos-registros-dos-curativos-em-prontuarios-realizados-pela-enfermagem
Chibante CLP, Santo FHE, Santos TD. Perfil de clientes hospitalizados com lesões cutâneas. Rev. Cuba. Enferm. 2015 [cited 27 Nov. 2018];31(4):1-13. Available from: http://www.revenfermeria.sld.cu/index.php/enf/article/view/895
Garbaccio JL, Ferreira AD, Pereira ALGG. Self-skincare knowledge and practice described by elderly persons in the mid-west of Minas Gerais. Rev. Bras. Geriatri. Gerontol. 2016;19(1):45-56. DOI: https://doi.org/10.1590/1809-9823.2016.14237
Lichterfeld A, Lahmann N, Blume-Peytavi U, Kottner J. Dry skin in nursing care receivers: A multi-centre cross-sectional prevalence study in hospitals and nursing homes. Int J Nurs Stud. 2016;56(1):37-44. DOI: https://doi.org/10.1016/j.ijnurstu.2016.01.003
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