RESUMO
A large Midwest level IIIb neonatal intensive care unit located in a 500-bed teaching hospital implemented quarterly skin prevalence surveys to monitor prevalence of altered skin integrity including pressure ulcers, diaper dermatitis (incontinence-associated dermatitis), and skin damage as a result of intravenous therapy, adhesive, or medical devices. Pressure ulcer prevalence varied from 0% to 1% per quarter, and no pressure ulcer risk assessment tool was regularly implemented. Therefore, a working group was formed to identify a risk assessment. The Iowa Model for Evidence-Based Practice was used to guide the project. A literature review was completed to identify validated instruments, but available tools were judged lengthy for routine clinical use. Therefore, we developed a short trigger tool comprising 3 questions to identify infants at risk for pressure ulcer development.
Assuntos
Úlcera por Pressão/epidemiologia , Medição de Risco , Criança , Humanos , Recém-Nascido , Unidades de Terapia Intensiva Neonatal , Terapia Intensiva Neonatal , Úlcera por Pressão/diagnóstico , Inquéritos e QuestionáriosRESUMO
TOPIC: Self-injurious behaviors (SIBs) are a common coping mechanism in the adolescent population. A marked increase in SIB has been seen in recent years, yet effective treatment remains elusive. PURPOSE: This study aims to review current theoretical perspectives and treatment options that reflect a biopsychosocial framework. SOURCES: Selected multidisciplinary literature related to SIB. CONCLUSIONS: A 6-month multidisciplinary approach targeting the unique physical, emotional, and social needs of a 14-year-old girl in residential treatment led to the complete cessation of SIB.
