Monday, February 15, 2016

Assessment of the Risk of Pressure Ulcer Development among Hospitalized HIV/AIDS Patients

To assess the risk of pressure ulcer development among hospitalized HIV/AIDS. Metod: study quantitative descriptive with 35 patients admitted to an infectious diseases hospital in Curitiba-PR-BR. Characterized clinical and epidemiological of patients using a data collection instrument and the Braden Scale. Data was compiled using Excel® and a simple descriptive analysis.

Two patients were found to have pressure ulcers and the most common comorbidities associated with HIV/AIDS were pneumocystis pneumonia, caused by pneumocisti cariini (16), and pulmonary tuberculosis (13). The lowest scores were obtained in the friction and shear subscale, followed by the activity, nutrition, mobility and moisture subscales. The highest score was obtained in the sensory perception subscale. Two patients were classified as 'very high risk', six as 'high risk', three as 'low risk', and the rest as 'no risk'.

Risk assessment using scales provides objective information to assist with systemized and targeted nursing decision-making.

Scores of the subscales of the Braden Scale for the 35 patients admitted to a hospital specializing in infec-tious diseases in Curitiba, State of Paraná, Brazil, 2013 
SubscaleScore 1Score 2Score 3Score 4
Sensory perceptionCompletely limitedVery limitedSlightly limitedNo impairment
MoistureSkin constantly moistSkin very moistSkin occasionally moistSkin rarely moist
ActivityBedfastChairfastWalks occasionallyWalks frequently
MobilityCompletely immobileVery limitedSlightly limitedNo impairment
NutritionVery poorProbably inadequateAdequateExcellent
Friction and shearProblemPotential problemNo apparent problem

Summary of pressure ulcer development risk as-sessment among the patients based on the Braden Scale (N = 35), Curitiba, Brazil, 2013 
Classification of risk of pressure ulcer development (Braden Scale score)n
Very high risk: 6-92
High risk: 10-126
Moderate risk: 13-144
Low risk: 15-183
No risk: 19-2320

Classification of ulcers.
  Subcutaneous tissue
  Skin inflammation

Full article at:

  • 1Nursing Course, Faculdades Integradas do Brasil, Curitiba, Paraná, Brazil.
  • 2Postgraduate Program in Nursing, Universidade Federal do Paraná, Curitiba, Paraná, Brazil.
  • 3Department of Nursing, Sector Health Sciences, Universidade Federal do Paraná, Curitiba, Paraná, Brazil.
  • 4Graduate Program in Nursing, Universidade Tuiuti do Paraná, Curitiba, Paraná, Brazil. 

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