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

OBJECTIVE:

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.

RESULTS:

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'.

CONCLUSION:

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 

Subscale	Score 1	Score 2	Score 3	Score 4
Sensory perception	Completely limited	Very limited	Slightly limited	No impairment
	0	4	7	24
Moisture	Skin constantly moist	Skin very moist	Skin occasionally moist	Skin rarely moist
	6	2	5	22
Activity	Bedfast	Chairfast	Walks occasionally	Walks frequently
	12	4	2	17
Mobility	Completely immobile	Very limited	Slightly limited	No impairment
	6	4	9	16
Nutrition	Very poor	Probably inadequate	Adequate	Excellent
	4	8	18	5
Friction and shear	Problem	Potential problem	No apparent problem
	8	7	20

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: 6-9	2
High risk: 10-12	6
Moderate risk: 13-14	4
Low risk: 15-18	3
No risk: 19-23	20

Classification of ulcers.

  Epidermis

  Dermis

  Subcutaneous tissue

  Muscle

  Bone

  Skin inflammation

  Blister

  Necrosis

  Fibrin

Full article at:   http://goo.gl/7Sc4Xf

By:  Cidral S1, Silva WF1, Visentin A2, Borghi AC1, Mantovani Mde F3, Hey AP4.

• 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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