How effective is the development of skin care in critically ill patients using the Braden Scale scores aiming to prevent the incidence of pressure ulcers? Sistematic Literature Review

Abstract

Most patients in intensive care units have high risk for developing pressure ulcers (PU) due to complications related to hemodynamic instability, the restriction of movement for extended periods, inadequate nutrition, the use of sedatives that reduce the perception impair sensory and mobility, among others. Thus, much change has occurred in the prevention and treatment of wounds and the use of predictive instruments risk for ulcers has an alternative use. The aim of this study was to identify the scientific production of nursing, using the PICO strategy, the best available evidence for the
customer care.
This is a systematic review of the literature by means of scientific databases: PubMed and Portal Journals Nursing held through critical analysis of ten articles published in the last five years including the period from 2007 to 2012. Based on the statements of most of the evidence evaluated by this study, one might say that the use of the Braden Scale as a protocol for prevention and aid in developing a better plan for skin care of critically ill patients at risk of developing of pressure ulcers, is relevant. We recommend that the predictive knowledge on this scale is expanded so that it can be used in the practice of professional nurse seeking to assist you in developing skin care plans specific risk factors and the critical needs of each patient.