decubitus ulcers in neurosurgery
DESCRIPTION
TRANSCRIPT
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Decubitus Ulcers in Neurosurgery Ward
Implications of Adult Diapers
Presented by:- Anu Susan Mathew Sister Grade II JPNATC,AIIMS
Guided by :-Dr.Deepak Agrawal Consultant of Neurosurgery JPNATC,AIIMS
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INTRODUCTION
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FACTORS AFFECTING DECUBITUS
ULCER DEVELOPMENT
Pressure
Friction and shearing
Nutrition and hydration
Skin moisture
Mental status and age
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Main Focus
Skin moisture Due to diapers
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Diapers
Advantages
Easy
Comfortable
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Disadvantages
Made of PlasticAllergyLoss of aeration
Cause perspiration
Medium for bacterial growth
Ignore to change
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PROBLEM STATMENT
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AIMS AND OBJECTIVES
Assess the incidence of decubitus ulcers
in Neurosurgery ward
Attempt to find the causative factors
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MATERIALS AND METHODS
Retrospective, cross sectional study
Clients admitted in Neurosurgery ward, JPN Apex Trauma Center
At a given point of time(23 Sep 2009)
Total no. of patients evaluated : 28
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All clients were having ripple beds
and DVT prophylaxis pumps
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RESULTS
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No. of clients had preexisting decubitus ulcers from ICU: 2(33.33%)
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MOST COMMON SITES
Sacral : 6(100%)
Occipital : 3(50%)
Due to hard collar : 2(66.67%)
Bilateral ankles : 2(33.33%)
Due to skin traction: 2(100%)
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COMMON SITES
Sacral
Bilateral ankles
Occipital
Common
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The major cause of development
of SACRAL decubitus ulcers was the indiscriminate use of adult diapers
in the majority of the patients
(66.67%)
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CONCLUSIONS
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Require
Sensitization of staff
More aggressive management
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FOLLOW UP
Following this study we have stopped using adult diapers routinely in the neurosurgery ward & ICU
Use of adult diapers is strictly monitered.
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Thank You