Medical Device-Related Hospital-Acquired Pressure Ulcers in Children: An Integrative Review
Section snippets
Methods
Anticipating the paucity of data-based publications on pediatric MDR HAPUs, we selected an integrative review approach that would allow the inclusion of all available literature on the topic (Whittemore & Knafl, 2005). We completed the integrative review using Cooper's (1982) five stage framework which includes problem formulation (clarifying question to be answered and determining the inclusion and exclusion criteria for the search method), data collection (reviewing the literature and
Discussion
As expected, this integrated review found a paucity of data-based publications specifically addressing MDR HAPU. This review summarizes all available literature published to date, an important step in informing systematic inquiry. Although the mechanism of injury and staging is similar for immobility-related and device-related pressure ulcers, risk assessment and the focus of prevention and management are different (Kohr & Curley, 2010). Failure to differentiate these two phenomena adds
Conclusions
With advances in technology, the use of medical devices is pervasive in the care of hospitalized children. Recognizing that any medical device increases a patient's risk for device-related pressure ulcers is the first step in prevention. Further exploration, in terms of identifying devices which cause injury and preventive interventions to improve outcomes, is needed. Pediatric clinicians have an opportunity to uncover new methods for addressing this important clinical problem, inform practice
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2022, Journal of Tissue ViabilityCitation Excerpt :However, when children received NPPV therapy, medical devices such as oxygen masks, nasal catheters might cause PIs to the face of the child due to long-term compression [53]. What's more, clinical nurses usually used tape to fix those devices, which was also easy to cause skin injury in children [13]. Therefore, healthcare-givers should focus on the most affected sites of PIs, especially the sites which were directly contacted with medical devices.
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2022, Goldsmith's Assisted Ventilation of the Neonate: An Evidence-Based Approach to Newborn Respiratory Care, Seventh Edition