压力性损伤的预防和护理1ppt课件.pptxVIP

压力性损伤的预防和护理 定义更新的背景和意义： 2016 年 4 月 8 日至 9 日，在芝加哥举行的 400 多名专业人士的会议上，展示了最新 的分级定义。使用一种一致的格式，来自弗吉尼亚大学的 M IKEL G RAY 博士通过一 个互动的讨论和投票过程，引导了临时的任务小组和会议参与者对最新的定义达 成一致。在会议期间，参与者还通过照片验证了新的术语。 美国压疮委员会 NPUAP 在压力损伤分级系统中使用“压力性损伤”取代了“压 力性溃疡”。术语的变化更准确地描述了对完整的和溃疡性皮肤的压力性损伤。 在先前的分级系统阶段 1 和深层组织损伤描述了受伤的完整皮肤，而其他阶段则 描述了开放性溃疡。这导致了混淆，因为每个阶段的定义都被认为是“压力性溃 疡”。 除了术语的变化外，阿拉伯数字现在被用在各个阶段的名称中，而不是罗马数字 。“疑似”一词已从深层组织损伤诊断标签中移除。在会议上达成的附加压力伤 害定义包括医疗器械相关的压力损伤和粘膜压力损伤。 T HE UPDATED STAGING DEFINITIONS WERE PRESENTED AT A MEETING OF OVER 400 PROFESSIONALS HELD IN C HICAGO ON A PRIL 8-9, 2016. U SING A CONSENSUS FORMAT , D R . M IKEL G RAY FROM THE U NIVERSITY OF V IRGINIA ADEPTLY GUIDED THE S TAGING T ASK F ORCE AND MEETING PARTICIPANTS TO CONSENSUS ON THE UPDATED DEFINITIONS THROUGH AN INTERACTIVE DISCUSSION AND VOTING PROCESS . D URING THE MEETING , THE PARTICIPANTS ALSO VALIDATED THE NEW TERMINOLOGY USING PHOTOGRAPHS . T HE TERM “ PRESSURE INJURY ” REPLACES “ PRESSURE ULCER ” IN THE N ATIONAL P RESSURE U LCER A DVISORY P ANEL P RESSURE I NJURY S TAGING S YSTEMACCORDING TO THE NPUAP. T HE CHANGE IN TERMINOLOGY MORE ACCURATELY DESCRIBES PRESSURE INJURIES TO BOTH INTACT AND ULCERATED SKIN . I N THE PREVIOUS STAGING SYSTEM S TAGE 1 AND D EEP T ISSUE I NJURY DESCRIBED INJURED INTACT SKIN , WHILE THE OTHER STAGES DESCRIBED OPEN ULCERS . T HIS LED TO CONFUSION BECAUSE THE DEFINITIONS FOR EACH OF THE STAGES REFERRED TO THE INJURIES AS “ PRESSURE ULCERS ”. I N ADDITION TO THE CHANGE IN TERMINOLOGY , A RABIC NUMBERS ARE NOW USED IN THE NAMES OF THE STAGES INSTEAD OF R OMAN NUMERALS . T HE TERM “ SUSPECTED ” HAS BEEN REMOVED FROM THE D EEP T ISSUE I NJURY DIAGNOSTIC LABEL . A DDITIONAL PRESSURE INJURY DEFINITIONS AGREED UPON AT THE MEETING INCLUDED M EDICAL D EVICE R ELATED P RESSURE I NJURY AND M UCOSAL M EMBRANE P RESSURE I NJURY . 预防 护理 学习内容： 最新压力性损伤 { 压疮 } 定义： 是发生皮肤和 / 或潜在皮下软 组织的局限性损伤，通常发 生在骨隆突处或与医疗或其 他医疗设备有关的损伤。该 压力性损伤可表现为局部组 织受损但表皮完整或开放性 溃疡并可能伴有疼痛。剧烈 和（或）长期的压力或压力 联合剪切力可导致压力性损 伤出现。皮下软组织对压力 和剪切力的耐受性受环