(完整版)压力性损伤的预防和护理.docxVIP

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Mikel Gray博士通过一 个■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,,在会议期间，参与者还通过照片验证了新的术语。 NATIONALPRESSUREULC1 RADVISORYB\NEL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?“ ?术语的变化更准确地描述了对完■的和■疡■皮肤的压力，损伤. 在先前的分■系■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 描述了开放性溃这串■混淆， 个阶段的定义都被认为是“压 NATIONALPRESSURE ULC1 RADVISORY B\NEL 房 o 除了术语的变化外,阿拉伯数字， 个阶段的名称中，而不是罗马数字 , “雄似” 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■伤和粘膜压力损伤. The updated stagmg defmtions were presented at a meeting of over 400 professionals held in Chicago on April 8-9.2016 Js a ccnse :format Dr. Mikel Gray from THE UNIVERSITY OF VIRGINIA ADEPTLY GUIDED THE STAGING TASK FORCE AND MEETING PAfTDCIPANTS TO CONSENSUS OW THE UPDATED 赤 MT FH^uJuH M DISCUSSION AND VOTING PROCESS. DURING THE MEETING, IHE PARTICIPANTS ALSO VAUDATED THE NEW TERMINOLOGY USING PHOTOGRAPHS. THE TEHM “PRESSURE INJURY REPLACES PRESSURE ULCER IN THE NATIONAL PRESSURE ULCER ADVISORY PANEL PRESSURE INJUFV STAGING SYSTEMACCORD^NG TO THE NPUAP. THE CHANGE IN TERMINOLOGY MORE ACCURATELY DESCRIBES PRESSURE INJURIES TO BOTH INTACT AND ULCERATED SKIN. IN THE PREVIOUS STAGING SYSTEM STAGE 1 DEEP TISSUE INJURY DESCRIBED INJURED INTACT SKIN, WHILE THE OTHER STAGES DESCRIBED OPEN ULCERS. THIS LED TO CONFUSION BECAUSE THE DEANmONS FOR EACH OF THE STAGES REFERRED TO THE INJURIES AS PRESSURE ULCERS. IN ADDmON TO THE CHANGE IN TERMINOLOGY, ARABIC NUMBERS ARE NOW USED IN THE NAMES OF THE STAGES INSTEAD OF ROMAN NUMERALS. THE TERM SUSPECTED* HAS BEEN REMOVED FROM THE DEEP TISSUE INJURY DIAGNOSTIC LABEL. ADDITIONAL PRESSURE INJURY DEHNmONS AGREED UPON AT THE MEEWG INCLUDED MEDICAL DEVICE RELATED PRESSURE IHJURY AND MUCOSAL MEMBRANE PRESSURE INJURY. 学习内容 是发生皮肤和质潜在皮下软 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境. 营养，灌注,合并症和软组 织的条件的影响。 是发生皮肤和质潜在皮下软 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