The impact of nutritional status on the process of formation of pressure ulcers in a patient in intensive care after injury cerebro cranial

Pierzak Monika. The impact of nutritional status on the process of formation of pressure ulcers in a patient in intensive care after injury cerebro cranial. Journal of Education, Health and Sport. 2018;8(8):762-779. eISNN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.1402463

http://ojs.ukw.edu.pl/index.php/johs/article/view/5854

https://pbn.nauka.gov.pl/sedno-webapp/works/874419

The journal has had 7 points in Ministry of Science and Higher Education parametric evaluation. Part b item 1223 (26/01/2017).

1223 Journal of Education, Health and Sport eissn 2391-8306 7

© The Authors 2018;

This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, Poland

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Received: 02.06.2018. Revised: 18.06.2018. Accepted: 23.08.2018.

The impact of nutritional status on the process of formation of pressure ulcers in a patient in intensive care after injury cerebro cranial

Wpływ stanu odżywienia na proces powstania odleżyn u pacjenta w oddziale Intensywnej Terapii po urazie mózgowo-czaszkowym

Monika Pierzak

Jan Kochanowski University, Faculty of Medicine and Health Sciences, Department of Surgery and Surgical Nursing

Address for correspondence:

Monika Pierzak

Institute of Medical Sciences

Department of Surgery and Surgical Nursing

tel. 530-169-219

E-mail: monikapierzak03@o2.pl mpierzak@ujk.edu.pl

orcid.org/0000-0002-4367-4465

Summary

Introduction: Pressure ulcers are chronic wounds of very serious social and economic problem. With advances in medicine and the extension of human life, every day they involve ever growing group of patients. Despite much progress in medicine and the progress in the techniques of cultivating chronic wounds, pressure sores are a problem, which for many years is a blemish on for many doctors and nurses.

Material and Methods: A 46 year old male, professional driver status. From the interview with the family that the patient smoked about 15 cigarettes a day, no alcohol, he ate irregularly, fed on due to the nature of the work. Height 183 cm, weight 87 kg at the hospitalization day. Patient underwent surgery, the right parietal craniotomy. Intracerebral hematoma has been removed, breaking raised removed invaginated compromise bone. At the time of adoption in the branch, he was unconscious, intubated connected to a ventilator to breath surrogate mode IPPV, under the influence of anesthetics. Sedation infusion of 2% Propofol, Nalpain.

Aim: The impact of the nutritional status of a patient with craniocerebral trauma wounds to the formation of bedsore.

Results: Taking into account the results of the questionnaire NRS-2002, the scale Norton, Braden, interview, physical examination, symptoms, anthropometric measurements, biochemical and immunological in the initial period and 30 days of hospitalization can be estimated that the nutritional status of the patient is abnormal, which significantly influences the risk bedsore wounds uprising.

Conclusions: The risk of complications such as chronic wounds-pressure ulcers, in the patient have been very large. This is related to the general state of the patient's diabetes type II, with baseline nutritional status, infections, hypercatabolism resulting from craniocerebral trauma. Back to the patient's health requires large amounts of protein and energy. The patient's condition at the time of adoption in the branch was very heavy, unconscious patient, the surrogate breath, undernourished.

Key words: chronic wound, bedsore, nutritional status, prevention