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Gestão da humidade da pele em pessoas idosas hospitalizadas com incontinência : Uma intervenção de enfermagem especializada
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A dermatite associada à incontinência é uma condição cutânea comum e debilitante que afeta principalmente pacientes idosos com incontinência urinária e/ou fecal. Essa condição irritante e inflamatória pode causar dor e desconforto, impactar significativamente a qualidade de vida e aumentar o risco de infeções secundárias e complicações.
Diversas pesquisas têm sido realizadas para compreender essa questão. No entanto, apesar do crescente conhecimento sobre a dermatite associada à incontinência, ainda existem lacunas significativas na gestão adequada do problema.
Com o propósito de refletir sobre o processo de aquisição de competências, este relatório, espelha as experiências vividas na componente prática, no âmbito do Mestrado em Enfermagem Médico-Cirúrgica na Área da Pessoa em Situação Crónica, que decorreu em dois contextos distintos: consulta externa hospitalar e serviços de internamento hospitalar. Foi desenhado um estudo observacional e implementado com a finalidade de estudar a DAI em pessoas com doença crónica complexa internadas em contexto hospitalar.
Sendo uma condição complexa, a dermatite associada à incontinência exige uma abordagem integrada e multidisciplinar para uma gestão eficaz. Apesar da literatura limitada, foram identificadas intervenções para a gestão da humidade da pele e replicá-las nos variados contextos.
Incontinence-associated dermatitis is a common and debilitating skin condition that primarily affects elderly patients with urinary and/or fecal incontinence. This irritating and inflammatory condition can cause pain and discomfort, significantly impact quality of life, and increase the risk of secondary infections and complications. Numerous studies have been conducted to better understand this issue. However, despite the growing body of knowledge on incontinence-associated dermatitis, significant gaps remain in the proper management of the condition. With the aim of reflecting on the process of competency acquisition, this report highlights the experiences gained during the practical component of the Master’s in Medical-Surgical Nursing in the Area of Chronic Conditions. This practical training took place in two distinct settings: outpatient hospital clinics and inpatient hospital wards. An observational study was designed and implemented to investigate incontinence-associated dermatitis in patients with complex chronic conditions hospitalized in a clinical setting. As a complex condition, incontinence-associated dermatitis requires an integrated and multidisciplinary approach for effective management. Despite the limited literature, interventions aimed at managing skin moisture were identified, allowing for their replication in various care settings.
Incontinence-associated dermatitis is a common and debilitating skin condition that primarily affects elderly patients with urinary and/or fecal incontinence. This irritating and inflammatory condition can cause pain and discomfort, significantly impact quality of life, and increase the risk of secondary infections and complications. Numerous studies have been conducted to better understand this issue. However, despite the growing body of knowledge on incontinence-associated dermatitis, significant gaps remain in the proper management of the condition. With the aim of reflecting on the process of competency acquisition, this report highlights the experiences gained during the practical component of the Master’s in Medical-Surgical Nursing in the Area of Chronic Conditions. This practical training took place in two distinct settings: outpatient hospital clinics and inpatient hospital wards. An observational study was designed and implemented to investigate incontinence-associated dermatitis in patients with complex chronic conditions hospitalized in a clinical setting. As a complex condition, incontinence-associated dermatitis requires an integrated and multidisciplinary approach for effective management. Despite the limited literature, interventions aimed at managing skin moisture were identified, allowing for their replication in various care settings.
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Enfermagem médico-cirúrgica Dermatite Idoso Incontinência fecal Incontinência urinária Dermatite de contato