THE CONTRIBUTION OF THE SPECIALIST NURSE IN THE MANAGEMENT OF PRESSURE INJURIES IN THE POST-HOSPITAL DISCHARGE PERIOD: A TELEHEALTH APPROACH – CASE REPORT
DOI:
https://doi.org/10.47820/recima21.v6i5.6477Keywords:
Pressure injury. Enterostomal therapy. Specialized nursing. Telehealth. Home care.Abstract
This case report aims to describe the role of the enterostomal therapy nurse in the remote follow-up of an elderly male patient with a category 4 pressure injury in the sacral region after hospital discharge. Through telehealth, it was possible to conduct regular wound assessments, guide the healthcare team involved, as well as the patient and his family, and adjust the care plan according to clinical progress. The specialized remote approach proved essential to ensure continuity of care, prevent complications, and promote wound healing. It is concluded that remote follow-up by an enterostomal therapy nurse is an effective and safe strategy in home care, contributing to better clinical outcomes and reinforcing the importance of integrating telehealth into care practice.
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BELDON, P. et al. Wound care during the COVID-19 pandemic: improving outcomes through the integration of telemedicine. Journal of Wound Care, v. 30, supl. 2, p. S12–S18, 2021. DOI: https://doi.org/10.12968/jowc.2021.30.Sup2.S12
BLISS, Donna Z. et al. Effectiveness of wound, ostomy and continence-certified nurses on individual patient outcomes in home health care. Home Healthcare Nurse, v. 32, n. 1, p. 31–38, 2014. Disponível em: https://doi.org/10.1097/NHH.0000000000000012. Acesso em: 02 out. 2024. DOI: https://doi.org/10.1097/NHH.0000000000000012
BROWN-JOHNSON, Cati G. et al. A Nurse-Led Care Delivery App and Telehealth System for Patients Requiring Wound Care: Mixed Methods Implementation and Evaluation Study. JMIR Formative Research, v. 7, e43258, 2023. Disponível em: https://pmc.ncbi.nlm.nih.gov/articles/PMC10483299/. Acesso em: 10 out. 2024. DOI: https://doi.org/10.2196/43258
CHOI, J.; LEE, J.; KIM, S. Telemedicine for Preventing and Treating Pressure Injury After Spinal Cord Injury: Systematic Review and Meta-analysis. Journal of Medical Internet Research, v. 24, n. 9, e37618, 2021. DOI: https://doi.org/10.2196/37618
EPUAP; NPIAP; PPPIA. Diretriz internacional para prevenção e tratamento de lesões por pressão. 4. ed. [S. l.]: NPIAP, 2025. Disponível em: https://internationalguideline.com. Acesso em: 15 mar. 2025.
GRAY, M. The importance of patient education in wound care. Wound Care Advisor, v. 9, n. 4, p. 12–15, 2020. Disponível em: https://www.woundcareadvisor.com/importance-of-patient-education-in-wound-care/. Acesso em: 15 out. 2024.
HOLANDA, H. M. S. et al. Serviço de teleconsultoria em estomaterapia em uma rede verticalizada com 87 hospitais: um estudo descritivo. In: Congresso Paulista de Estomaterapia, 2024. Disponível em: https://anais.revistaestima.com.br/cpe/article/view/1089. Acesso em: 20 jan. 2025.
HUGHES, M.; MOORE, Z. Telemedicine in chronic wound management: Systematic review and meta-analysis. Journal of Wound Care, v. 30, supl. 2, p. S12–S18, 2021.
LAZARUS, G. S. et al. Definitions and guidelines for assessment of wounds and evaluation of healing. Archives of Dermatology, v. 130, n. 4, p. 489–493, 1994. Disponível em: https://doi.org/10.1001/archderm.1994.01690040093015. Acesso em: 25 out. 2024. DOI: https://doi.org/10.1001/archderm.1994.01690040093015
LEAPER, D. J.; DURANI, P. Topical antimicrobial therapy of chronic wounds healing by secondary intention using iodine products. International Wound Journal, v. 5, n. 2, p. 361–368, 2008. Disponível em: https://pubmed.ncbi.nlm.nih.gov/18494641/. Acesso em: 25 out. 2024. DOI: https://doi.org/10.1111/j.1742-481X.2007.00406.x
LICHTENSTEIN, L. et al. Nutrition and wound healing: review of current evidence for clinical practice. Advances in Wound Care, v. 11, n. 3, p. 93–101, 2022. DOI: 10.1089/wound.2021.0094. Acesso em: 15 dez. 2024. DOI: https://doi.org/10.1089/wound.2021.0094
MACHADO, J. D. M.; PARDAL, V. R.; SILVA, P. S. Atuação do enfermeiro estomaterapeuta na prevenção de lesões por pressão ocasionadas por dispositivos médico-hospitalares: uma revisão integrativa. [S. l.: s. n.], 2020. Disponível em: https://comum.rcaap.pt/handle/10400.26/32221. Acesso em: 5 nov. 2024.
MAHONEY, M. F. Telehealth, telemedicine, and related technologic platforms: current practice and response to the COVID-19 pandemic. Journal of Wound, Ostomy and Continence Nursing, v. 47, n. 5, p. 439–444, 2020. DOI: 10.1097/WON.0000000000000694. Acesso em: 10 nov. 2024. DOI: https://doi.org/10.1097/WON.0000000000000694
McCAUGHAN, D. M. et al. Patients with surgical wounds healing by secondary intention: a prospective, cohort study. International Journal of Nursing Studies, v. 89, p. 62–71, 2018. DOI: https://doi.org/10.1016/j.ijnurstu.2018.09.011
MOHAN, S. et al. A systematic review and meta-analysis of clinical effectiveness and safety of hydrogel dressings in the management of skin wounds. Frontiers in Bioengineering and Biotechnology, v. 7, 342, 2019. DOI: https://doi.org/10.3389/fbioe.2019.00342
PAULA, M. A. B.; RIBEIRO, S. L. S.; SANTOS, V. L. C. G. Quem são e onde estão os enfermeiros especialistas em estomaterapia no Brasil? ESTIMA – Brazilian Journal of Enterostomal Therapy, v. 17, 2019. Disponível em: https://doi.org/10.30886/estima.v17.820_PT. Acesso em: 10 jan. 2025. DOI: https://doi.org/10.30886/estima.v17.820_PT
POSTANOVSKI, S. M. et al. Prevenção e tratamento de lesões por pressão em pessoas idosas: revisão integrativa. Revista Enfermagem Atual In Derme, v. 95, n. 34, p. 1–10, 2023. Disponível em: https://doi.org/10.36489/nursing.2021v24i282p6480-6486. Acesso em: 20 fev. 2025. DOI: https://doi.org/10.36489/nursing.2021v24i282p6480-6486
RAMALHO, A. O. et al. Time de estomaterapia e suas potencialidades na redução de lesão por pressão adquirida no ambiente hospitalar: um relato de experiência. In: Congresso Paulista de Estomaterapia, 2024. Disponível em: https://anais.revistaestima.com.br/cpe/article/view/949. Acesso em: 2 jan. 2025.
SILVA, J. R. et al. Wound healing and omega-6 fatty acids: from inflammation to repair. Mediators of Inflammation, 2018. Disponível em: https://doi.org/10.1155/2018/2503950. Acesso em: 21 out. 2024. DOI: https://doi.org/10.1155/2018/2503950
SILVA, R. A. et al. Práticas de limpeza de feridas: revisão integrativa da literatura. Revista de Enfermagem Atual In Derme, v. 95, p. 1–10, 2021. DOI: 10.31011/reaid-2021-v.95-n.33-art.1322. Acesso em: 20 nov. 2024.
SILVA, W. S.; FERREIRA, D. G.; LIMA, M. C. Coberturas modernas e a cicatrização de lesões por pressão: revisão integrativa. Revista Brasileira de Enfermagem, v. 73, n. 1, p. e20190386, 2020.
SNOSWELL, C. L. The clinical effectiveness of telehealth: a systematic review of meta-analyses from 2010 to 2019. Journal of Telemedicine and Telecare, v. 29, n. 9, p. 669–684, 2023. DOI: 10.1177/1357633X211022907. Acesso em: 20 nov. 2024. DOI: https://doi.org/10.1177/1357633X211022907
TEIXEIRA, A. K. S.; MENEZES, L. C. G.; OLIVEIRA, R. M. Serviço de estomaterapia na perspectiva dos gerentes de enfermagem em hospital público de referência. Estima – Brazilian Journal of Enterostomal Therapy, v. 14, n. 1, 2016. Disponível em: https://www.revistaestima.com.br/estima/article/view/114. Acesso em: 5 nov. 2024. DOI: https://doi.org/10.5327/Z1806-3144201600010002
WELLER, C. D. et al. First-line interactive wound dressing update: a comprehensive review of the evidence. Frontiers in Pharmacology, v. 11, 155, 2020. DOI: 10.3389/fphar.2020.00155. Acesso em: 20 out. 2024. DOI: https://doi.org/10.3389/fphar.2020.00155
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