บทบาทของพยาบาลหน่วยพยาบาลบริการผู้ป่วยที่บ้าน ในการป้องกันและดูแลแผลกดทับผู้ป่วยที่บ้าน: ประสบการณ์ของโรงพยาบาลรามาธิบดี

Pinyo Utthiya

Authors

Pinyo Utthiya Faculty of Medicine Ramathibodi Hospital, Mahidol University

Keywords:

Home health care nurse, prevention and care, pressure injury

Abstract

Introduction: Pressure injury a major global public health problem affecting quality of life of patients and their families. Home healthcare nurses are key personnel who play a vital role in prevention and care for patients with pressure injury.

Objective: To enable home healthcare nurses to create a comprehensive care plan for patients and families to effectively prevent and manage pressure sores at home.

Key issues: Home health care nurses must have competency relating to the pressure injury, including prevention before pressure injury occur such as risk assessment, skin assessment, repositioning, the use of pressure redistributing devices, use of cream to prevent skin damage, knowledge of pressure injury, international classification of the pressure injury, risk factors causing the pressure injuries, and factors related to pressure injury healing, integrating nurses’ role through the process of preparing patient and family before patient’s discharge, home visit, telecare and to pass on useful health sources in communities for continuous care.

Conclusion: Prevention and care of pressure injury is very important. Home health care nurses play a major role in caring for patients from a hospital to home, focusing on participation of patients and family.

Implication: Home health care nurses should be competent in prevention and care for pressure injury. This leads to system development to prevent pressure injury for patient since the hospital admission focusing on patient and family center.

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