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3yr old Eric has been in and out of Starship for the last three months due to recurrent pneumonia, he has a history of cystic fibrosis. Recently Eric was admited to ICU where he was paralysed, sedated and ventilated. He also had a nasogastric tube in to help feeding while he was in induced coma. What are the nursing considerations for reducing the risks of pressure injuries for Eric?

Question

3yr old Eric has been in and out of Starship for the last three months due to recurrent pneumonia, he has a history of cystic fibrosis. Recently Eric was admited to ICU where he was paralysed, sedated and ventilated. He also had a nasogastric tube in to help feeding while he was in induced coma. What are the nursing considerations for reducing the risks of pressure injuries for Eric?

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Solution

Nursing considerations for reducing the risks of pressure injuries for Eric would include:

  1. Regular Repositioning: Eric should be repositioned every two hours to relieve pressure on vulnerable areas. This can be done using pillows or foam wedges to redistribute his weight.

  2. Skin Inspection: Regular skin inspections should be carried out, especially on pressure points like the back, buttocks, heels, and elbows. Any changes in color, temperature, or texture should be noted and reported.

  3. Moisture Management: Keeping Eric's skin clean and dry is crucial. Excess moisture from sweat, urine, or stool can make the skin more susceptible to damage. Use of absorbent pads or briefs can help manage incontinence.

  4. Nutrition and Hydration: Adequate nutrition and hydration are essential for skin health and wound healing. As Eric has a nasogastric tube, it's important to ensure he's receiving the right nutrients and enough fluids.

  5. Pressure-Relieving Devices: Use of pressure-relieving devices like special mattresses, overlays, or cushions can help distribute pressure more evenly and reduce the risk of pressure injuries.

  6. Education: Educating Eric's parents about the signs of pressure injuries and how to prevent them can also be beneficial.

  7. Regular Physiotherapy: If possible, physiotherapy should be incorporated into Eric's care plan to improve his mobility and muscle strength.

  8. Pain Management: Regular assessment of Eric's pain levels and appropriate pain management can help him tolerate regular repositioning and physiotherapy.

  9. Individualized Care Plan: Eric's care plan should be individualized considering his age, medical condition (cystic fibrosis, recurrent pneumonia), and ICU stay.

Remember, prevention is always better than cure, especially in the case of pressure injuries.

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