COVID-19'dan Kurtulmak ve Basınç Yaralanması Komplikasyonlarından Ölmek: Olgu Sunumu

Öz

Yaklaşık dört ay önce romatoloji bölümüne başvuran bir hasta Sjögren sendromu tanısı almıştı. Hastada evre I basınç yaralanması gelişmişti. Genel durumu istikrarsız olana kadar COVID-19 korkusu nedeniyle hastaneye başvurmamıştı. Bununla birlikte, basınç yaralanmalarını tedavi etme çabalarına rağmen, yara evre IV'e kadar ilerledi. Hasta, yaşadığı yere yakın bir yerde palyatif bakıma nakledildikten 45 gün sonra yaşamını kaybetti.

Anahtar Kelimeler

• pressure injury
• COVID-19
• nursing

Surviving COVID-19 and Dying From Pressure İnjury Complications: A Case Report

Öz

Approximate four months ago, a patient was admitted to the rheumatology department and had diagnosed with Sjögren's syndrome. A stage I pressure injury had developed in the patient. She had not applied to the hospital due to the fear of COVID-19 until her general condition was unstable. However, despite efforts to treat pressure injuries, the wound progressed up to stage IV. The patient died 45 days after being transferred to palliative care near where she lived.

Anahtar Kelimeler

• pressure injury
• COVID-19
• nursing

Kaynakça

1. Coyer F, Tayyib N. Risk factors for pressure injury development in critically ill patients in the intensive care unit: a systematic review protocol. Systematic Reviews 2017;6(1):58. https://doi.org/10.1186/s13643-017-0451-5
2. European Pressure Ulcer Advisory Panel, National Pressure Ulcer Advisory Panel, Pan Pacific Pressure Injury Alliance. [Internet]. Prevention and treatment of pressure ulcers/injuries: clinical practice guideline. The international guideline. Haesler E, ed. 3 rd ed. Australia: 2019. [cited 2021 March 21]. Available from: https://www.internationalguideline.com/
3. Kosuge M, Ishihara Y, Takahashi M. Body pressure prediction for pressure ulcer prevention in a bed head elevation operation. Advanced Robotics 2021;35:181-193. https://doi.org/10.1080/01691864.2021.1873844
4. Lyder CH, Preston J, Grady JN, Scinto J, Allman R, Bergstrom N, Rodeheaver G. Quality of car efor hospitalized medicare patients at risk for pressure ulcers. Archives of Internal Medicine 2001;161(12):1549-1554. https://doi.org/10.1001/archinte.161.12.154
5. Montalto F, Ippolito M, Noto A, Madotto F, Gelardi F, Savatteri P. Emotional status and fear in patients scheduled for elective surgery during COVID-19 pandemic: a nationwide crosssectional survey (covıd-surgery). Journal of Anesthesia, Analgesia and Critical Care 2021;1(1):1-11. https://doi.org/10.1186/s44158-021-00022-7
6. Nguyen KH, Chaboyer W, Whitty JA. Pressure injury in Australian public hospitals: a cost-of-illness study. Australian health review : a publication of the Australian Hospital Association 2015;39(3):329-336. https://doi.org/10.1071/AH14088
7. Padula WV, Delarmente BA. The national cost of hospital-acquired pressure injuries in the United States. International Wound Journal 2019;16(3):634-640. https://doi.org/10.1111/iwj.13071
8. Serrano J, Paiva CF, Dong F, Wong D, Neeki M. Sacral pressure injury prevention in trauma patients: silicone-bordered multilayered foam dressing. Journal of Trauma Nursing : the official Journal of the Society of Trauma Nurses 2020;27(4):246-249. https://doi.org/10.1097/JTN.0000000000000521

9. Singh C, Tay J, Shoqirat N. Skin and mucosal damage in patients diagnosed with COVID-19: A Case Report. Journal of wound, ostomy, and continence nursing : official publication of The Wound, Ostomy and Continence Nurses Society 2020;47(5):435-438. https://doi.org/10.1097/WON.0000000000000690
10. T.C. Sağlık Bakanlığı [Republic of Turkey, Ministry of Health] [Internet]. COVID-19 information page. [cited 2021 March 21]. Available from: https://covid19.saglik.gov.tr/TR-66935/genelkoronavirus-tablosu.html
11. Team V, Tuck M, Reeves J, Way M, Enticott J, Evans S, Weller CD. Pressure injury data in Australian acute care settings: A comparison of three data sets. International Wound Journal 2020;17(3):578-586. https://doi.org/10.1111/iwj.13320