2002, Number 2
Evaluation of decubitus ulcers by Norton scale
Jiménez LMR, González HE, Largo GMB, Laureano MR, Lobatón LA
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Language: Spanish
References: 10
Page: 89-91
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ABSTRACT
The Present work arises like a restlessness to know the risk that the hospitalized patients have to present decubitus ulcers and to identify if the infirmary actions are enough. To obtain this information you uses the scale of Norton, instrument that allows to value the risk of presenting decubitus ulcers in the patient and a questionnaire to identify the valuation, cares to the skin, and changes posturales that the nurse carries out in the selected services. For the statistical analysis the tests Anova and chi were used-square where the global puntaje of risk didn't have significant difference, alone in the age category it was found that the patients in the service of Internal Medicine have a significantly bigger age to those of the services of Neurology and Neurosurgery. When comparing the interventions that the nurse carries out to prevent decubitus ulcers, in each one of the services, you/he/she was found that they are enough, with a significantly bigger percentage in the service of Internal Medicine. Concluding that the scale of Norton allows to value the risk that you/they have the patients of presenting decubitus ulcers, the nurse should apply it and based on this to carry out the preventive interventions that allow him to offer an attention of quality.REFERENCES
Tratamiento de úlceras por presión: Nursing. 1997; 15:55. Anexo 1 Riesgo de desarrollo de úlceras por presión Puntaje total Riesgo 7 a 12 alto 13 a 18 moderado 19 a 24 bajo Escala de Norton Estado físico Puntos Estado mental Puntos Bueno 4 Alerta 4 Aceptable 3 Somnoliento 3 Pobre 2 Delirio 2 Muy pobre 1 Estupor 1 Actividad Puntos Movilidad Puntos Ambulante 4 Cambios posturales 4 Camina con ayuda 3 Alguna limitaciones 3 Silla de ruedas 2 Muchas limitaciones 2 Encamado 1 Inmóvil 1 Incontinencia Puntos Edad Puntos Ninguna 4 < de 40 4 Ocasional 3 40 a 54 3 Vesical 2 55 a 69 2 Vesicaly rectal 1 70 o > 1