{"id":477,"date":"2024-06-13T16:40:30","date_gmt":"2024-06-13T16:40:30","guid":{"rendered":"https:\/\/e-motion.ro\/blog\/alegerea-pansamentelor-pentru-plagi-2.html"},"modified":"2026-02-19T14:02:21","modified_gmt":"2026-02-19T14:02:21","slug":"alegerea-pansamentelor-pentru-plagi-2","status":"publish","type":"post","link":"https:\/\/e-motion.ro\/blog\/alegerea-pansamentelor-pentru-plagi-2.html","title":{"rendered":"Alegerea pansamentelor pentru pl\u0103gi"},"content":{"rendered":"

Pacien\u021bii se prezint\u0103 la spital cu tot felul de plagi, dar cum decide medicul cum s\u0103 gestioneze rana?<\/h2>\n

 <\/p>\n

Pentru medicii de ast\u0103zi, alegerea unui pansament poate fi o provocare. Primul pas \u00een alegerea pansamentului este aplicarea celor patru obiective de baz\u0103 ale vindec\u0103rii r\u0103nilor.<\/p>\n

    \n
  1. Primul obiectiv este men\u021binerea unui mediu umed de vindecare. Vindecarea umed\u0103 a r\u0103nilor promoveaz\u0103 epitelizarea, \u00eembun\u0103t\u0103\u021be\u0219te debridarea autolitic\u0103, previne uscarea r\u0103nilor \u0219i scade durerea.<\/li>\n
  2. Al doilea obiectiv este eliminarea escarelor \u0219i resturilor de pe patul pl\u0103gii. Se folosesc pansamente escare<\/a> speciale. Acest lucru va reduce sarcina biologic\u0103, va \u00eembun\u0103t\u0103\u021bi epitelizarea \u0219i va reduce inflama\u021bia. Se mai folosesc \u0219i creme pentru escare<\/a>.<\/li>\n
  3. Al treilea obiectiv este controlul exudatului. Exudatul crescut poate provoca macerarea peri-plag\u0103 \u0219i contribuie la cre\u0219terea \u00eenc\u0103rc\u0103turii biologice a pl\u0103gii.<\/li>\n
  4. Al patrulea obiectiv este prevenirea r\u0103nilor suplimentare. Pacien\u021bii \u00ee\u0219i pot traumatiza, f\u0103r\u0103 s\u0103 \u0219tie, r\u0103nile din cauza neuropatiei sau se poate alege un pansament sau un produs care traumatizeaz\u0103 efectiv rana sau pielea din jur.<\/li>\n<\/ol>\n

     <\/p>\n

    Dac\u0103 lu\u0103m cele 4 principii ale selec\u021biei pansamentului, practica selec\u021biei pansamentului folosind scopuri, form\u0103 \u0219i func\u021bie, vom avea o modalitate sistematic\u0103 de a selecta pansamentele potrivite. \u00cenainte de selectarea pansamentului, trebuie s\u0103 aib\u0103 loc o evaluare medical\u0103 a pl\u0103gii, a pacientului \u0219i o localiz\u0103rii. Este esen\u021bial ca pansamentul s\u0103 se potriveasc\u0103 cu pacientul, rana \u0219i loca\u021bia acesteia pentru a ob\u021bine rezultatul optim.<\/p>\n

     <\/p>\n

     <\/p>\n

    O abordare universal\u0103, bazat\u0103 pe performan\u021b\u0103, pentru utilizarea pansamentelor, const\u0103 \u00een r\u0103spunderea la c\u00e2teva \u00eentreb\u0103ri de evaluare de baz\u0103 atunci c\u00e2nd decide\u021bi asupra unui pansament:<\/p>\n

     <\/p>\n

      \n
    • De ce are nevoie rana? Determinat de o evaluare complet\u0103 a pl\u0103gii \u0219i a \u021besuturilor \u00eenconjur\u0103toare. Evaluarea se face la fiecare schimbare de pansament, inclusiv la cea ini\u021bial\u0103. Aplica\u021bi obiectivele. Anticipa\u021bi c\u0103 nevoile r\u0103nii se vor schimba pe m\u0103sur\u0103 ce \u00eenveli\u0219ul de \u021besut se normalizeaz\u0103 \u0219i procesul de vindecare progreseaz\u0103.<\/li>\n
    • Ce face produsul? Aceasta este func\u021bia. Citi\u021bi literatura de specialitate \u0219i datele clinice disponibile.<\/li>\n
    • C\u00e2t de bine o face? Examina\u021bi studiile clinice \u0219i compara\u021biile de laborator cu alte produse din aceea\u0219i categorie. Discuta\u021bi cu al\u021bi clinicieni. Evalueaz\u0103-l pe pacien\u021bii t\u0103i. Pansamentul func\u021bioneaz\u0103 a\u0219a cum este men\u021bionat? Nu toate pansamentele sunt la fel.<\/li>\n
    • De ce are nevoie pacientul? Evaluarea cuprinz\u0103toare a pacientului, inclusiv psihosocial\u0103. Au nevoie de un pansament care nu necesit\u0103 schimb\u0103ri zilnice, au nevoie de protec\u021bie \u00eempotriva traumatismelor sau exist\u0103 o cantitate mare de exudat?<\/li>\n
    • Ce este disponibil? Acoperirea asigur\u0103rii de s\u0103n\u0103tate, formularul spitalului \/ clinicii \u0219i rambursarea?<\/li>\n
    • Ce este practic? Examina\u021bi obiectivele managementului r\u0103nilor. Alegerea \u00eembr\u0103c\u0103mintei satisface obiectivele? Este pansamentul u\u0219or de aplicat (pacient\/familie), u\u0219or de ob\u021binut \u0219i rentabil?<\/li>\n<\/ul>\n

       <\/p>\n

      \u00cen timpul procesului de selec\u021bie, va trebui luat\u0103 \u00een considerare rentabilitatea produsului. Aceasta \u00eenseamn\u0103 \u00een\u021belegerea costurilor indirecte, precum \u0219i a costurilor directe implicate \u00een \u00eengrijirea r\u0103nilor. Exemplele de costuri directe includ, dar nu se limiteaz\u0103 la pansamentele primare \u0219i secundare, farmacie, timpul \u00eengrijitorului \u0219i procedurile de diagnosticare. Costurile indirecte sunt similare cu costurile generale \u0219i includ exemple precum durata crescut\u0103 a \u0219ederii, complica\u021biile tratamentului \u0219i litigiile.<\/p>\n

       <\/p>\n

      Clinicianul ar trebui s\u0103 citeasc\u0103 \u00een mod critic studiile publicate pentru a lua \u00een considerare costul per unitate pentru a determina dac\u0103 m\u0103surile de tratament sunt \u00eentr-adev\u0103r rentabile. Uneori, cel mai scump produs poate fi mai pu\u021bin costisitor pe termen lung, deoarece duce la o vindecare mai rapid\u0103 cu o cantitate redus\u0103 de complica\u021bii.<\/p>\n

       <\/p>\n","protected":false},"excerpt":{"rendered":"

      Pentru medicii de ast\u0103zi, alegerea unui pansament poate fi o provocare. 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