Neonatal Skin Structure: Pressure Injury Staging Challenges

作者：Ann Marie Nie, Deanna E. Johnson, Robyn C. Reed · 发表于：Advances in Skin & Wound Care · 年份：2022 · DOI：10.1097/01.asw.0000818580.47852.68 · 被引用次数：27 · 研究领域：Neonatal skin health care、Pressure Ulcer Prevention and Management、Neonatal Respiratory Health Research

ABSTRACT GENERAL PURPOSE To review neonatal pressure injuries (PIs), including clinical features and challenges in evaluation and staging related to the unique anatomic features of preterm neonatal skin as well as the common sites and mechanisms of injury. TARGET AUDIENCE This continuing education activity is intended for physicians, physician assistants, nurse practitioners, and nurses with an interest in skin and wound care. LEARNING OBJECTIVES/OUTCOMES After participating in this educational activity, the participant will: 1. Recognize the causes of PIs in preterm neonates. 2. Choose the outcomes of PIs in preterm neonates. 3. Distinguish the common characteristics of preterm neonates’ skin. 4. Summarize the challenges clinicians face when classifying the PIs of preterm neonates. OBJECTIVE To review neonatal pressure injuries (PIs), including clinical features and challenges in evaluation and staging related to the unique anatomic features of preterm neonatal skin, as well as the common sites and mechanisms of injury. METHODS A review of the literature and discussion of clinical experiences at a large children’s hospital. Specific topics include the nature and mechanism of PIs, histomorphometric features of skin development in preterm neonates and how these features inform bedside evaluation of PI, and experience-based observations of challenges in evaluating PIs in this vulnerable population. RESULTS Pressure injury staging in preterm neonates presents unique challenges: ...