Importance to clinical practice
critically ill
DIAPER RASH, CRITICALLY ILL, ADVERSE EFFECTS
In our study, the incremental cost of HCD (intervention with low dominance) was calculated even though the two treatments evaluated did not demonstrate significant differences in effectiveness. Decision-making for their use must take into account that HCDs are devices that were initially created (recently) for wound healing and that only recently have they been promoted to be used for prevention in critically ill patients. The evidence obtained from multiple studies indicates that the materials of this product to be used in prevention require further study, and that it would be better to use, for the benefit of patients, dressings with characteristics similar to that of human skin. Petrolatum is a product created and used since 1879, and is used in the care of the skin of children and adults, on the face, in the prevention of diaper rash and in the hydration of the skin in general, it is used as part of conventional care in hospitals and nursing homes, with very low evidence of adverse effects, and with a low cost that is within the reach of the population cared for in low-resource hospitals in many parts of the world.The two strategies lack the property of relieving the pressure that can be exerted on any part of the body in immobile patients, so their use requires the hourly implementation of other interventions that promote the relief of loads in areas under bony prominences by caregivers. These strategies, administered in groups, have shown benefit in hospitalized adult patients.