None listed
Conditions
Brief summary
Aim:the purpose of this study is to explore the different body types to see if there is a relationship with body type and the temperature and moisture build up around the buttock area skin during a critical illness. As a secondary outcome the study will also explore whether certain body types are more likely to develop skin injuries known as pressure injuries (PI) when compared to the other body types during a critical illness. Participants: All patients with a critical illness admitted to the ICU who meet the inclusion criteria will be screened for eligibility. Recruitment will be stratified according to body shape. Methods: Quantitative method. Prospective, observation, exploratory study design. Expected outcomes: This type of study has never been done before. This study will build on the known science about the skin and critical illness and it will provide new information on factors which can contribute to PI development for patients in the ICU.
Interventions
The study population will include all patients with a critical illness admitted to the intensive care unit (ICU) who meet the inclusion criteria. Patients will be screened for eligibility 5 days a week with data collection commenced on the day of enrolment and continued for 3 days a week until ICU discharge or 28 days of enrolment in the study. During data collection the buttock area (sacrum) skin surface will be assessed for changes in heat, humidity and visual signs of skin injury. The researcher will complete the procedures for the study. If a skin injury is found it will be discussed with clinical nurse at the bedside so it can be managed according to standard hospital procedures. If a stage III or IV injury is found, the hospital skin integrity service will be contacted to confirm category and manage according to standard hospital procedures.
Sponsors
Eligibility
Inclusion criteria
• 18 years and over; and • ICU length of stay expected to be greater than 24 hours.
Exclusion criteria
• are unable to turn into the full lateral turn position for a short time period, as determined by medical or nursing clinicians; • are managed in isolation under contact, droplet or airborne precautions; • have a break to the skin integrity, including PI, moisture lesion, or incontinence-associated dermatitis at the sacrum region; • have a previously healed PI over the sacrum; • are receiving palliative care or the withdrawal of; • are agitated and not able to obey commands as determined by medical or nursing clinicians; • are deemed to be in too much pain to turn, as determined by medical or nursing clinicians; • are haemodynamically unstable, as determined by medical or nursing clinicians; or • are currently enrolled in three intensive care research protocols.