Estima – Brazilian Journal of Enterostomal Therapy <p>The Brazilian Journal of Enterostomal Therapy – Revista Estima, is the only specialized journal in Stomatheraphy Nursing in Latin America, classified as Qualis B2 by the <em>Comissão de Aperfeiçoamento de Pessoal do Nível Superior</em> (CAPES), and at the moment is indexed in 07 databases: BDENF - Base de dados de enfermagem (BVS – Biblioteca Virtual de Saúde), CINAHL - Cumulative Index to Nursing and Allied Health Literature, CUIDEN - Base de Datos Bibliográfica de la Fundación Index, EBSCO publishing, LATINDEX - Sistema regional de información en línea para revistas científicas de América Latina, el Caribe, España y Portugal, SCHOLAR GOOGLE and</p><p>Its scope contemplates the three comprehensive areas of the specialty: ostomies, wounds, and incontinence, as well as articles related to the professional development of the specialist. It is edited and produced by the <em>Associação Brasileira de Estomaterapia: Estomias, Feridas e Incontinências</em> (SOBEST), its first number was published in 2003, with a regular quarterly period until 2017. The content has been published continuously since January 2018.</p> SOBEST- Associação Brasileira de Estomaterapia en-US Estima – Brazilian Journal of Enterostomal Therapy 1806-3144 SKIN TEARS IN THE ELDERLY <p class="p1"><strong>Objectives</strong>: to identify in the scientific literature the knowledge produced about skin tears injuries in the elderly. <strong>Methods:</strong> it is an integrative literature review (2014-2019), carried out by searching the databases/platforms National Library of Medicine, Biomedical Answers and Biblioteca Virtual em Saúde, with descriptors and the Boolean operators “and” and “or ”. <strong>Results:</strong> from the bibliographic search, selection and analysis, eight articles made up the sample. For skin tears injuries in the elderly, four pillars of care emerged: maintenance of organic and tissue homeostasis with a focus on proper nutrition and hydration; avoid trauma to senile skin, providing a safe environment with suitable devices; and the systematization of health care and education for elderly skin care. <strong>Conclusion:</strong> as prevention mechanisms, primary prevention is achieved through a unique care plan and health education activities, focused on risk factors and vulnerabilities, minimizing damage and complications.</p> <p class="p1"> </p> Mayara Spin Marcelli Cristine Vocci Kyara Marcondes Sardeli Clarita Terra Rodrigues Serafim Bruna Cristina Velozo Regina Célia Popim Meire Cristina Novelli e Castro Copyright (c) 2021 Mayara Spin, Marcelli Cristine Vocci, Kyara Marcondes Sardeli, Clarita Terra Rodrigues Serafim, Bruna Cristina Velozo, Regina Célia Popim, Meire Cristina Novelli e Castro 2021-02-11 2021-02-11 19 RISK FACTORS AND PREVENTIVE INTERVENTIONS FOR PRESSURE INJURIES IN CANCER PATIENTS <p class="p1"><strong>Objective:</strong> identify and describe the risk factors for the development of pressure injuries in adult cancer patients and interdisciplinary preventive interventions. <strong>Method:</strong> integrative literature review. Data collection was carried out between March and April 2019 and December 2020, using the databases: BDENF; PubMed/Medline; Embase; Scopus; Cinahal and Web of Science. <strong>Results:</strong> the sample consisted of 16 articles published from 2008 to 2019. Among the risk factors identified, the following stand out: nutritional status, advanced age, incontinence and immobility; the interdisciplinary preventive interventions identified were: decubitus change, nutritional assessment and monitoring, skin care and use of support surfaces. <strong>Conclusion:</strong> further studies are needed to take a careful and assertive look at cancer patients.</p> Andressa Renata Camila Ribeiro Paula Cristina Nogueira Copyright (c) 2021 Andressa Renata , Camila Ribeiro, Paula Cristina Nogueira 2021-04-20 2021-04-20 19 USE OF ESSENTIAL OILS IN ONYCHOMYCOSIS: AN INTEGRATIVE REVIEW <p class="p1">Objective: identify in the literature how essential oils are used in onychomycosis. <strong>Methods:</strong> integrative review with searches performed in the MEDLINE/PubMed, Web of Science, Cochrane, SCOPUS and BVS databases, with 13 studies analyzed. <strong>Results:</strong> the use of essential oils Melaleuca alternifolia, Lavandula angustifolia, Eucalyptus citriodora and Foeniculum vulgare are effective and bring benefits in the treatment of onychomycosis, as they inhibit the mycelial growth of the nail fungus. Therefore, health professionals involved in the care of people with onychomycosis must keep themselves updated on such treatment alternatives and, consequently, on improving the care provided to these patients. <strong>Conclusion:</strong> the antifungal efficacy of a variety of oils has been proven with different forms of presentation and possible associations. However, the level of evidence presented was low, which justifies the need for more robust studies on the subject.</p> Taynnar Barbosa Ribeiro Jefferson Abraão Caetano Lira; Sandra Marina Gonçalves Bezerra Rosangela Aparecida Oliveira Aparecida Oliveira Raylane da Silva Machado Lídya Tolstenko Nogueira Copyright (c) 2021 Taynnar Barbosa Ribeiro, Jefferson Abraão Caetano Lira;, Sandra Marina Gonçalves Bezerra, Rosangela Aparecida Oliveira Aparecida Oliveira, Raylane da Silva Machado, Lídya Tolstenko Nogueira 2021-06-09 2021-06-09 19 A BRAZILIAN CONSENSUS FOR THE CARE OF ADULTS WITH ELIMINATION OSTOMIES Maria Ângela Boccara de Paula Juliano Teixeira Moraes Copyright (c) 2021 Maria Ângela Boccara de Paula, Juliano Teixeira Moraes 2021-01-26 2021-01-26 19 QUALITY OF LIFE IN PEOPLE WITH VENOUS ULCERS AND THE CHARACTERISTICS AND SYMPTOMS ASSOCIATED WITH THE WOUND <p class="p1"><strong>Objective:</strong> to evaluate the quality of life of people with venous ulcers and correlate with the clinical characteristics and symptoms associated with the wound. <strong>Method:</strong> quantitative, cross-sectional and analytical study. For analyzes of associations of qualitative variables, the Chi-square and Fisher’s exact tests were applied, and for quantitative variables, Spearman’s correlation coefficient. The Pressure Ulcer Scale for Healing instrument was used to assess the wound and the Freiburg Life Quality Assessment Wound-wk for quality of life analysis. The study included 103 subjects with a wound time of more than six weeks, of venous etiology. <strong>Results:</strong> there was a correlation between the clinical characteristics of the venous ulcer and symptoms associated with quality of life. In the physical symptoms dimensions, people with venous ulcers had a worse score in relation to the pain symptom (p &lt;0.0001). Associated with this, clinical characteristics such as the appearance (p &lt;0.0001) and the area (p = 0.0037) of the wound also showed a correlation. Regarding the wound assessment scale (area, tissue in the wound and exudate), the worst score interfered with physical symptoms. <strong>Conclusion:</strong> the pain, size of the wound and its aspect negatively influences the quality of life of people with venous ulcers.</p> Uiara Aline de Oliveira Kaizer Elaine Aparecida Rocha Domingues Ana Beatriz de Toledo Saib Paganelli Copyright (c) 2021 Uiara Aline de Oliveira Kaizer, Elaine Aparecida Rocha Domingues, Ana Beatriz de Toledo Saib Paganelli 2021-01-19 2021-01-19 19 10.30886/estima.v19.968_PT PROFILE OF WOMEN WITH LEG ULCERS DUE TO SICKLE CELL DISEASE <p class="p1"><strong>Objective:</strong> to characterize the profile of women with leg ulcers resulting from sickle cell disease treated at a public health institution in Brazil. <strong>Method:</strong> historical cohort study conducted in the outpatient sector with a sample of women with sickle cell disease and leg ulcer, followed from 1998 to 2014. The data were extracted from the medical record and included sociodemographic, clinical and ulcer-related variables, and underwent descriptive statistical analysis. <strong>Results:</strong> of the 17 women, 64.7% were cured, 58.8% were aged between 30 and 39 years, 64.7% declared themselves brown, 70.6% were without partners, 41.2% had incomplete elementary education, 52, 9% had an income of 2 to 3 minimum wages, 70.6% were eutrophic and 82.4% used vitamin supplements. Women had a total of 29 ulcers, 52.9% had a single ulcer, 41.4% were located in the malleolar region, 55.17% were between 2 and 36 months, all classified as stage 3. The treatment was with coverings and Unna’s boot. <strong>Conclusion:</strong> the women received care from specialist nurses and most were cured with up to eight months of follow-up, which required a nursing consultation, including clinical evaluation, topical treatment and application of compression therapy.</p> Paula Gabriela Andrade Josimare Aparecida Otoni Spira Eline Lima Borges Maria de Lourdes Gomes Copyright (c) 2021 Paula Gabriela Andrade, Josimare Aparecida Otoni Spira , Eline Lima Borges, Maria de Lourdes Gomes 2021-02-09 2021-02-09 19 HEALING RATE IN DIABETIC FOOT ULCERS TREATED WITH BIOMEMBRANE AND HYDROCOLLOID POWDER: RANDOMIZED CLINICAL TRIAL <p class="p1"><strong>Objective:</strong> to evaluate the rate of healing in diabetic foot ulcers treated with a biomembrane of latex proteins from Calotropis procera (BioMem CpLP) when compared to powdered hydrocolloid. <strong>Method:</strong> randomized controlled clinical trial, registered by the Brazilian Clinical Trial Registry (REBEC), according to protocol RBR-98f3j9, carried out with eight people with diabetic foot, in a diabetic foot clinic, from March to July 2019. In the experimental group (n = 04), biomembrane was applied; in the control group (n = 04), hydrocolloid powder was used. The healing rate was assessed at 30 and 60 days after starting treatment. <strong>Results:</strong> no statistical differences were found between the healing rates of the control group and the experimental group in the temporal analysis of the initial 30 days (p = 0.726) and in the 60 days following the start of treatment (p = 0.562). <strong>Conclusion:</strong> BioMem CpLP presented healing rates similar to the conventional product, being an effective and low cost alternative for the treatment of diabetic feet.</p> Manuela de Mendonça Figueirêdo Coelho Luciana Catunda Gomes de Menezes Shérida Karanini Paz de Oliveira Ana Débora Alcantara Coêlho Bonfim Viviane Mamede Vasconcelos Cavalcante Juliano Teixeira Moraes Riksberg Leite Cabral Copyright (c) 2021 Manuela de Mendonça Figueirêdo Coelho, Luciana Catunda Gomes de Menezes, Shérida Karanini Paz de Oliveira, Ana Débora Alcantara Coêlho Bonfim, Viviane Mamede Vasconcelos Cavalcante, Juliano Teixeira Moraes, Riksberg Leite Cabral 2021-03-17 2021-03-17 19 PROFILE OF PATIENTS WITH URINARY INCONTINENCE IN A UNIVERSITY HOSPITAL OUTPATIENT CLINIC <p class="p1"><strong>Objective:</strong> to know the sociodemographic and clinical profile of people with urinary incontinence in an outpatient clinic of a University Hospital. <strong>Methods:</strong> cross-sectional study, using a semi-structured form with 63 women whowere awaiting care at the gynecology and urology outpatient clinics, between the months of July and August 2019. The data were processed in the software Statistical Package for the Social Sciences – SPSS 20.0. <strong>Results: </strong>interviews were carried out with women aged between 19 and 77 years. Of these, 55.6% maintained an active sex life; 85.7% had pre-existing disease; 69.8% presented urinary loss when coughing, sneezing, smiling, putting on weight and/or making efforts; 12.7% need to urinate as soon as they feel like it; and 17.5% had loss of urine in both situations. About 35% sought consultation due to low bladder and/or loss of urine; 27% had 4 to 5 pregnancies. Among the risk factors associated with urinary incontinence, 28.6% had diabetes mellitus, 61.9% had arterial hypertension, 82.5% used continuous medication, 11.1% was obese, 34.9% reported constipation problems and 74.6% underwent pelvic surgery. <strong>Conclusion:</strong> it was concluded that all women in the study had more than one risk factor for developing urinary incontinence, reinforcing their multifactoriality, as well as the importance of a holistic and multiprofessional treatment.</p> Francisca das Chagas Sheyla Almeida Gomes Braga Claudia Daniella Avelino Vasconcelos Benício Sandra Marina Gonçalves Bezerra Alice da Silva Allyne Quaresma Costa Edvania Soares dos Santos Roxana Mesquita de Oliveira Teixeira Siqueira Copyright (c) 2021 Francisca das Chagas Sheyla Almeida Gomes Braga, Claudia Daniella Avelino Vasconcelos Benício, Sandra Marina Gonçalves Bezerra, Alice da Silva, Allyne Quaresma Costa, Edvania Soares dos Santos, Roxana Mesquita de Oliveira Teixeira Siqueira 2021-03-22 2021-03-22 19 ANALYSIS OF THE DRESSING PRODUCTION RECORDS CARRIED OUT IN BRAZIL, 2017 – 2019 <p class="p1"><strong>Objective:</strong> to analyze the record of dressings in the different Health Information Systems (Sistemas de Informação à Saúde-SIS). <strong>Method:</strong> it is a descriptive study, based on secondary data, in the period between 2017 and 2019. The data were extracted from open access systems and national coverage, among them: 1) Sistema de Gerenciamento da Tabela de Procedimentos, Medicamentos, Órteses, Próteses e Materiais Especiais-SIGTAP (Management System for the Table of Procedures, Drugs, Orthoses, Prostheses and Special Materials); 2) Sistema de Informação da Atenção Básica-SISAB (Primary Care Information System); 3) Sistema de Informação Ambulatorial-SIA/SUS (Ambulatory Information System). <strong>Results:</strong> 74,032,134 simple dressings were registered, of which 46.1% in 2017, 27.1% in 2018 and 26.7% in 2019. Regarding the grade II curative procedure with or without debridement, there were 11,559,664, with a value of approved of R$ 380,142,162.10. Of which 31.6% in 2017, 32.6% in 2018 and 35.8% in 2019. The name of the dressing procedure differs from Primary Care for the other levels of care, although in SISAB the dressings are called simple dressing and special dressing, both are related to the SIGTAP code: 0401010023 - Dressing Grade I. While in SIA/SUS the procedures related to dressing are 0401010023 - Dressing Grade I; and 0401010015 - Grade II dressing, making it difficult to compare procedures. In SIGTAP, the professional stoma nurse is qualified only to register a dressing 0401010023 - Grade I dressing, with or without debridement.<strong> Conclusion:</strong> the study reveals the need for revision of the SIS, due to inconsistencies of information, in addition to the SIS not communicating with each other. Thus, the completeness of the data needs to be considered, otherwise the knowledge generated may not represent reality.</p> Scheila Mai Vânia Celina Dezoti Micheletti Fábio Herrmann Diani de Oliveira Machado Silvana Prazeres Copyright (c) 2021 Scheila Mai, Vânia Celina Dezoti Micheletti, Fábio Herrmann, Diani de Oliveira Machado, Silvana Prazeres 2021-06-16 2021-06-16 19 INCIDENCE AND FACTORS RELATED TO THE APPEARANCE OF PRESSURE INJURIES IN AN INTENSIVE CARE UNIT <p class="p1"><strong>Objectives:</strong> identify the incidence and characterize pressure injuries in an adult intensive care unit regarding the occurrence, locations and risk factors, and verify whether there is an association between these and the appearance of the injuries. <strong>Method:</strong> observational, cohort, prospective study, developed in an intensive care unit of a tertiary hospital, from October to December 2019. The population consists of adults on the first day of admission to the unit, without pressure injury at admission. Participants were monitored during hospitalization, sociodemographic and clinical variables, and risk assessment of developing a pressure injury, skin assessment and Braden scale were collected daily. Pearson’s chi-square tests and student’s t-test were used to assessing the relationship between variables and injuries. For the analyzes, a significance level (α) of 5% was considered. <strong>Results:</strong> 40 participants were included, 20% had pressure injuries with a predominance of stages 1 and 2; the main affected sites were the sacral region followed by the calcaneus. The average hospital stay was 23.38 days for the injured group and 5.77 days for the non-injured group; time showed a significant relationship with the appearance of lesions (p = 0.002). <strong>Conclusion:</strong> it was concluded that the most affected site was the sacral region and grade 1 was the most frequent staging; length of stay was the variable that influenced the appearance of injuries.</p> Jacqueline Marques Rodrigues Kemily Covre Gregório Ursula Marcondes Westin Danielle Garbuio Copyright (c) 2021 Jacqueline Marques Rodrigues, Kemily Covre Gregório, Ursula Marcondes Westin, Danielle Garbuio 2021-05-18 2021-05-18 19 ACUTE SKIN FAILURE AND PRESSURE INJURY IN THE PATIENT WITH COVID-19 <p class="p1"><strong>Objective:</strong> report the case of a critical patient with COVID-19 and show the main findings related to the injury considered acute skin failure (ASF), as well as perform his differential diagnosis with preventable pressure injury (PI). <strong>Method:</strong> observational, longitudinal, case report type study, developed in a hospital in São Paulo, in the intensive care unit (ICU) exclusively for people diagnosed with COVID-19. Data were collected from a single patient between March and September 2020. <strong>Results:</strong> A patient with complications from COVID-19 developed a skin lesion, initially defined as PI and later reclassified as ASF. The following findings corroborated the diagnosis: prolonged invasive mechanical ventilation, respiratory, renal and cardiac insufficiency and sepsis of respiratory focus. In addition, other aggravating factors, such as the use of vasoactive drugs, hemodynamic instability with intolerance to minimal repositioning, prolonged fasting and disseminated intravascular coagulopathy associated with coronavirus infection. <strong>Conclusion:</strong> the report shows that there are difficulties for the differential diagnosis between ASF and PI in clinical practice. This is a new concept, and it is essential that health professionals recognize the main factors associated with the appearance of ASF, many of which are also related to the development of PI, highlighting the need for individualized analysis of these injuries, and ensuring the implementation of interventions for prevention and treatment.</p> Aline Oliveira Ramalho Talita Santos Rosa Vera Lúcia Conceição de Gouveia Santos Paula Cristina Nogueira Copyright (c) 2021 Aline Oliveira Ramalho, Talita Santos Rosa, Vera Lúcia Conceição de Gouveia Santos, Paula Cristina Nogueira 2021-03-10 2021-03-10 19 CONSTRUCTION OF THE CARE NETWORK FOR SKIN LESIONS <p class="p1"><strong>Objective:</strong> describe the process of implementing the Rede de Atenção à Saúde em Lesões Cutâneas (Health Care Network for Skin Injuries) in the municipality of Divinópolis - MG. <strong>Method:</strong> it is an experience report on the implementation of a Health Care Network for Skin Injuries from the Programa de Educação Pelo Trabalho para Saúde (PET-Saúde/GraduaSUS) (Education Through Work for Health Program), from May 2016 to April 2018. Teachers and students from a public university and professional nurses linked to the Municipal Health Secretariat of the municipality participated in the actions. <strong>Results:</strong> it was possible to implement the Health Care Network for the prevention and treatment of skin lesions in a structured and systematic way. A flow of care, case supervision and clinical follow-up was established through the construction of an assistance protocol. <strong>Conclusion</strong>: the practical skill and scientific knowledge of students and health professionals for the treatment and management of skin lesions were developed, thus strengthening the teaching-service-community triad.</p> Daniel Nogueira Cortez Amanda Gonçalves Ferreira Isabela Rodrigues Ferreira Fernanda Moura Lanza Juliano Teixeira Moraes Copyright (c) 2021 Daniel Nogueira Cortez , Amanda Gonçalves Ferreira, Isabela Rodrigues Ferreira, Fernanda Moura Lanza, Juliano Teixeira Moraes 2021-03-30 2021-03-30 19