Akademik Veri Yönetim Sistemi
31st Biennial Congress of International Society of University Colon and Rectal Surgeons - 1 st ISUCRS Joint Nursing Congress, İstanbul, Türkiye, 27 - 29 Ekim 2022, ss.218-219, (Özet Bildiri)
Aims: Glucocorticoids are hormones secreted from the adrenal cortex and used exogenous in the treatment of various diseases. However, prolong and high dose administiration can lead to several serious side effects, including skin thinning, hyperglycemia, central obesity, osteoporosis, hypertension, edema, weight gain and increased susceptibility to infections. In this case, the nursing care of a patient who developed a chronic wound due to skin thinning after long-term steroid use is presented. Materials-Methods: A 73-year-old female patient was admitted to the hospital due to respiratory distress and was hospitalized with the diagnosis of chronic obstructive lung disease and COVID-19 pneumonia. She has a medical history of chronic steroid use due to rheumatoid arthritis. She had a knee prosthesis surgery 20 days before hospitalization. An informed consent form was obtained from the patient at admission. In the patient’s examination, a chronic wound of 10x25 cm, covered with dry necrotic tissue, was formed on the anterior surface of the tibia as a result of skin thinning due to steroid use Results: In wound care, the skin was cleaned with an antiseptic solution containing hypochlorous, and the necrotic area was removed with autolytic debridement. In order to provide infection control and support granulation, herbal cream, foam cover containing iburofen and barrier cream containing silicon based zinc were used. After 2 weeks of regular dressing every other day, it was observed that the necrotic tissue in the wound was completely removed, granulation tissue developed and epithelialization was achieved. Conclusion: Chronic wound is an important health problem that reduces the quality of life. Preexisting diagnoses and treatments are important risk factors for wound formation and may significantly alter, delay, or inhibit normal wound healing. It should be kept in mind that thinning and atrophy of the skin thickness may occur in patients treated with chronic steroids, and these patients may be more sensitive to trauma and injuries, and wound healing may be delayed. It is important to question the drugs that are used regularly, especially in taking the patient’s history before surgery, and to plan preventive nursing interventions for this. In this case, wound healing was achieved by performing a holistic wound evaluation with a multidisciplinary team approach.