Nursing care for patients affected by kennedy terminal ulcer: Integrative review
International Journal of Development Research
Nursing care for patients affected by kennedy terminal ulcer: Integrative review
Received 17th July, 2020; Received in revised form 19th August, 2020; Accepted 29th September, 2020; Published online 30th October, 2020
Copyright © 2020, Maria Margarida Costa de Carvalho et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Objective: Describe the scientific evidence on Kennedy's ulcer as described in the literature, identifying nursing care for patients with Kennedy's ulcer. Method: Integrative review segmented in six stages. The search took place between 2010-2019 on MEDLINE, LILACS, SciVerse Scopus, ScienceDirect, CINAHL and PUBMED databases, with export to the Rayyan for Systematic Reviews program. Evidence levels were assessed according to Agency for Healthcare Research and Quality.Results: 133 publications were identified and 6 remained, with level of evidence IV, V and VI. The inevitability of Kennedy's terminal ulcer stands out, especially due to the physiological blood hypoperfusion of the skin during terminality, measures to avoid shear and pressure injuries do not reverse the situation that deserves attention and multi-professional dialogue. Conclusion: Kennedy's terminal ulcer serves as a marker for those involved in palliative care, giving rise to postures aimed at offering comfort and keen communication. There is still a lack of evidence in primary intervention and follow-up studies in the scientific literature.
