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      The Effect of Using Olive Oil and Fish Oil Prophylactic Dressings on Heel Pressure Injury Development in Critically Ill Patients

      case-report

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          Abstract

          Introduction and Aim

          Prevention of pressure injuries in patients hospitalized in intensive care units is significantly important. Therefore, in the present study, the effect of using olive oil and fish oil prophylactic dressings on the development of heel pressure injuries was investigated.

          Methods

          The present study was a clinical trial conducted in the intensive care unit of Shahid Beheshti Hospital, in Yasuj. Fifty patients, who were at moderate to high risk of pressure injuries development, were randomly divided into two groups based on the mean score of the Braden scale. In one group, patients’ heels were dressed using olive oil prophylactic dressing, and in the other group, patients’ heels were dressed using fish oil prophylactic dressing. The dressings were changed 3 times a day. Collected data were then analyzed using SPSS v16.

          Results

          No significant difference was determined in demographic variables among the two groups (p<0.05). In terms of the development of heel pressure injuries, none of the patients in the olive oil and fish oil groups had pressure injuries.

          Conclusion

          There were no statistically significant differences in either treatment group related to heel pressure injuries outcomes during the 7 days observed in the study. Additionally, both dressings had the same effects. Further studies are recommended in this regard.

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          Most cited references26

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          Cosmetic and Therapeutic Applications of Fish Oil’s Fatty Acids on the Skin

          Fish oil has been broadly reported as a potential supplement to ameliorate the severity of some skin disorders such as photoaging, skin cancer, allergy, dermatitis, cutaneous wounds, and melanogenesis. There has been increasing interest in the relationship of fish oil with skin protection and homeostasis, especially with respect to the omega-3 polyunsaturated fatty acids (PUFAs), docosahexaenoic acid (DHA), and eicosapentaenoic acid (EPA). The other PUFAs, such as α-linolenic acid (ALA) and linoleic acid (LA), also show a beneficial effect on the skin. The major mechanisms of PUFAs for attenuating cutaneous inflammation are the competition with the inflammatory arachidonic acid and the inhibition of proinflammatory eicosanoid production. On the other hand, PUFAs in fish oil can be the regulators that affect the synthesis and activity of cytokines for promoting wound healing. A systemic review was conducted to demonstrate the association between fish oil supplementation and the benefits to the skin. The following describes the different cosmetic and therapeutic approaches using fatty acids derived from fish oil, especially ALA, LA, DHA, and EPA. This review summarizes the cutaneous application of fish oil and the related fatty acids in the cell-based, animal-based, and clinical models. The research data relating to fish oil treatment of skin disorders suggest a way forward for generating advances in cosmetic and dermatological uses.
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            Incidence of pressure ulcers in intensive care units and direct costs of treatment: Evidence from Iran

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              Prevalence and risk factors of pressure ulcer in hospitalized adult patients; a single center study from Ethiopia

              Objective The main objective of this study was to assess the prevalence of pressure ulcer and its risk factors among adult hospitalized patients at Dessie Referral Hospital, Northeast Ethiopia, 2016 G.C Result A cross-sectional institutional based study with a single population proportion formula was used to determine the sample size. The total sample size of 355 patients was distributed proportionally to the respected wards. Every other patient was selected by systematic random sampling technique from each ward with a response rate of 100% A total of 53 patients with pressure ulcer were detected giving the prevalence rate of 14.9%. The lack of regular positioning and activity, friction/shear, and prolonged hospitalization were risk factors for pressure ulcer.
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                Author and article information

                Journal
                Clin Cosmet Investig Dermatol
                Clin Cosmet Investig Dermatol
                CCID
                ccid
                Clinical, Cosmetic and Investigational Dermatology
                Dove
                1178-7015
                20 January 2020
                2020
                : 13
                : 59-65
                Affiliations
                [1 ]Department of Operating Room, School of Paramedicine, Yasuj University of Medical Sciences , Yasuj, Iran
                [2 ]Social Determinants of Health Research Center, Yasuj University of Medical Sciences , Yasuj, Iran
                [3 ]Social Determinants of Health Research Center, Research Institute for Prevention of Non-Communicable Diseases, Qazvin University of Medical Sciences , Qazvin, Iran
                [4 ]School of Paramedicine, Yasuj University of Medical Sciences , Yasuj, Iran
                [5 ]Medicinal Plants Research Center, Yasuj University of Medical Sciences , Yasuj, Iran
                [6 ]Department of Nursing, Yasuj University of Medical Sciences , Yasuj, Iran
                Author notes
                Correspondence: Mohammad Behnammoghadam Medicine Plants Research Center, Yasuj University of Medical Sciences , Next to Imam Sajad Hospital, Bagher Street, Yasuj, IranTel +98 743 323 6172Fax +98 743 323 4011 Email mbehnam1363@gmail.com
                Author information
                http://orcid.org/0000-0002-3136-1795
                http://orcid.org/0000-0003-1879-1587
                Article
                237728
                10.2147/CCID.S237728
                6980853
                537ced3e-a801-4944-8df5-41cc7b77e5de
                © 2020 Karimi et al.

                This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License ( http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms ( https://www.dovepress.com/terms.php).

                History
                : 07 November 2019
                : 12 January 2020
                Page count
                Figures: 1, Tables: 1, References: 27, Pages: 7
                Categories
                Clinical Trial Report

                Dermatology
                preventive dressings,pressure injuries,nursing care,critical patients,olive oil,fish oil
                Dermatology
                preventive dressings, pressure injuries, nursing care, critical patients, olive oil, fish oil

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