EVOLUÇÃO DE LESÃO POR PRESSÃO ASSOCIADA AO DESBRIDAMENTO INSTRUMENTAL CONSERVADOR PELA ENFERMEIRA NA ATENÇÃO PRIMÁRIA À SAÚDE

Objective: to describe the successful experience of treating a pressure injury using conservative instrumental debridement technique by the Primary Health Care nurse associated with treatment with special coverings. Methodology: this is a descriptive, exploratory, qualitative research, of the type case study of a patient with a complex wound. Held at USF Alto de Coutos 2, in the Suburban Railway Health District in the city of Salvador, Bahia. The data collected through observation, interview and analysis of medical records throughout the treatment. The ethical aspects of the National Health Council and the research approved by the Ethics Committee of the Federal University of Bahia were respected. Results: The patient presented a pressure lesion in the sacral region, covered by coagulation necrosis. Conservative instrumental debridement of the necrotic tissue was performed, without bleeding or other complications, associated with treatment with special coverings. After 72 days of follow-up, through evaluations and nursing interventions, considering aspects of the lesion, there was an increase in granulation tissue and almost complete healing. Conclusion: nursing work through instrumental debridement combined with the use of special coverings proved to be incisive and decisive for the healing process.