The pressure ulcer prevention plan, pressure sore avoidance plan and wound care plan is the second target. Recommendations from other studies including use of amino acid supplements in patients with pressure sores, hydrocolloid or foam dressings in patients with pressure ulcers, and electrical stimulation for enhancing the wound healing can be applied here (Qaseem, Humphrey, Forciea, Starkey & Denberg, 2015). The third is using an electronic pressure ulcer risk assessment tool by leveling low, medium, and high. According to these data a pressure ulcer prevention competency can be created which will give knowledge to the staff about preventing pressure sores. In the immersion phase, the staff will change the work environment with preventive approach.…
Next, the CINAHL site was accessed and the key phrase “Hospital Acquired Pressure Ulcers” was entered into the search bar. Upon searching, fourteen results were produced, including the article titled “Implementation of pressure ulcer prevention best practice recommendations in acute care: an observational study.” This article was promptly selected based on the great amount of information that the article provided. Additionally, the authors cited many references, showing scholarliness. The references proved to be appropriate to the subject at…
Brenda, I appreciate and agree with you assessment of Hospital-acquired pressure ulcers. As you identified, the surveillance and prevention of HAPUs can potentially be a cost saving for all organizations and such strategies need to be considered to support quality outcomes. This is not an area that I consider myself an expert in, but I certainly rely on conscientious nurses like yourself in managing this issue and you sound like you are a "go-getter" and you are passionate about what you do. In your data collection, you mentioned "revenue lost" which is very important in supporting your project. It has been my experience with the Heart Failure Telemonitoring program, the return on investment (ROI) is a key component in any type of project;…
According to Schraffenberger (2013), “Pressure ulcers or decubitus ulcers are caused by tissue hypoxia secondary to pressure induced vascular insufficiency, and they may become secondarily infected with components of the skin and gastrointestinal flora. The ulceration of tissue usually is at the location of a bony prominence that has been subjected to prolonged pressure against an external object, such as a bed, wheelchair, cast, or splint. Pressure ulcers may extend into deeper tissue including muscle and bone.” The preceding is the information needed to properly code giving description to the four stages depth of an ulcer, Stage I being the mildest case and Stage IV more severe; however, an unspecified stage and unstageable description could be used to code as well.…
Nurse Wound Care Specialist Preventing Pressure Ulcers Pressure ulcers is an issue that nurses have been trying to solve for years, yet it is still a current issue in long term hospital stays and long term care facilities. Pressure ulcers could better be prevented if facilities had a wound care team to provide skin assessment and management of pressure ulcers. The need in facilities is to have nurses that are responsible for preventing pressure ulcers. Pressure ulcers occur on boney prominences like the sacrum, heels, or scapula’s.…
Prevention is better than cure as it is the patient who suffers and poses an economic strain on their families. Silicone foam dressing should be utilized as it is more effective prophylaxis in conjunction with other protocols as compared to barrier cream alone and mostly in hospital setting and high-risk areas. Patients and families in home based setting still prefer the barrier cream due to its ease of…
Literature Review Introduction Critically ill and elderly patients are very vulnerable to pressure ulcer in our nursing home today. The aim of this review is to sum up various studies that targets the techniques through evidence based practice, prediction of pressure ulcers and their risk factors, and how to improve the health of patient that has developed pressure ulcers and educational knowledge for the professionals caring for these group of patients. These studies involve Qualitative and quantitative research approach. Pressure Ulcer is associated with high mortality, morbidity and high health care costs.…
A Primary Source Critique Paper The research problem that I have chosen in Unit 1 was pressure ulcers. This problem needs to be researched in order to properly address such problems in nursing home settings and to be able to find ways to at least prevent if not solve the problem is not only promoting positive patient care outcomes, but also increasing the quality of care of the nursing home facilities. As nurses, we are encouraged to apply evidence-based practice in our profession. In finding evidence we have to determine the validity of the source.…
Another evidence-based practice currently use at my agency is prevention of pressure ulcers is implemented when a Braden scale score is less than 18 (Best Practice, 2010). When patients are known to be high risk for pressure ulcers prevention program is implemented. This includes keeping the…
Yes, performing a thorough skin assessment is important to prevent infection and development of pressure ulcer. In addition, real-time feedback should also be provided during skin audits to address immediately the concern. Skin assess should be done each shift or more often especially if the patient has a higher risk of having pressure ulcers. In the hospital where I am assigned for clinical, most of the patients there who are admitted are at risk for pressure ulcer or has an existing pressure ulcers. I have been advised to always check what is underneath the patient’s blanket when performing physical assessment to make sure if the patient has any skin break down or developing pressure ulcer typically over the patient’s bony prominences such…
Pressure area care was one of the priorities, so we used special pressure relieving equipment like the gel pads, Inco pads, and gam gees in areas that are vulnerable to pressure ulcers such as the ankles, the bottom and shoulders to ensure patient comfort during the operation. Patient was strapped to avoid her from falling from the operating bed. Mal-positioning of the patient has important implications in terms of associated problems of pressure sores, nerve compressions, deep vein thrombosis and compartment syndrome, and should be avoided (Adedeji et al., 2010).Mrs A was covered with blanket so as to protect her dignity throughout her…
Evidence for Pressure Injury Prevention Nursing is no longer just about providing care at the bedside. The nurse is challenged to provide the best patient care possible. This elevated level of care can be achieved by implementing the use of evidence-based practice (EBP). EBP can be defined as the use of recent research, combined with nursing experience, and patient standards (LoBiondo-Wood & Haber, 2014). In this paper, I will discuss a change in policy my hospital recently implemented, why the practice change was instituted, the research process for decision making, along with the steps used to implement the new policy.…
Nurses during the 1970s and 1980s used to perform “back rounds” in order to ensure that patients’ positions were being changed every two hours in order to prevent the formation of pressure ulcers. This practice is still implemented today. In addition, hourly rounds now consist of nurses checking on their patients’ general well being and the 4 P’s. The 4 P’s include positioning, personal needs, pain, and placement (Forde-Johnston, 2014,p.38). The 4 P’s helps nurses, nursing assistants and clinical supervisors perform rounds in a more organized manner, providing a checklist to help ensure patient safety and comfort.…
As Waugh and Grant (2014) discuss, obesity and malnourishment are common in older adults and obesity can have severe effects on a patient's health. Adults classed as obese can be predisposed to pressure ulcers which may take longer heal if additional care is not taken as stated by Cai, Rahman and Intrator (2013). The Mayo Clinic (2017) state that pressure ulcers, if left untreated, can result in a painful skin infection named cellulitis. However, patients with damaged nerves may not possess the ability to identify when they are experiencing pain which means it is vital that nurses are regularly checking for pressure ulcers in obese patients with reduced mobility. Another symptom resulting from…
When it came to interventions for the patient there were many which were divided into independent, dependent, and interdependent. Some of the independent interventions that pertain to this patient which is discussed in research was the importance of position changes. In the previous article which discussed the prevention of pressure ulcers they mention that the new pressure ulcer reducing bundle included interventions to move the patient every 3 hours and if indicated every 2 hours (Coyer et.al., 2015p. 201). These position changes were also implemented for the patient as well. In addition to position changes there is an indication for skin hygiene which included bed bath once per day with a chlorhexidine cleanser (Coyer et.al., 2015p. 201).…