Npwt Intervention Paper

Improved Essays
Background: Diabetic foot ulcers are a costly and devastating complication of diabetes mellitus due to its complexity in wound treatment and as a major reason for non-traumatic amputation. This is a major reason for prolong hospital stays, decreased quality of life, and amputations. The high cost on wound treatment and loss of self-care ability of amputee places heavy burden psychosocially and economically on patients, their family, health care system and the society. Effective measures in diabetic foot care is essential in prevention of costly complications.
Aim: The goal of this research paper is to answer this PICOT question: In adult (ages 18-90) patients with diabetic foot ulcers, will negative pressure wound therapy (NPWT) improve wound healing process compared to standard
…show more content…
Eleven relevant studies were selected and assessed on the quality and internal validity resulting in a high level of evidence for this project. The key components of the guideline consist of recommendations to ensure adequate peripheral perfusion, contraindication and risk assessment, observation of staging of wound, wound vac setup and documentation. A proposed intervention/solution that will incorporate the cooperation of staff and successful outcomes of the intervention. Using Lewin’s three step theory as a change agent a plan was implemented and evaluated for NPWT results. All areas of the proposed project’s timeline, subjects involved, the process of implementing the project, resources/materials needed, continued evaluation, overcoming potential barriers, and maintaining staff participation were outlined and implemented. Validity, reliability, and applicability in current practice as well as strategies needed for any negative outcomes and how implications into future research is also

Related Documents

  • Improved Essays

    During the last couple of weeks, from a dietitian’s point of view, it was very easy to miss all of the duties performed by LPNs, CNAs and RNs. Furthermore, I now feel more confident knowing how beneficial it is to accurately calculate a patient caloric and protein needs for severe wound healing. There are many types of wounds which include surgical, burns, pressure and diabetic ulcers. Furthermore, it was also interesting to note that once a wound is diagnosed stage 1-4 and if it heals completely during the hospital stay, it can never be re-diagnosed at a lower stage. For instance, it will always be called a stage 3 wound even thought it was healed.…

    • 577 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    The claimant was a 58-year-old man. Alleged disability: Chronic fatigue, Epstein Barr syndrome, fibromyalgia, degenerative disc disease, irritable bowel disease. He reported that he currently was a pastor and was able to work depending upon his energy and pain levels. Education: Four or more years of college (1990). Work experience: Financial representative (financial institution (1997-2004), communication coordinator (religious organization 2004-present), and customer service (retail store 2014-2016).…

    • 386 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    Description A supernumerary nurse was working with me for the first week of their familiarisation period. Our patient was a thirty-nine year old woman, Ms LC, who had undergone a laparoscopic peritonectomy. She had a midline abdominal wound that showed slow wound healing. The wound clinical nurse consultant and the doctors during their ward round decided to introduce NPWT to Ms LC’s wound, as this would allow faster healing of her wound. It was Ms LC’s first time to have NPWT on her wound, patient education was provided ensuring a thorough understanding about the procedure.…

    • 1088 Words
    • 5 Pages
    Improved Essays
  • Great Essays

    Diabetic foot ulcer can eventually lead to amputation if not treated or if it is too advanced. now there’s a way to treat foot ulcers using synthetic skin grafts. using a bilayer of silicone and collagen, it temporally covers that open area. This allows the wound to heal without the interference of constant dressings and cleanings. Clinical were performed on patients on patient under the following inclusive criteria: “confirmed type I or type II diabetes with a hemoglobin A1c12%, patients aged 18 or older, presence of a full-thickness neuropathic ulcer located distal to the malleolus, study ulcer duration greater than 30 days, ulcer area between 1 and 12 cm2 post-debridement, and adequate vascular perfusion as defined by ankle-brachial index 0.65 and 1.2 or toe pressure >50 mmHg or TcPO2 >40 mmHg or Doppler ultrasound consistent with adequate blood flow to the affected extremity” (Driver et al 892).…

    • 1429 Words
    • 6 Pages
    Great Essays
  • Improved Essays

    Pressure Ulcer Paper

    • 448 Words
    • 2 Pages

    Also, after a patient is admitted for an ulcer which is healed before discharge no code is given because it will no longer exist. If the pressure ulcer is in the process of healing with no specificity, an unspecified stage is coded, or if the pressure ulcer evolves into another stage use the appropriate stage accordingly. Based on stages III and IV, the length of stay may be impacted due to the time in which it may take to heal. There is a non-pressure chronic ulcer of the lower limb to be classified as (L97)…

    • 448 Words
    • 2 Pages
    Improved Essays
  • Decent Essays

    Wound Care Stakeholders

    • 230 Words
    • 1 Pages

    Stakeholders that are directly affected by incompetent wound care education, wound care discharge instructions, and follow-up care include the patient, family members, and caregivers. The patient has increased risk for infection, increase costs of care, increased risk of readmission to the hospital, delayed wound healing, loss of work, stress, and reduced compliance with treatment and loss of trust with health care providers. Families can be overwhelmed and unsure of how to help. They can be stressed at home because due to the lack of mental, physical, and financial support from the patient. Caregivers can be frustrated due to lack of education, delayed wound healing, and receiving stress from the patient.…

    • 230 Words
    • 1 Pages
    Decent Essays
  • Improved Essays

    Pressure ulcers are defined as local injuries to the skin and/or underlying tissue that usually occurs over bony prominence as a result of pressure. Hospital-acquired pressure ulcer is a major concern because it can lead to increase morbidity, mortality, increase healthcare cost and impact a patient’s quality of life. CMS classifies hospital-acquired pressure ulcers as “never events” the Leapfrog Group defines never events as "adverse events that are serious, largely preventable, and of concern to both the public and health care providers for the purpose of public accountability. " CMS considers stage three and four pressure ulcers preventable conditions affecting over 1 million patients annually and thus CMS has taken a stand on payment to hospitals that have led to these poor patient outcomes. “As part of an effort to…

    • 617 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Pressure Ulcer Critique

    • 1094 Words
    • 5 Pages

    Research Critique Research Purpose: Pressure ulcers are a key-contributing factor to health problems in the inpatient setting. On average, those who acquire pressure ulcers are individuals in the elderly community. It plays a part in a patient’s well-being and standard of living. The phenomenological study of this qualitative research study indicates that the impact of pressure ulcers caused patients to live with challenges through their daily lives physically, emotionally and both mentally and socially (Spilsbury, et al., 2007).…

    • 1094 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    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.…

    • 758 Words
    • 4 Pages
    Improved Essays
  • Superior Essays

    Foot Check Analysis Paper

    • 2042 Words
    • 9 Pages

    Foot pathology was noted in 79% of these patients, 18% of non-diabetics had peripheral neuropathy, 45% of diabetics and 30% of non- diabetics had peripheral artery disease (PAD). Forty nine percent of the total unit had at least two out of three independent risk factors for foot ulcerations. Mortality independent of the patient’s age was predictive in those patients with PAD and peripheral neuropathy (PN). Findings showed a high prevalence of risk factors for foot ulcerations in the hemodialysis population, PVD (Jones, et al.,…

    • 2042 Words
    • 9 Pages
    Superior Essays
  • Improved Essays

    Integrated-Managed Care

    • 812 Words
    • 4 Pages

    Using podiatric services diabetic patients are not only able to check their feet for ulcers, but also to get their ingrown nails cut which prevents infections and delayed wound healing. Coverage of needles and alcohol avoids infection at the site of insulin injection or where finger stick blood sugar check are performed. Site rotation of the insulin injection is also important consideration that prevents tissue necrosis. In addition patient with diabetes mellitus are recommended to receive yearly influenza vaccine and every 5 ear pneumococcal…

    • 812 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Podiatrist Research Paper

    • 950 Words
    • 4 Pages

    Since people with diabetes suffer from poor circulation and neuropathy, which is when they do not always feel when they get sores on their feet (Edmonds), and that can lead to them getting ulcers. “Podiatrists play a leading role in the management of ulceration providing treatments including wound debridement, dressing and pressure relief”(Coleman). Ulcers can lead to the need for amputation of the foot, or even up as far as right below the knee. “Risk of amputation with up to 80% of amputations attributed to foot ulceration”(Coleman). Without proper care ulcers can lead to a lot more problems than just an amputation.…

    • 950 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Either health care staff is not implementing these strategies into their patient’s care or some changes obviously need to be made. Interventions to prevent pressure ulcers consist of using the Braden Scale for initial and repeated skin assessments to determine the patient’s risks for pressure ulcers, specialized support mattresses, heel supports, and frequent repositioning for bed bound patients, encouraging mobility, moisture management, nutrition, hydration, and reducing friction or shear forces on parts of the body at increased risk for pressure ulcers (Sullivan & Schoelles,…

    • 1402 Words
    • 6 Pages
    Improved Essays
  • Improved Essays

    In the wake of my travels abroad I reflected back on my experience in Honduras. Virtually the entire population there were barefoot and many were in the throes of advanced diabetes. In our advanced medical culture, diabetes remains the primary cause behind foot amputation, which only affirmed there was much I needed to consider in the future in terms of new treatments for this ongoing epidemic. Such vigilance is largely what makes this such a complementary career choice. In the future I plan to focus my practice on the surgical intervention of diseases relating to the foot and ankle, believing that such dedication will yield immense difference in the lives of the many in need.…

    • 732 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Gelatin Case Study

    • 993 Words
    • 4 Pages

    1.2.3 Gelatin Gelatin is a translucent, colorless, brittle (when dry), flavorless food derived from collagenobtained from various animal raw materials. It is commonly used as a gellingagent in food, pharmaceutical drugs, photography, and cosmetic manufacturing. Substances containing gelatin or functioning in a similar way are called "gelatinous". Gelatin is an irreversibly hydrolyzed form of collagen, wherein the hydrolysis results in the reduction of protein fibrils into smaller peptides, which will have broad molecular weight ranges associated with physical and chemical methods of denaturation, based on the process of hydrolysis.…

    • 993 Words
    • 4 Pages
    Improved Essays