Even though all parts of the conceptual are equally important, I do believe that in the case of pressure ulcers, energy and structural integrities are the most important because they are the first altered states of being of the patient. Conserving the structural and energy integrity of a patient requires proper therapeutic nursing interventions. As a nurse, the goal is to minimize the amount of energy a patient has to exert on daily activities. Preserving the energy of the patient is a key part of the energy integrity in the conceptual framework. Most often patients with pressure ulcers are patients that are immobilized or are too weak to move themselves. The nurse should turn clients to prevent these sores but also to accommodate for the lack of energy or ability for the clients to do so for themselves. This also helps to preserve the skin integrity of these patients, which leads to the second focus of the framework, structural integrity. Pressure ulcers affect the first line of defense for the body. This creates a risk for a lot of other problems for patients. There are stages to the progression of the severity of ulcers. When the sore progresses to the last stage, the wounds and sores created become very difficult to heal. An open wound is always a risk for infection. A …show more content…
Prediction tools such as the Braden Scale has been created and is implicated as an early preventative measure. Research has also shown that the Agency for Healthcare Research and Quality’s guidelines for the prediction and prevention of pressure ulcers have lead to a decrease in the occurrence of pressure ulcers. Creating a standard guideline for all health care system can lead to reduction in incidences related to pressure ulcers. Another aspect of evidence-based practice related to pressure ulcers that has progressed is the effectiveness of wound treatments. There are many therapeutic treatments and therapies available ranging from traditional therapies to secondary therapies that are working for prevention and treatment of pressure ulcers. There is growing evidence that suggest newer wound care procedures can be effective in preventing and treating pressure