This website uses cookies to ensure you have the best experience. Learn more

Pressure Ulcers Essay

1984 words - 8 pages

Evidence Based Practice & Pressure Ulcers
Matthew Slawter
Chamberlain College of Nursing
NR451 RN Capstone Course
November 2014

Evidence Based Practice & Pressure Ulcers
Evidence based practice (EBP) gives nurses a method to use critical appraised data and scientific evidence that is proven to confirm the delivery of quality health care to a patient population. Pressure ulcer prevention continues to be a major and growing concern among todays patients and healthcare providers. This problem is a concern because prevention of pressure ulcers can be accomplished through good skincare techniques and increased education of nurses. The field of nursing along with the healthcare ...view middle of the document...

The relative intervention is to ensure frequent patient repositioning and the use of the Braden scale while being compared to no structural repositioning technique and no use of the Braden scale. Thus, the expected outcome is that there is prevention of skin breakdown relating to pressure ulcers during hospitalizations for patients.
Step 2: Scope of practice question
Pressure ulcers are a problem and can lead to poor patient outcomes as well as hospital fines. Evidence based studies have shown that “the average cost of care in an acute care hospital for a patient with a stage III or stage IV pressure ulcer reported by the Centers for Medicare & Medicaid Services (CMS) is $43,180” (Jackson, 2008). Pressure ulcers and other skin breakdowns are among the most significant adverse events causing distress for patients and their care givers and compromising patients’ recovery from illness or injury (Gardiner, 2008). It is the tasks of nurses to ensure prevention of these complications is part of the daily care regimen.
Steps 3, 4, and 5: Team
An interdisciplinary team of professional staff is a necessity to overcome the issue of pressure ulcer development among patients. Relevant stakeholders would include a nurse, nurse aide, dietitian, and a hospitalist. The primary responsibilities of the nurse consist of completing and documenting skin and risk assessments, monitor progress and/or changes in medical/skin conditions, report patient problems to the hospitalist, and work with the wound team to prevent and treat pressure ulcers. The nurse aide is responsible for examining skin during each position change and skin cleaning, performing appropriate care plan tasks, and report task completion and skin issues to the nurse. A dietitian is responsible for assessing the patient’s status relating to diet and making patient specific dietary recommendations which include supplements. While the mentioned members hold significant responsibilities, the hospitalist is responsible for reviewing the rehabilitation therapy needed along with ordering interventions that are specific to the patient’s need. Each member is chosen due to the importance of reversing the related issues in regards to pressure ulcers.
Evidence
Steps 6 and 7: Internal and external search for evidence
EBP shows that the adoption of the Braden scale was to ensure the assessment of risks to skin integrity is practiced along with placing preventative care practices. The Braden scale assists clinicians with identifying patients at risk for skin issues upon the initial assessment of a patient. EBP also shows that in some studies, “skin integrity risks are identified at the time of initial assessment increased from 16.5% to 44.6%” (Gardiner, 2008). It is when risks are identified that imperative actions in terms of interventions will minimize the risk of pressure ulcer development. Recent research has shown that skin-cleansing products, emollients, foams, and creams perform...

Other Essays Like Pressure Ulcers

Rtt1 Task 1 Essay

1338 words - 6 pages , patient outcomes and satisfaction. Evidence based practice and unit protocols work towards the goal of quality and improved patient outcomes and care, data drives these tools that are available to nursing staff. Data can be collected on multiple ways, from the point of medical care and patient satisfaction. The scenario points to pressure ulcers and the use of restraints, in both situations I believe that there was a fundamental lack of knowledge

Rtt1 Task 1 Essay

1303 words - 6 pages compared to national rates and goals, the nursing staff understand the relevance of these indicators and has perspective with which to focus their nursing tasks to be most effective. For example, presenting the incidence of pressure ulcers on a unit on a quarterly basis as compared to national standards provides the nursing staff important feedback for directing their attention toward interventions to prevent ulcers. The staff then have

Pathology Paper

3368 words - 14 pages be taken from Porth’s Pathophysiology, chapter 45 , written by Krom unless cited otherwise. There are two different kinds of peptic ulcers, gastric and duodenal. C.W. has had a previous ulcer in the past and was brought into the hospital with a gastrointestinal bleed caused by a duodenal ulcer (Krom, 2014, p.1153-1182). The gastrointestinal tract is made up of many layers. The first one is the inner mucosa layer, which consists of smooth muscle

Unit 23 - Pressure Area Care

1801 words - 8 pages interlocks with the dermis. The dermis contains very small blood vessels called capillaries, pain touch receptors, hair follicles, sweat glands and sebaceous glands which secrete sebum (a substance rich in oil which lubricates the skin) Next is the subcutaneous layer made of fatty tissue. Here there are larger blood vessels and the fat helps to cushion, insulate and protect the body. Pressure ulcers develop when localised injury to the skin

Evidence Base Practice-Effect of New Incentive System for High-Risk

2683 words - 11 pages which in turn will be cost effective in relation of lesser materials used and shortened the length of patient’s staying. The topic was chosen because the writer is currently working in Long Term Care Unit whereby 80% of the patients are bed ridden and majority of them had developed pressure ulcers during hospitalization though some had been admitted with existing pressure ulcers. Historically EPB is relatively new in nursing. In 1960’s

Marketing Lelang

1732 words - 7 pages problems and stress on your dog's body from illness or surgery. An ulcer can also form when the body is in shock which could be caused by a severe bacterial infection, heart problem or blood pressure issue. Dog Ulcer Symptoms The primary symptom of an ulcer is vomiting. You might see old or brownish colored blood mixed in. Dog Ulcer Treatment Ulcers are treated with drugs that are often used in humans. This includes Tagamet, Pepcid

Person Centred

1156 words - 5 pages has a significant role to play in the prevention of pressure ulcers.  5. Identify a range of interventions that can reduce the risk of skin breakdown and pressure sores. - Good care and support - Following procedures - Promoting continence - Keeping skin clean and dry - Using appropriate mattresses - Changing position regularly - Accurate record keeping 6. Describe changes to an individual’s skin

Organizational Systems

1209 words - 5 pages release tie and two fingers should be able to be inserted under the restraint. The patient should also have their call light within reach. The restraints should be evaluated and discontinued as soon as possible, even if the order has not yet expired. (CPI, 2009) The prevention of any hospital acquired pressure ulcers should also be taken into consideration. The patient should have a risk score assessment upon admission and as frequently as

English Literature

2580 words - 11 pages About wound healing Wound healing is the process of repair that follows injury to the skin and other soft tissues. Wounds may result from trauma or from a surgical incision. In addition, pressure ulcers (also known as decubitus ulcers or bed sores), a type of skin ulcer, might also be considered wounds. The capacity of a wound to heal depends in part on its depth, as well as on the overall health and nutritional status of the individual

Two Differents Types of Stress

609 words - 3 pages There are two different kinds of stress. They both affect the body and the mind differently. Acute stress occurs when the nervous system is activated to stimulate the adrenal glands which cause the heart rate to increase as well as the blood pressure and breathing rate. After this happens it takes the body approximately 20 to 60 minutes to return to its normal state. (Lyle H. Miller, 2013). This response is also known as the flight or fight

Spinal Cord

1827 words - 8 pages or acute ruptured disc Ipsilateral (same side) paralysis- motor paralysis, loss of vibration, touch, position,pressure Contralateral (other side)- loss of pain and temperature CLINICAL MANIFESTATIONS OF SCI: (Depends on level and extent of injury) • Absence of reflexes below the level of injury • Flaccidity usually below the level of injury • Spasticity usually above the level of injury • Loss of bowel and bladder control â

Related Papers

Research Critique Essay

1186 words - 5 pages Research Critique, Part 1 Grand Canyon University Introduction to Nursing Research NRS 433V Research Critique, Part 1 Introduction Venous leg ulcers are common, incapacitating and major health problem more predominant in elderly (Templeton & Telford, 2010). Venous leg ulcers cause physical, psychological and social impact to the patient and financial problem to the health

Wgu Task 1 Essay

964 words - 4 pages . In the case provided, knowledge of nursing sensitive indicators would have assisted the nurses in several ways to provide a positive patient outcome. First, if the nursing assistant had knowledge of pressure ulcer prevention, sign and symptoms and treatment of pressure ulcers, the pressure ulcer on the patient’s sacrum may have been prevented. In this case, the nurse assistant did not recognize the patient had the first stages of a pressure

Organizational Systems And Quality Leadership Task 1 Wgu

609 words - 3 pages nursing staff, and the education and certification levels of nursing staff. Process indicators measure methods of patient assessment and nursing interventions. Nursing job satisfaction is also considered a process indicator. Outcome indicators reflect patient outcomes that are determined to be nursing-sensitive because they depend on the quantity or quality of nursing care. These include things like pressure ulcers and falls. When understanding

Wound Care Education Essay

765 words - 4 pages of patient knowledge on how to care for these wounds and decided to develop a patient education pamphlet to teach patients how to care for wounds while not in a hospital setting. The group identified one particular patient that had insufficient knowledge in self-care. Wound Care J.G. is a 65-year-old male patient with a history of a cerebrovascular accident, hypertension, diabetes and multiple pressure ulcers. The patient was admitted to