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Impact on hospital acquired pressure ulcer 2016 article
Clinical reflection on pressure ulcer
Clinical reflection on pressure ulcer
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Pressure ulcers have been identified as a common and worldwide health problem that continues to cause pain and discomfort to patients. The costs of treating pressure ulcers are high. The cost for healing one deep ulcer has been estimated between -----. However, most cases of pressure ulcers are predictable and preventable. In HP2020, under the new category of The Older Adult/Injury Prevention, Objective OA-10 aims to reduce the rate of pressure ulcer-related hospitalization among older adults. Older adults tend to develop pressure ulcer due to lack of mobility, lack of sensation, poor nutrition and hydration, and other health problems affecting blood flow. It is important to assess hospitalized patients for these risk factors and implement
The New England Journal of Medecine. A Controlled Trial of Inpatient and Outpatient Geriatric Evaluation and Management, 346, 905-912. Retrieved on November 8th, 2006 from http://content.nejm.org/cgi/content/full/346/12/905
Currently health care facilities use individual, multi-component interventions, or series of interventions to prevent pressure ulcers. 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, 2013).
Hinkle, J., Cheever, K., & , (2012). Textbook of medical-surgical nursing. (13 ed., pp. 586-588). Philadelphia: Wolters Kluwer Health
A pressure ulcer is an area of skin with unrelieved pressure resulting in ischemia, cell death, and necrotic tissue. The constant external pressure or rubbing that exceeds the arterial capillary pressure (32mmHg) and impairs local normal blood flow to tissue for an extended period of time, results in pressure ulcer (Smeltzer et. Al., 2013). According to National Pressure Ulcer Advisory Panel, 2014, pressure ulcers are a major burden to the society, as it approaches $11billion annually, with a cost range from $500 to $70,000 per individual pressure ulcer. It is a significant healthcare problem despite considerable investment in education, training, and prevention equipment. This paper includes two different studies to link cause-effect
Today?s healthcare environment calls for continued cost containment while providing better, quality care. As a result of the advances of healthcare, life expectancies have increased resulting in a growing, aged population with more chronic conditions. Treatment options, outside the hospital, are the norm for most routine management of patient care, but when someone gets sick, and requires hospitalization, the combination of their age, chronicity of illness and increased comorbidity
The field of nursing is one that requires much passion, hard work and critical thinking. It is a nurses job to promote the well being of their patients and help the return to normal function. However unfortunate events occur, resulting in patients receiving adverse health conditions as a result of being in a medical facility One of the most prevalent of these nosocomial conditions are pressure ulcers. Not only do the patients suffer from the pain of pressure ulcers but the hospitals and medical facilities are effected as well. A randomized controlled trial conducted by Pickham et al. reported that “ Pressure ulcers are insidious complications that affect approximately 2.5 million patients and account for approximately US$$ 11 billion in annual health care spending each year” (2016). Pressure ulcers not only cause the patient pain but “even contribute to disability and
The pressure of the fluid can be measured using two different systems. In one system, the pressure is measured above the absolute zero (complete vacuum) and is called as absolute pressure. In second system, the pressure is measured above the atmospheric and is called as gauge pressure.
Smeltzer, S. C., Bare, B. G., Hinkle, J. L., & Cheever, K. H. (2010). Brunner & Suddarth’s textbook of medical-surgical nursing (12th ed.). Philadelphia, PA: Lippincott Williams & Wilkins.
Wound healing is very prevalent for a variety of wounds, many of those being pressure ulcers in geriatric patients. The baby boomer generation is very large and within the next 30 years, the aging population will grow enormously, increasing the need for wound care. All nurses must be educated on the most up to date and best practice for healing wounds.
This manuscript details the alarming increase in disability in the oldest old. With the rapid growth of this age group, issues associated with functional loss with have a tremendous financial impact throughout the world. The study has identified several risk factors associated with increased disability incidence, several of which may be modifiable. This is especially critical, as CHF is the most expensive medical illness in the United States and represents over 5% of the total health care budget48. With the prevalence and incidence of CHF rapidly rising in the United States49, it will be critical to prepare for the dramatic increase in disability as a result. Reduction of risk factors for CHF, such as hypertension and high cholesterol, would likely be beneficial in reducing incident disability in the oldest old.
Sayar S.,Turgut, S., Dogan, H., Ekici, A., Yurtsever, S., Dermirkan, F., Doruk, N., Tsdelen, B. (2009) Incidence of pressure ulcers in intensive care unit patients at risk according to the Waterlow scale and factors influencing the development of pressure ulcers. Journal of Clinical Nursing 18, 765-774.
The reduction of pressure ulcer prevalence rates is a national healthcare goal (Lahmann, Halfens, & Dassen, 2010). Pressure ulcer development causes increased costs to the medical facility and delayed healing in the affected patients (Thomas, 2001). Standards and guidelines developed for pressure ulcer prevention are not always followed by nursing staff. For example, nurses are expected to complete a full assessment on new patients within 24 hours at most acute-care hospitals and nursing homes (Lahmann et al., 2010). A recent study on the causes of pressure ulcer de...
Westhead, C. (2007). Perioperative Nursing Management of the Elderly Patient. Canadian Operating Room Nursing Journal, 25(3), 34-41. Retrieved from http://gateway.library.qut.edu.au/login?url=http://search.proquest.com.ezp01.library.qut.edu.au/docview/274594603?accountid=13380.
The current patient may be experiencing a range of traumatic injuries after his accident, the injuries that the paramedic will focus on are those that are most life threatening. These injuries include: a possible tension pneumothroax or a haemothorax, hypovolemic shock, a mild or stable pelvic fracture and tibia fibula fracture.
“Peptic ulcers are open sores that develop in the lining of the stomach, esophagus, and small intestine as a result of an imbalance of hydrochloric acid and pepsin. These acidic digestive juices are secreted by the cells of the stomach. Named for where they are found, “peptic ulcers are a very common and often reoccurring health problem, and it is estimated that more than 20 million Americans will experience a peptic ulcer in their lifetime” (Cleveland).