PICOT Statement
Pressure ulcer is one of the major health issue found mostly in sub-acute center and in the hospital. Pressure ulcer usually affects adults. There are many preventive measures available for pressure ulcer such as multidisciplinary team role. Nurses play very important roles for pressure ulcer prevention. Per many studies, to advance health care quality by adapting various strategies, problem solving evidence based practice in the nursing practice plays an important role (Melnyk, Gallagher, Long, L. E., & Fineout‐Overholt, 2014). Pressure ulcer usually affects young adults, especially in acute care and hospital setting affects quality of health due to poor mobility. Therefore, this paper will discuss about establishing a PICOT
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In most of the patient’s pressure ulcer resulted in to patient’s health deterioration and increases chances of infection. Therefore it is very critical to formulate PICOT statement as it provides comprehensive analysis of the issue (Boswell & Cannon, 2012). PICOT can be described as below. P represents the patient’s population (P), I represent intervention or issue (I), and C refers to comparison of different intervention related to issue. O refers to the expected outcome of interest and, T refers to the time that is going to be use for targeted result of …show more content…
The outcome of interest in adoption of these two actions of intervention is to help to decrease chances of occurrence of pressure ulcer and also will help to prevent pressure ulcer. A nursing assessment and plan can help to determine the patient’s essential need for treatment. Many different studies have been done which is evident based research, which shows the positive effect of implementing all these interventions including nutrition and high protein diet (Soban et al., 2011). Therefore, implementing this intervention can significantly decrease occurrence of pressure ulcer within two weeks or up to six months. The ideal PICOT statement for this study subject can be "in acute care centers, does pressure mattresses compared to regular turning of patients, reduce the pressure ulcers occurrences among the adult patients within two weeks or up to six
The Braden risk assessment tool was deemed to be appropriate due to the patient’s comorbidity’s of peripheral vascular disease and lymphoedema with the addition of an arterio-venous leg ulcer of the right leg. This scale is universally accepted as a tool to help identify those most at risk with a goal of allowing health care providers to use their experience and judgement to consistently reduce the risk or to ensure preventive care is appropriately prescribed (Guy, 2012). Pressure ulcers are a risk factor for those who suffer from
Willock et al, (2007) developed a detailed questionnaire based on a paediatric and adult pressure ulcer literature. A survey of 265 in patients in a paediatric hospital in the UK was conducted so detailed data could be obtained. The study found anaemia emerged as being a highly significant aspect of determining pressure ulcers. As a result of this study, the Glamorgan scale was
...ssure ulcers can be preventable if there is a systemic and multi-professional approach to their prevention and continuing assessment of skin integrity. Mary was determined and worked well with the physiotherapist; she was up and on her feet within a week of returning. Staff had to prompt her to move around the ward, which at times was hard for her due to her anxiety. Mary was deemed high risk for falls, so was put on a prevention of falls chart in conjunction with the pressure area chart and repositioning chart.
Gastrointestinal tract (GIT) is the portal through which nutritive substances; vitamins, minerals and fluids enter the body. The digestive tract is more than 10 metres long from one end to the other. It is continuous starting from the mouth, passing through the pharynx and the oesophagus, to the stomach, the small and large intestines, ending in the rectum, and finally into the anus. The GI tract is divided into two main sections: the upper GI tract and the lower GI tract. Upper GIT includes the mouth, pharynx, oesophagus and stomach. The lower GI tract includes the small and large intestines and anus. The accessory organs of digestions are the gallbladder, liver and pancreas. Diseases that may occur in upper and lower GIT can be divided as oesophageal diseases, gastric diseases and intestinal diseases.
When performing evidence based practice research, the Iowa Model uses a team or individual approach to assist nurses in the journey to quality care. The Iowa Model begins by offering a process of selecting a proper clinical topic, which is often a recurring problematic issue (Polit & Beck, 2012). This topic is formulated as a question to improve a technique or procedure. Once the researcher determines that an ample amount of reported investigation exists on the desired question, information may be gathered and presented for approval (Polit & Beck, 2012). The research may lead to a gradual change in nursing practice.
Compartment Syndrome occurs when too much pressure builds up inside a closed space in the body. This usually happens when there is bleeding or swelling after an injury. The pressure in compartment syndrome delays the flow of blood to the affected tissues. It can be an emergency, needing surgery to prevent permanent injury.
Evidence-based practice integrates best current evidence with clinical expertise and patient/family preferences and values for the delivery of optimal health care (qsen.org). Like most medical professions, nursing is a constantly changing field. With new studies being done and as we learn more about different diseases it is crucial for the nurse to continue to learn even after becoming an RN. Using evidence-based practice methods are a great way for nurses and other medical professionals learn new information and to stay up to date on new ways to practice that can be used to better assess
For the process of formulating a PICO question I have narrowed down to five questions pertaining to the factors in the development of pressure ulcers. The first question is what role does the environment play i...
Thomas, D. R. (2001). Issues and dilemmas in the prevention and treatment of pressure ulcers: A
Problem solving is when there is a problem or issue that needs to be resolved. When there is a problem with a patient the nursing staff needs to try and resolve it to make all parties satisfied. When trying to solve a problem, keep in mind about the core attribute safeguarding patients autonomy. In this core attribute, it involves the patient wanting to be involved in their health care plan, as well as make their own decisions as long as they are competent. (Bu & Jezewski, 2006) Once the problem is identified the nursing staff along with the patient, need to form a plan or possible goals that will help solve the problem. There will be many problems that can’t be complete...
One feature of evidence based practice is a problem-solving approach that draws on nurses’ experience to identify a problem or potential diagnosis. After a problem is identified, evidence based practice can be used to come up with interventions and possible risks involved with each intervention. Next, nurses will use the knowledge and theory to do clinical research and decide on the appropriate intervention. Lastly, evidence base practice allows the patients to have a voice in their own care. Each patient brings their own preferences and ideas on how their care should be handled and the expectations that they have (Fain, 2017, pg.
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.
In conclusion, I believe that formulating a PICOT question can be an effective way for nurses to find pertinent information quicker and easier with increased relevance to the intended subject. It can assist with finding stronger supporting evidence that can help nurses make better clinical decisions and bring about change where needed for patient safety and satisfaction. By utilizing the PICOT format, nurses can help formulate new interventions that will lead to better outcomes for the patients.
PICO questions are important because it allows nurses to continue to provide safe, effective patient care by formulating clinical questions that can be answered through research of published studies and clinical expertise to improve patient outcomes by improving nursing standards, protocols, and policies (LoBiondo-Wood, & Haber, 2014). Each element of the PICO question is important because it provides a framework for nurses to develop the clinical question. Identifying the population allows the nurse to pinpoint the patient population or primary problem (McKeon, & McKeon, 2015). The intervention identifies the what is the main component that needs to be addressed for the patient, such as diagnostic test, treatments, therapies, medications
Our approach in managing wounds was far from being optimal in our own setting. After having read the article of Sibbald et al (1) and assisting to presentations during the first residential week-end, our approach at St. Mary 's Hospital Center 's Family Medicine Clinic must change. We were not classifying wounds as healable, maintenance or non-healable. We were always considering the wounds in our practice as healable despite considering the system 's restraints or the patients ' preferences. In the following lines, I will define and summarize the methods one should use in order to initial management of wounds and how to integrate it better to our site. The first goal we need to set is to determine its ability to heal. In order to ascertain if a wound is healable, maintenance or a non-healable wound.