Objectives:
This study investigated whether the risk assessment strategy, organized versus clinical judgment, impacts pressure ulcer prevalence or prevention procedures. Both Norway and Ireland were picked, Norway has constrained utilization of formal organized risk assessment and Ireland has routine utilization of formal structured risk assessment are two medicinal services setting. They chose one clinical destination, within each of these two countries, as centres for research investigating the utilization and effect of formal organized pressure ulcer risk assessment. As a result, the main point of this study was to decide the distinction in utilizing formal organized risk assessment in the republic of Ireland and clinical judgment alone in Norway.
Methods:
…show more content…
A cross-sectional survey outline was utilized to gather information on pressure ulcer prevalence and prevention practices crosswise two clinical settings.
In each nation one urban intense care hospital setting was chosen to take part. A clinical site in Ireland connected with formal organized risk assessment utilizing the Maelor Score while in Norway they utilized clinical judgment alone. Firstly, they started with data collection, which was about making checklist data related to pressure ulcer risk assessment, prevention practices and patient education. This particular checklist was utilized effectively within the Irish health-care setting and commonplace to the research group. All patients were estimated for risk using the Braden pressure ulcer risk assessment tool.22 PUs were assessed using the European Pressure Ulcer Advisory Panel (EPUAP ) pressure ulcer grading system.23 In Norway, five nurses were given a half-day instruction session. These sessions associated to pressure ulcer risk assessment, grading, propagation, and information accumulation with reference to the checklist utilized for this study. Information were gathered more than one day in each
setting. Secondly, they moved to the next step “data analysis”. Analysis was performed utilizing Statistical Package for the Social Sciences (SPSS). Data were existing in name in a series thus, in general, straightforward clear statistics were managed, laying out the demographic profile of people who took part in, risk status, pressure ulcer prevalence and prevention strategies utilized. Inferential statistics were undertaken using the Pearsons chi-square test, with alpha set at ≤0.05. PUs were assessed as stated by the EPUAP PU grading system,23 and all categories 1–4 were included. PU prevalence was computed as the quantity of patients with a PU partitioned by the quantity of patients assessed. The next cut off scores for the Braden risk assessment tool24 was used are Very high risk which indicates score 9 or less, High risk: 10–12, Moderate risk: 13–14, Mild risk: 15–18, No risk: 19–23. Information were further dissected concentrating on movement and mobility scores of Braden, given the relative relationship between activity and mobility and pressure ulcer risk.25 There are some ethics related to the study. The study was confirmed by the Norwegian regional committees for medical and health research ethics also by the Research Ethics Committee of the participating hospital in Ireland. Cooperation was voluntary and participants were secured namelessness. Written information, plotting the study and its point, was given to every participant or relatives 24 hours before information collection, to permit time to make inquiries about the study and assess whether to take part or not.
Risk assessment scales have been in situ for over 50 years within the adult sector. These scales consist of several categories, which are thought to be associated with the potential occurrence of a pressure ulcer. Factors such as mobility and incontinence etc. are considered. Each category of the assessment is added up to give a total. The score then suggests whether a patient is at low, medium or high risk of developing a pressure ulcer. Higher-risk patients are therefore more susceptible to develop pressure ulcers and interventions are implemented such as, Air mattresses or nutritional support which is hoped to reduce the occurrence of pressure
Vicki is a 42-year-old African American woman who was diagnosed with Hypertension a month ago. She has been married to her high school sweetheart for the past 20 years. She is self-employed and runs a successful insurance agency. Her work requires frequent travel and Vicki often has to eat at fast food restaurants for most of her meals. A poor diet that is high in salt and fat and low in nutrients for the body and stress from her job are contributing factors of Vicki’s diagnosis of hypertension. This paper will discuss the diagnostic testing, Complementary and Alternative Medicine treatments, the prognosis for hypertension, appropriate treatment for Vicki, patient education, and potential barriers to therapy that Vicki may experience.
How does this history of high blood pressure demonstrate the problem description and etiology components of the P.E.R.I.E. process? What different types of studies were used to establish etiology or contributory cause?
...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.
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.
Ms. Gm, my client, lived alone in the community housing corporation. On this faithful morning my patient woke-up complaining of severe headache, fatigue, inability to sleep, dyspnea and dizziness. Following this situation she was taken to the hospital by a neighbor and while she was in the emergency department she was seen by the physician where she was diagnosed with hypertension.
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...
Registered Nurses Association of Ontario (RNAO). (2005). Best practice guideline (BPG): Risk assessment and prevention of ulcers. Retrieved from http:// www.rnao.org
Sarah Dobinson is a patient at increased risk of infection she is an older patient in a hyper metabolic state secondary to trauma. To ensure Sarah’s safety a set of CVC guidelines have been developed using the most recent primary sources. These guidelines will focus on nursing interventions post insertion in an adult ICU setting they have been developed under four sections addressing the importance of hand hygiene and aseptic technique, changing of administra...
The major complaint was that the score cards give a single letter grade for twenty six patient safety measures. Many hospitals claim that the score cards had within them the wrong questions. They insist that they should address matters of how much the hospitals are doing to better themselves in respect to patient safety. The point, however, is research has shown that many hospitals are doing little to nothing to better their patient safety.
Patient safety is a large concern for practices, nurses and doctors. There are many tasks and precautions that can be taken to prevent accidents in the work place, whether it involves patients or not. Florence Nightingale once said “The very first canon of nursing, the first and last thing on which a nurse’s attention must be fixed is to keep the air within as pure as the air without”. This quote is argued to be an analogy for keeping the patient safe and to return them to the same condition as before they fell ill. Patient safety is one of many top priorities in a nurse’s creed, right next to caring for the patient and returning them to proper health. It is the nurse’s responsibility to keep the patient as comfortable as possible. This has
Sorbero, M. S., Ricci, K. A., Lovejoy, S., Haviland, A. M., Smith, L., Bradley, L. A., & ... Farley, D. O. (2009). Assessment of Contributions to Patient Safety Knowledge by the Agency for Healthcare Research and Quality-Funded Patient Safety Projects. Health Services Research, 44(2p2), 646-664. doi:10.1111/j.1475-6773.2008.00930.x
Patient safety must be the first priority in the health care system, and it is widely accepta-ble that unnecessary harm to a patient must be controlled.Two million babies and mother die due to preventable medical errors annually worldwide due to pregnancy related complications and there is worldwide increase in nosocomial infections, which is almost equal to 5-10% of total admissions occurring in the hospitals. (WHO Patient Safety Research, 2009). Total 1.4 million patients are victims of hospital-acquired infection. (WHO Patient Safety Research, 2009). Unsafe infection practice leads to 1.3 million death word wide and loss of 26 millions of life while ad-verse drug events are increasing in health care and 10% of total admitted patients are facing ad-verse drug events. (WHO Patient Safety Re...
[Cover: discussion about how risks are balanced during risk assessment, why this is a difficult task -> proposing a set of principles and practical measures that might assist both researchers and patients, to enable more informed decisions about risk]
The existing or traditional approach to reporting potential public health problems is a manual process reliant on individuals within individual hospitals/medical facilities to identify such potential threats or issues. Physicians or laboratories within the hospital identify any potential health risks and then compile a report on the issue. The identification of the issue/risk is reliant on individual hospitals tracking the volume numbers of patients with similar symptoms. This report is than faxed or posted to the local public health authority. The public health authority, on receipt of the report, will phone the hospital in question for any additional information it requires before it is in a position to make any decisions or taken any relevant preventative measures.