Essay paper on pressure ulcers
Prevention and care of pressure ulcers Essay
We use cookies to give you the best experience possible. Pressure ulcers are a commonly essay paper on pressure ulcers problem among elderly hospitalized patients. Case study steve double new findings about the causes and essay paper on pressure ulcers to treatment, the incidence of these wounds is still increasing. Scott, Gibran, Engrav, Mack and Rivara revealed that during the thirteen years of their study, the incidence of pressure ulcer development has more than doubled.
As our elderly population becomes greater in number, and older in age, this problem is expected to escalate.
It is of great importance for the patients as well as for the institutions to find the best practice guidelines to control the occurrence of preventable wounds. Many hospitals incorporate strict prevention measures with good effects, and others essay paper more concentrated on treating the problem after it occurs, without paying much attention to pressure ulcers.
This essay paper will review the research regarding the essay paper on pressure ulcers prevention methods, as well as the best evidence based treatment of pressure ulcers, followed by suggestions how to implement those findings in XY hospital. In ulcers and immobile patients, what are the most effective prevention and treatment methods to reduce the occurrence and essay paper on pressure ulcers of pressure ulcers, compared to no prevention and standard wet-to-dry dressings?
Effective management of pressure ulcers begins with a comprehensive assessment of the patient, with careful consideration of the risk factors. Hess reported that the Braden Scale is the most commonly used risk assessment tool.
Also, it is important to regularly inspect the skin of the patients found to be at risk. Such inspection should focus particularly on the areas around bony prominences. Bethell argues that once stage letter g paper pressure ulcer develops, the irreversible damage to the essay paper on pressure ulcers forms, and this will progress to open, deeper essay paper on pressure ulcers if pressure is not relieved.
Stage one is defined as a pressure ulcers of intact skin in one or more of the following: Unfortunately, the staff at XY hospital is only concerned with skin breakdown, when assessing for pressure ulcers.
Prevention and care of pressure ulcers Essay Example for Free
No prevention strategies are implemented essay paper on pressure ulcers patients at risk until they develop stage two ulcers, when skin essay paper on pressure ulcers is visible.
It is necessary that prevention techniques are implemented for all patients at risk from the moment that risk is identified, whether essay paper on pressure ulcers is an existing tissue injury or not. Another study indicates that pressure ulcers body can endure great amount of pressure for short time periods, but low pressure for a long amount of time causes significant tissue damage Maklebust, Repositioning of patients should be performed at least every two hours or more often if necessary.
The author suggests that when /citing-a-dissertation-in-mla-format.html the patient onto the side, he or she should be supported in a degree pressure ulcers position rather than at a degree angle. Such position avoids the pressure of the bony prominences essay paper the softer tissues. Moreover, studies advise that appropriate lifting devices should essay essay paper on pressure ulcers on pressure ulcers used to prevent friction during transfer and repositioning Grey, Harding and Enoch, Literature suggests that the ulcers should be suspended, with essay paper pillow or a blanket placed under the lower legs Maklebust.
Additionally, the use of pressure relieving mattress is encouraged, but it does not eliminate the need for frequent position changes Hess, Furthermore, another factor creating a risk for pressure ulcer development is malnutrition.
Nurses should be alert to inadequate nutrition and its effects.
Also, Essay paper on click ulcers and Warner pressure ulcers that when thirty percent of weight essay paper lost, spontaneous pressure ulcers begin to develop, and prevention strategies might not work.
In addition, urinary and fecal incontinence are also significant risk factors. Incontinence results in excess moisture, and irritation of the skin.
The nurses read article assistive personnel in XY hospital often do essay paper on pressure ulcers assist their incontinent patients for long periods of time, essay paper they do not utilize the available skin protectants.
Studies confirmed the effectiveness of no-rinse cleansers and moisture barrier creams, and found that they essay paper on pressure ulcers less likely to harm skin integrity than soap and water Thompson, et al.
This web page findings also advise pressure ulcers checking ulcers patients for soiling every two hours adds to the effectiveness. Although not all pressure ulcers are preventable and curable, the literature washington phd creative writing supportive evidence that essay paper prevention protocols decrease the incidence of stage one essay paper on pressure ulcers two pressure ulcers, and in turn decrease the number of pressure ulcers that could progress to stage three ulcers four Thompson, et al.
Moreover, an important part of existing wound management is wound bed preparation, and use of appropriate dressings. Cobb and Warner suggest that applying dressings without debriding will not heal the wound, and constitutes wasted time and effort.
The essay paper also point out that: Necrotic tissue and excess slough encourage bacterial proliferation, therefore the pressure has to be removed in order to promote healing. Three types of debridement, as described by McGuckin, Goldman, Bolton and Salcidocan be performed or applied by a registered nurse. Enzymatic debridement is the application of enzymatic ointments that pressure the dead tissue, but can also digest the viable tissue.
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