Pressure Ulcer Prevention Evidence Based Practice Tasha Braggs Chamberlain College of Nursing NR351 Transitions to professional nursing Summer 2011
Professional paper
. Evidence-based practice (EBP) provides nurses with a method to use critically appraised and scientifically proven evidence for delivering quality health care to a specific population. The fundamentals of EBP are in research. Nursing research provides nurses with qualitative research findings to establish nursing practice based on scientific evidence. Researching and utilizing research findings and implementing them in nursing practice provides optimal patient outcomes. The practice of EBP includes multiple steps such as, formulating a well-built question, identifying With the pressure reducing mattresses patients may still form a pressure ulcer. Caution should be used with many patients who are ventilated and may not be able to tolerate frequent repositioning and become unstable. The best way to reduce pressure to an effected area to the body is repositioning. Repositioning is advocated as one of the interventions needed for the management of pressure ulcers and involves moving the individual into a different position in order to remove or redistribute pressure from a particular part of the body. ( Z. Moore, 2010). The problem of patient mobility impairment leads to skin breakdown and ulcer formation. In my clinical environment there was a quality variance of newly formed skin ulcers forming in patients that came to the hospital with no documented skin issues noted. This was a major concern to the wound team, Management team and staff nurses. After retrieving the research and chart audits showing an increase of these patient problems, my manager brainstormed and implemented a new practice on our floor that the remainder of the hospital does not utilize yet. This new task of care was named “Turn Team”. Evidence shows that failure to reposition will result in ongoing oxygen deprivation; poor wound healing and further tissue damage. The Agency for Health Care Policy and Research, USA advocates two-hourly
Pressure Ulcers Donna Long Grand Canyon University NRS 433V Introduction to Nursing Research February 11, 2012 Shahin E. S. M., Dassen T., & Halfens R. J. G. (2009). Incidence, prevention and treatment of pressure ulcers in intensive care patients: A longitudinal study. International Journal of Nursing Studies 46: 413–421 Introduction Pressure ulcers refer to damage that occurs to the skin of a patient. Pressure, shear and friction are among the known causes (Shahin,…
Prevention of pressure ulcers This essay is going to explore the nursing process with regard to the prevention of pressure ulcers. Pressure ulcers are a widespread and often underestimated health problem in the UK. They occur in 4-10% of patients admitted to hospital (Ward et al, 2010). This essay, using case study 4, will explore the holistic nursing process, and also the biological, sociological, psychological and ethical issues regarding the prevention of pressure ulcers. Lily is frightened…
Pressure Ulcer Prevention Capstone Project Milestone # 4: Pressure Ulcer Prevention Introduction Pressure ulcers continue to be a prevalent issue in the health care system and causes “pain, slow recovery from morbid conditions, infection and death” (Kwong, Pang, Aboo, & Law, 2009, p. 2609). In the field of nursing turning and repositioning patients is a well-known nursing intervention to prevent development of pressure ulcers. However, many hospitals and facilities still neglect to apply…
Although evidence4,21-23 supports the total score on the Braden Scale as a predictor of pressure ulcers in critical care patients, investigation of the contributions of the subscale scores has been limited, and the findings have been inconclusive. Although the subscales of sensory perception,22,24 moisture,21,24 mobility, 21 and friction/shear24 have been found to be significant predictors of pressure ulcer development in ICU patients, the activity and nutrition subscales have not. Other…
Evidence Based Nursing Practice: Pressure Ulcers Jane Smith Research and Scholarship for Evidence-Based Practice March 10, 2010 Evidence-Based Nursing Practice: Pressure Ulcers The primary goals for conducting nursing research are to generate new knowledge to promote positive outcomes for patients, enhance quality and cost-effectiveness of care, improve the healthcare delivery system, and validate the credibility of the nursing…
unacceptably high rate of pressure ulcers. Your group wants to develop a prevention program for high risk patients and members of the committee have been assigned to look for evidence on various preventive measures. You agreed to look for evidence about the potential benefit of positioning (turning and bed position) in preventing pressure ulcers. 1. Write this clinical problem as a PICO question What type of question is this? Prevention P patients at high risk for pressure ulcers I turning and positioning…
Mary Job Grand Canyon University NRS 451 V Dinwiddie Sandra April, 22, 2012 Pressure ulcer prevention (PUP) in surgical patients has become a major interest in acute care hospitals with the increased focus on patient safety and quality of care. A pressure ulcer is any area of skin or underlying tissue that has been damaged by unrelieved pressure or pressure in combination with friction and shear. Pressure ulcers are caused due to diminished blood supply which in turn leads to decreased oxygen…
was chosen because of the clinical relevance to direct patient care and patients acquiring pressure ulcer. The articile was retrieved and summarized in the graphic below. Further research was collected to evaluate other aspects of the same interventions and a annotated bibiliography was created. The evience was reviewed for relevance and synthesized as it relates to nursing practice and acquiring pressure ulcers. Bottom of Form Reseach Report and Summary . |Article |Protecting…
prevention of heel pressure ulcers, (2009), by Heyneman, Vanderwee, Grypdonck, and Defloor, pressure ulcers are a constant concern for nursing professionals. Pressure ulcers are emotionally, physically, and financially expensive. More evidence-based practice research into effective methods of reducing the incidence of pressure ulcers is needed. The authors sought to fill the gap in research on the effectiveness of a wedge-shaped cushion versus a typical pillow for preventing heel pressure ulcers. This paper…
of the chosen topic of the Waterlow Scale tool and the comprehensive evaluation of the evidence. The main aim of this report is to validate the effectiveness of Waterlow Assessment Tool and identify any risk factors, towards the prevention of pressure ulcers. The overall strengths and weaknesses of the report will highlight any…