Case Study: Hospital Acquired Infection

Critically ill patients that require mechanical ventilation are at risk of developing secondary infections that may increase length of stay and possibly even morbidity. This fragile patient population requires special attention and meticulous adherence to established nursing standards of care. These standards of care are founded on evidenced based practices. It is important that nurses receive education about why these standards are in place and what consequences can result due to not following the established care protocols.

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 this as a standard policy. This gives room for nurses and nursing aides to overlook the importance of this intervention resulting in increased pressure ulcer development. The purpose of turning and repositioning patients is to prevent oxygen

Most mobile patients are able to reposition themselves, while others who are critically ill are not able to feel or respond to pain. Therefore, nurses need to assess those patients in repositioning to decrease the risk of developing pressure ulcers (REF).

ICU patients suffer from a broad range of pathologies, requiring MV, sedation and use of multiples devices, which do not allow patients to protect their airway (Augustyn. 2007; Kollef. 2004).

Through medical advances in technology and practice, nurses have been afforded the opportunity to provide lifesaving care to patients. However, this lifesaving care comes with the risk of healthcare-associated infections (HAIs). Generally speaking, HAIs are infections directly related with the delivery of healthcare and are often caused by viral, bacterial or

A degree of evidence related to protocol usage and outcomes was collected to determine if a researchable problem was obtainable and valuable. According to Davies (2011), research questions should concentrate on "real-world problems" (p. 75). Patients in the intensive care unit who are mechanically ventilated receive intravenous sedation on a regular basis. According to findings by Wøien, Vaerøy, Aamodt, and Bjørk (2012), as much as "30-60% of intensive

Ventilator - associated pneumonia (VAP) is the second most common hospital acquired infection (HAI) and is associated with high morbidity and mortality rates for ventilated patients in intensive care units (Bingham, Ashley, Jong, & Swift, 2010). The VAP increases patients’ mortality rates, length of stay and hospital costs (Hiner, Kasuya, Cottingham, & Whitney, 2010). The VAP is the leading causes of death due to nosocomial infections and the

I value your capstone project. I work in long-term acute care with clients who are on the vent with compromised pulmonary and cardiovascular problems, and I agree with you that there is limited evidence- based intervention to guide clinicians who work in acute care. It is imperative that OTs take the leadership role and train nurses and CNAs on the importance of bed mobility and transfers to eradicate problems with decreased functional mobility with bedsores and severe sacral wounds secondary to prolonged bed rest.. In addition, lack of physical activity and prolonged bed rest have significant consequences on musculoskeletal, cardiovascular, respiratory, (Parry & Puthucheary, 2015).

Ventilator-associated pneumonia is a bacterial infection that occurs in the lower respiratory system within the first 48 hours of endotrachal intubation (Lewis, Dirksen, Heitkemper, Bucher, & Camera, 2011). Although any hospital patient is susceptible to pneumonia, ventilator dependent patients are at the highest risk of acquiring pneumonia. The purpose of this paper is to identify the risk factors, incidences, and preventions of ventilator-associated pneumonia (VAP) using a quantitative research study performed in Malaysia. “The aim of this

Hospital acquired infections or healthcare associated infections (HAI’S) which is also known as nosocomial infections have been a burden to society for decades, which has gained the top ten positions in the cause of death in the united states (CDC, 2015), although there is a decrease it still poses as a problem. According to the Centers for Disease Control and Prevention (CDC) there are several types of healthcare associated infections, which “includes central line-associated bloodstream infections (CLABI), catheter-associated urinary tract infections (CAUTI), and ventilator-associated pneumonia infections (VAP)” (Centers for Disease Control and Prevention [CDC], 2015). Some other common types of HAI’s which are also Multidrug-Resistant Organisms

In this study, patients that had been ventilated in the intensive care unit from April to November of 2010 were included. There were few ways that the person could be excluded, these were if the patient had cardiac arrhythmias or severe obesity. All of the patients were monitored vary closely, such as with an electrocardiogram, invasive and non-invasive arterial pressure, and percutaneous

Healthcare-associated infections are infections that affect the patients when they are in the hospitals or other healthcare setting, such as a care home or hospice, or due to health care interventions or procedures.

A couple months ago, my unit (Cardiovascular intensive care unit) and the other ICU unit at my hospital started implementing a set scheduled time for performing spontaneous breathing trials (SBTs) for all ventilated and intubated patients during both the day and night shift. This change allows for a structured protocol with clear instructions on how to approach SBT and is part of our strategy to decrease the amount of time that the patients stay intubated. The sooner we remove the intubation tube; it will decrease the chances of the patient developing any ventilator-associated pneumonia because we are allowing their natural lungs to exercise.

The purpose of this paper is to use the most recent research studies to address the complications incurred by the Intensive Care Unit (ICU) populations on mechanical ventilation and to highlight alternative therapies to improve long-term health and wellness. According to Morris (201), implementing ventilator therapy with prolonged standard bed rest is associated

Studies shows that, HAP causes 15% of hospital acquired infection. And it is the main cause of nosocomial death (Schleder 2004). This high death rate is not what the hospital bargain for. Hospitals are equipped with improved equipment’s and qualified medical personnel. Patient are still dying of acquired infection from the