Link Cause Effect And Prevention Of Pressure Ulcers

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A pressure ulcer is an area of skin with unrelieved pressure resulting in ischemia, cell death, and necrotic tissue. The constant external pressure or rubbing that exceeds the arterial capillary pressure (32 mm Hg) and impairs local normal blood flow to tissue for an extended period, results in pressure ulcer (Brunner and Smeltzer, 2013). According to National Pressure Ulcer Advisory Panel, 2014, pressure ulcers are a major burden to the society, as it approaches $11 billion annually, with a cost range from $500 to $70,000 per person pressure ulcer. It is a significant healthcare problem despite much investment in education, training, and prevention equipment. This paper includes two different studies to link cause-effect and prevention of pressure ulcers. Although it makes sense that repositioning will make a difference to the pressure ulcer incidence, but the challenge lies in determining how and how often the patient should be repositioned. According to the first article, “A randomized controlled clinical trial of repositioning, using the 30o tilt, for the prevention of pressure ulcers,” adopting the 30o tilt and three-hourly repositioning reduces pressure ulcers as compared to 90o tilt and six-hourly reposing at night, along with the usual care. Second study reaffirms the problem of pressure ulcers and finds that Registered Nurses underestimate the value of pressure ulcer prevention techniques and delegate such duties to their assistants, because they do not have time
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