Pressure Ulcer Case Study

The research article "What influences the impact of pressure ulcers on health-related quality of life? A qualitative patient-focused exploration of contributory factors" was recently published (2012) in the Journal of Tissue Viability by Gorecki, Nixon, Madill, Firth, and Brown. This is a qualitative study.

Pressure ulcers are one of the most common problems health care facilities often face which causes pain and discomfort for the patient, cost effective to manage and impacts negatively on the hospital (Pieper, Langemo, & Cuddigan, 2009; Padula et al., 2011). The development of pressure ulcers occur when there is injury to the skin or tissue usually over bony prominences such as the coccyx, sacrum or heels from the increase of pressure and shear. This injury will compromise blood flow and result in ischemia due to lack of oxygen being delivered (Gyawali et al., 2011). Patients such as those who are critically ill or bed bounded are at high risk of developing pressure ulcers (O'Brien et

An interdisciplinary team of professional staff is a necessity to overcome the issue of pressure ulcer development among patients. Relevant stakeholders would include a nurse, nurse aide, dietitian, and a hospitalist. The primary responsibilities of the nurse consist of completing and documenting skin and risk assessments, monitor progress and/or changes in medical/skin conditions, report patient problems to the hospitalist, and work with the wound team

Article Critique: What Influences the Impact of Pressure Ulcers on Health-Related Quality of Life? A Qualitative Patient-Focused Exploration of Contributory Factors

Pressure Ulcer is a breakdown of skin appears on the skin over a very thin or bony prominence

The prevalence of pressure ulcers in elderly patients is of an epidemic proportion (Bansal, Scott, Stewart, & Cockerell, 2005). The annual cost of treating pressure ulcers in the United States (U.S.) is estimated at more than $20 billion and is increasing (Jones, 2013). Pressure ulcers occur when an injury is caused to the skin and underlying tissue at the pressure points resulting in transient or permanent damage to the underlying tissue (Margolis, 1995). The prevalence is seen in patients who are immobile because of chronic health conditions or lying on hard surfaces for prolonged periods (Pham et al., 2011). A pressure ulcer can be disruptive and disabling to frail elderly patients (Landi, Onder, Russo & Bernabei, 2007). A pressure ulcer can also result in complications, which can lead to mortality (Nigel & Chow, 2002; Gary, Berlowitz & Paul, 2001). Development of pressure ulcers is no longer limited to acute or sub-acute facilities alone. As the population is aging, more elderly are receiving heath care in their homes (Ablaza & Fisher, 1998). As a result, all stages of pressure ulcers are also seen in the homes (Park-Lee & Caffrey, 2009). However, there are limited studies that show the magnitude of the problem when compared to acute, sub-acute, and nursing homes (Asimus & Li, 2011). This project will conduct a retrospective chart review at a community-based primary care provider to determine the prevalence of pressure ulcers among elderly individuals who are

The article’s introduction demonstrated the need for the study as the authors talked about how pressure ulcer is a significant problem, although education, training, and prevention equipment are provided by the facilities. The problem, pressure ulcer, was clearly and concisely identified in the introduction. The purpose of the article was not clearly stated. The terms

Overview- Pressure ulcers are serious problems surrounding hospital care. They cause the patient considerable pain and interrupt recovery. There is physiological pain associated with serious tissue necrosis as well as psychological trauma that is as a result of altered body image and dependency needs. The problem is quite serious; about 9% of hospital patients and almost one-quarter of all nursing home patients are affected by pressure ulcers, with 60,000 deaths attributed to ulcer-related complications (Balestrino, 2000).

The study that was chosen is a quantitative study of pressure ulcers documentation. The authors had the idea to compare the accuracy and completeness of pressure ulcer documentation between electronic and paper records. Using chart audit of patients with pressure ulcers’ health records, the authors determine that accuracy and completeness, more comprehensive documentation practice was founded on the electronic health records compared with paper records. From the study, the authors concluded that, of the 52 patients with ulcers found in the hospital that used an electronic system, 43 of their records documented the pressure ulcers (83%). Of the 55 patients with pressure ulcers in the hospital using paper records, 39 files had corresponding documentation of the presence of a pressure ulcer (71%). (Tubaishat, Tawalbeh, Al Azzam, AlBashtawy, & Batiha, 2015). Hence, the study in favor of the Computerization Charting in terms of accuracy documentation of pressure ulcers.

“Pressure ulcers are caused when an area of skin and the tissues below are damaged as a result of being placed under pressure sufficient to impair its blood supply.” as defined by the National Institute for Health and Care Excellence (as cited in Payne, 2016, p. 12). I had never really known much about pressure ulcers before nursing. The frequency to which pressure ulcers can occur, and the level of severity they can develop was shocking to me. This is the main reason this topic interested me. The article “Strategies to support prevention, identification and management of pressure ulcers in the community” by Drew Payne, focuses on community nursing and provides information on how to identify patients at risk, on pressure ulcer

This observational cohort study was conducted for 9 years in TNH, 370 beds in Melbourne, Australia. Sample data were divided into 3 parts in the hospital pressure ulcers. First, the point of prevalence from 1045 patients gathered in 2003, 2004, 2006, 2007 and 2011. Point prevalence survey were trained and bedsores were strictly confidential and hospital-acquired when the pre-existing admission. Second

Pressure ulcers (PUs) usually develop over a bony prominence as a result of pressure, or pressure in combination with shear stress and/or friction. Additional contributing factors include immobilization and malnourishment. Groups known to have a high risk of developing PUs include bedridden patients, wheelchair-bound individuals, frail elderly persons with no or limited mobility, as well as individuals with diabetes, poor nutrition, and chronic blood-flow diseases. Pressure ulcers represent an enormous burden on our health care system and an enormous problem for health care providers. Pressure ulcers result in both an increased length of hospital stay and increased hospital costs. Once developed, PUs represents an acute health condition that

Pressure ulcer is a common geriatric syndrome seeing in patients suffering from acute and chronic illness. Pressure ulcers can be acquired while in the hospital, long term care facilities or in the home. Personal definition of Pressure ulcer is an injury to the skin and underlying tissue due unrelieved pressure and other factors, including by not exclusive to decreased tissue perfusion, excess moisture, and shear and friction. The NPUAP defines Pressure Ulcer as “injury to the skin and/or underlying tissue usually over a bony prominence, as a result of pressure, or pressure in combination with shear and/friction” (NPUAP as cited in Stonelake, 2015, p. 2). Pressure ulcers can be regarded as negligence and poor nursing

The Cumulative Index to Nursing and Allied Health Literature (CINAHL), Medline and Scopus and Google Scholar were utilized. The literature review encompasses related research on pressure ulcers in elderly, in the community, and home setting. The composite search generated articles mainly in the acute care, community (sub-acute and nursing homes) and very (use a different word) few in home settings. The filtered articles were manually searched reading the abstracts and then the final selections of ten related

If pressure ulcer occurred, it can cause decreased quality of life, infection, pain and disfigurement, alteration to sleep, delayed healing, increased morbidity and mortality rates, an increased need for intensive nursing and medical care, an increased workload for healthcare workers, and, as a consequence, increased healthcare costs