Pressure Ulcers And A Critical Care Situation

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Pressure Ulcer Prevention
Preventing pressure ulcers in an acute care or a critical care situation can be challenging for nursing staff. Pressure ulcers cause an increase in morbidity and mortality, along with very high cost for the hospitals. Treatment cost average $11 billion per year in the United States. (Skolnik M.D. & Carcia, D.O., 2015) They cause patient pain and are preventable by all nursing staff. “The skin is the body’s largest organ and the first line of defense against the internal and external environment, and it plays an important part in maintaining health.” (Brunner et al., 2012) For adult patients does the use of a skin care products reduce the risk of pressure ulcers compared to those patients using no skin care …show more content…

Incorporating the use of a cost-effective skin care product, daily skin assessments, and staff education, may be an effective way of managing the healing of skin breakdown in the hospitalized patient. (Brunner et al., 2012)

Reliability describes the consistency of a measurement method within a study. (Burns & Grove, 2011) In critiquing the reliability of the Brunner et al. (2012) article, the study was completed at a large urban hospital using three critical care units and two acute care units. The two skin care products were randomly assigned to the participants. The sample size goal in each group was to be 100 participants. Results of the study included that only 64 participants were enrolled. The article written by Brunner et al. (2012) was not reliable for measurement methods. The study is not described in great detail, does not have evidence of accuracy, and has a lack of participants.
Validity deals with determining “how well the instrument reflects the abstract concept being examined.” (Burns & Grove, 2011) In critiquing the validity of the Brunner et al. (2012) article, they used a quasi-experimental, two-group study without a control group to conduct their study. Their study examined two skin care products used to prevent skin breakdown in acute and critical care patients with various lengths of stay. According to Brunner et al. (2012), nurses approach skin care in various

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