Pressure Ulcers As An Area Of Skin And The Tissues

A pressure ulcer is a localized injury to the skin usually over bony prominence, as a result of pressure, or pressure in combination with shear. It is estimated that 5 to 10 percent of patient admitted to the hospital acquire a pressure ulcer and it result in increased suffering, morbidity and mortality. The policy titled Pressure Ulcer Prevention and Managing Skin integrity provides direction for the nurses to prevent the development of pressure ulcer. It

Pressure ulcers often occur in hospitals and nursing homes (Ayello. A. E., 2012). As a result, the patient’s stay is extended and their medical bill inflates, in addition to their quality of life feeling diminished by the pain and infection (Ayello. A. E., 2012). Prevalence rates for pressure ulcers exist by 11.9% in acute care, 29.3% in long-term acute care,

Pressure ulcer prevention requires a team effort, involving physicians, nurses (including wound, ostomy, and continence nurses), dietitians, and physical therapists. Studies have demonstrated that comprehensive pressure ulcer prevention programs can decrease incidence rates, although not to zero. For optimal effectiveness, pressure ulcer prevention must begin as soon as patients enter the

Pressure ulcers are a good way for the BSN prepared nurse to teach and educate RNs with an associate degree or diploma and other healthcare staff involved in patient care. This can be accomplished by introducing evidence-based practice information to them. They can be taught how to use to the Braden Scale effectively. They can teach others how to correctly stage and document pressure ulcers. Another important factor is stressing the importance of positioning, pressure-relieving devices, skin care and protection, and nutrition (Agency for Healthcare, 2009).

Pressure ulcers are a commonly seen problem among elderly hospitalized patients. Despite new findings about the causes and approaches to treatment, the incidence of these wounds is still increasing. Scott, Gibran, Engrav, Mack and Rivara (2006) revealed that during the thirteen years of their study, the incidence of pressure ulcer development has more than doubled. As our elderly population becomes greater in number, and older in age, this problem is expected to escalate. It is of great importance for the patients as well as for the

Pressure Ulcers are a common issue for hospitals and long-term nursing facilities nationwide. Annually an estimated cost of $143 million is spent on hospital acquired conditions which include pressure ulcers (Kandilov, Coomer, & Dalton, 2014). Hospital acquired pressures ulcers are among the top five conditions (Kandilov, Coomer, & Dalton, 2014). Ultimately the first line of defense is prevention and therefore this paper will focus on a clinical practice guideline for deterring the pressure points that progress tissue breakdown and patient harm.

20). Further, the presence of pressure ulcers places a burden on patients and their family (Grinspun, 2005, p.21). As recommended by Grinspun (2005), pillows and foam wedges to separate prominences of the body and lifting devices have been beneficial to avoid friction (p. 32). Research suggests that the majority of pressure ulcers can be avoided. Although, the population at risk likely suffers from the possible contributors, as stated repositioning at least every 2 hours or sooner was effective (Grinspun, 2005, p. 32). When practicing I will reposition patients at appropriate times to reduce the risk of damage to the skin. Additionally, when moving a patient up in bed, I will request adequate assistance from other nursing staff to use a lifting device. This will help to avoid friction while the patient is being moved, ultimately reducing the development of pressure

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

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

Pressure ulcers, also known as pressure sores, bedsores, and decubitus ulcers, result from pressure or shear friction and pressure that cause skin and underlying tissue to breakdown (Pamaiahgari, 2014, p.1). This is commonly seen over bony prominences such as the sacrum or the heel. Pressure ulcers prove to be an issue for the patient and require the determination of best practice to prevent the pressure ulcer and the complications that can accompany it. Pressure ulcers can be infected, increase in size, odor, and drainage, have necrotic tissue, be indurated, warm, and painful (Lewis et. al, 2014, p.184). Furthermore, untreated pressure ulcers can lead to more serious conditions such as cellulitis, chronic infection, sepsis, and possibly death (Lewis et. al, 2014, p.184). Recurrence of pressure ulcers

A pressure ulcer is a localized injury involving extended pressure against the skin and underlying tissue. Pressure ulcers are common hospital acquired conditions and can worsen if proper care is not provided. The higher the pressure is exerted on the skin, the quicker a pressure ulcer will form. It is important for healthcare providers to be very familiar with the guidelines that prevent and treat pressure ulcers. Even though pressure ulcers occur, these injuries are 100% preventable with the correct nursing care.

Pressure ulcers are a problem and can lead to poor patient outcomes as well as hospital fines. Evidence based studies have shown that “the average cost of care in an acute care hospital for a patient with a stage III or stage IV pressure ulcer reported by the Centers for Medicare & Medicaid Services (CMS) is $43,180” (Jackson, 2008). Pressure ulcers and other skin breakdowns are among the most significant adverse events causing distress for patients and their care givers and compromising patients’ recovery from illness or injury (Gardiner, 2008). It is the tasks of nurses to ensure prevention of these complications is part of the daily care regimen.

Pressure Ulcers Prevention (PUP) is a national initiative for all hospitals. Medicare estimates an average of $146 million being spent annually for hospital acquired conditions which include pressure ulcers (Kandilov, Coomer, & Dalton, 2014). Hospital acquired pressure ulcers are among the top five adverse events reported today (Gillespie, Chaboyer, Kent, Whitty, & Thalib, 2014). Medicare will stop paying for hospital acquired conditions therefore prevention is the key (Kandilov, Coomer, & Dalton, 2014). Best practice guidelines advocate routine repositioning of patients however the studies were not based on RCT’s and were conducted well over 20 years ago, and before the improvement of mattress that are used in hospitals and long-term care facilities (Gillespie, Chaboyer, Kent, Whitty, & Thalib, 2014). The purpose of this assignment is to critique a problem (repositioning patients to prevent pressure ulcers) related to the nursing profession that will allow the reader to identify, appraise, and synthesize studies in order to draw a conclusion from the data collected. The systematic research review (SRR) “Repositioning for pressure ulcer prevention in adults” by Gillespie, Chaboyer, Kent, Whitty, & Thalib, (2014) will be critiqued in this paper by describing the relevance of preventing pressure ulcers; the rigor of the studies used; critiquing the levels of evidence of the studies; describe the clarity with which the studies are

I`m happy to hear you want to expand your knowledge and learn about pressure ulcers as this is a common issue in healthcare. About 11 years ago I had a patient who was admitted to the rehabilitation center for treatment of a sickness. The client’s condition was settled and she was exchanged to a nursing home because the insurance would not cover the rest of her stay. It was normal that the patient would return home in a couple of weeks. Two weeks later, the patient was grumbling of somewhat coccyx agony. Amid visits, the patient was by all accounts lying or sitting similarly situated. Nobody associated that rather with urging the patient to get up, the staff had never repositioned her consistently. As a result of this negligence a bedsore

The largest organ of our body is our skin, and it can be very fragile as we age. However, medications, tanning, and illness can all play a part in the skin thinning as well. I believe education is the key to understanding the prevention of pressure ulcers. Hospital patients are at a higher risk for developing a pressure ulcer. All hospital patients should be screened on admission to see if they are at risk for developing a pressure ulcer. Patients that have pressure ulcers can have pain and discomfort at the sight. Many factors contribute to the development of a pressure ulcer. One would think it was just from not being turned every two hours. However, every patient is at risk for a pressure ulcer when they cannot move or change their position