Research Study Skin Safety Model

Tissue tolerance from extrinsic and intrinsic factors are also claimed to be main factors in pressure ulcer development (Australian Wound Management Association 2001). Extrinsic factors such as moisture produced from excessive perspiration, not drying properly after showering, and urinary or faecal incontinence can increase moisture and make the skin more prone to friction (Beldon 2010). Friction and shearing from poor patient manual handling techniques can result in further pressure ulcer development issues (Benbow 2009b). Crowe and Brockbank (2009) point out that intrinsic factors such as nutrition, skin temperature, illness, oxygen delivery, skin conditions and medications all can have significant effects on the development process of pressure ulcers, and identifying people with these risk factors can be made easier with the use of a risk assessment tool.

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.

Skin integrity is an important concept that’s nurses assess on their patients. A key skill in nursing practice is to frequently assess the skin for possible breakdown or decreased skin integrity. Skin assessments should be conducted thoroughly once a shift and frequently reassessed for any signs of change. Skin discrepancies may be the first sign of an underlying issue. Early detection of any breakdown can help to implement interventions sooner. Unfortunately, unless there is a major skin discrepancy, skin issues can easily get overlooked, specifically in documentation and report. The focus of this paper is to research new skin integrity assessments to improve documentation effect and accuracy, resulting in decreased prevalence of skin breakdown in hospitalized patients. Topics discussed include reviewing current practices and new skin assessment techniques that decrease the prevalence of skin breakdown and pressure ulcers.

Pressure ulcers during a hospital admission are preventable. Assessment and early intervention can stop skin breakdown before it begins. Many factors regarding Mr. J’s condition placed him at a high risk regarding nursing indicators. Mild dementia, recent fall and a fractured hip all require a high level of nursing care and indicates preventative practice. Upon assessment, precautions should be in place to deter further complications. The elderly are more

As cited by Jarvis (2012, p.203), “the skin is the sentry that guards the body from environmental stresses and adapt it to other environmental influences.” Maintaining the elderly patient’s skin integrity requires a holistic care approach. As a nurse, one of our best practices is performing a thorough skin assessment of the whole body of our patients. A detailed head-to-toe skin assessment and clear documentation can help the interdisciplinary team in generating individualize plan of care. I perform a thorough assessment by inspecting the patient’s skin color, temperature, texture, moisture, and for presence of wounds. I ensure that the information I obtained from the skin inspection is clearly documented in the patient’s chart and plan of care, and any skin changes are communicated to the physician or nurse practitioner.

The assessment was done in my patient’s room at the Memorial South Hospital on 12th of April, 2015. During the interview, I have used active listening, holistic approach, and focus interview, open-ended and closed-ended questions to determine the cause of the patient’s skin Integrity; however, it can be characterized as a Stage II pressure ulcer; therefore, by using this therapeutic communication help me to get a better understanding of what the patient is experiencing and the type of psychosocial problem exists. As a student nurse, my chief goal of therapy is to monitor my patient skin integrity and prevent infection and further skin breakdown. The interview went well for the first time; however, after the interview, I have educated the patient

In order to facilitate understanding of process data and outcome data, this essay will focus on the context of hospital-acquired pressure injury (PI). PI, also referred to as decubitus ulcers, bed sores or pressure sores, is defined as soft-tissue ischaemic necrosis localised in an area caused by prolonged pressure higher than the capillary pressure with or without skin tear or breach, related to posture over a bony prominence. The aetiology of pressure ulcers include: (1) pressure – weight of the skin against contact area; (2) shearing; (3) friction; (4) moisture; (5) position of the patient; (6)immobility; (7) neurological factors; (7) metabolic and nutritional factors; (9) oedema; and (10) age. PIs affects not only in infirmed older people,

common acute injury seen in the elderly. Skin tears are wounds that often pose significant challenges

I have been working as an NP for two years with home bound adults and geriatric patients, and it is very common to provide treatment for pressure ulcer/skin breakdown/ bedsore. Many of these patients develop the skin break down after just a short hospital stay, while others develop it in the home environment. Among the common factors that contribute to pressure ulcers are debility, immobility and poor nutritional intake. Pressure ulcers have been a significant health problem, especially among the geriatric population (Jaul, E. (2010).

The purpose of this paper is to demonstrate how the policy Pressure Ulcer Prevention and Managing Skin Integrity is supported by and what needs to be changed as according to the evidence.

Being ambushed by an abrasion on our skin whether it be a pimple, a scar, or something with greater depth such as malignant melanoma can cause quite the adrenaline rush. Diseases of the integumentary system are just as life threating but can be even more mind boggling than a disease occurring internally. For a person to actually see the change in their skin while taking steps to cure it on their own with home remedies and skin care treatments just to find out that the disease is beyond just a simple “break-out” or rash can cause other problems such as stress and insecurity. The integumentary system fights as a barrier to protect the skin and also excrete waste, diseases sometimes hinder this system from doing its main job; which is defending

|Risk for impaired skin integrity R/T poor nutrition status, poor skin integrity, and immobility. |Objective

This article focuses on skin tears which are traumatic injuries that can result in partial or full separation of the outer layers of the skin. (cite) “Population at greatest risk those at extreme age include neonates and adults over 75), critically ill patients, chronically ill patients, and those who need assistance with personal care.” (cite) Skin tears are a growing problem in the healthcare setting as the number of the elderly population increases in our society.

Flynn stated that “Nurses have a major role to play assessing and preventing skin breakdown… Incontinence poses particular risk factors as both urine and faeces have detrimental effects on the skin. This can lead to incontinence associated dermatitis (IAD) and pressure ulceration.” (Flynn, 2011, p.553). One of the basic skills that nurses have is to be able to provide appropriate skin care to patients. This article discusses the some of the factors that can cause skin breakdown on patients. There are four main factors that contribute to skin breakdown in reference to incontinence: moisture, skin pH, colonization with microorganism, and friction. Urine and feces cause over-hydration and alkalinity on skin. Prolonged exposure to this can

Pressure injury, due to its high prevalence & probability, is nowadays seen as a patient safety issue internationally. As patient 's safety is paramount, a great importance is accorded to the issue. Even the performance of hospitals is benchmarked against the skin care quality, an attribute of quality care. This comparative essay outlines the evidence-based best practice recommendations to abate the risk of pressure injuries to patients in care. These recommendations, in essence, relate to the five research journal articles published recently.