Authors
Resource/
Database
Year of Publication
Research Type
Population
&
Sample Size
Outcome Variables Measured
Pertinent Data from Results
Author’s Suggested Conclusions
Comments
Allegretti, A. L., Malkiewicz, A., & Brienza, D.
Advances in Skin & Wound Care
2012
Qualitative Experimental Design
5 surgical patients. six Month study Pressure ulcer classification.
Scrum pressure
Buttock Temperature.
Demographic characteristics
48 hrs. postop no pressure sores were found.
More investigative studies are needed to test the variation of tissue tolerance during prolonged surgery
I chose this article based on its relevance to my topic and the highlights on new measures that use technology to measure the temperature and pressure
…show more content…
Association of periOperative Registered Nurses
2006
Quantitative; retrospective descriptive study
150 cardiac surgical patients. six month study
Three groups of fifty patients each used
A -Standard foam mattress.
B-Fluid pressure reducing mattress
C-Fluid pressure reducing mattress and nursing intervention
Group A=18%
Group B=12%
Group C=4% developed pressure ulcer
Author suggest that preventing pressure sores is a team effort between preoperative, interpretive, and postoperative nurses.
I chose this article to compare the differences pressure sore incidences in operation tables used during surgery.
Shahin, E., Dassen, T., Halfens, R.
International Journal of Nursing Studies
2009
Quantitative, Longitudinal Study
121 ICU patients six month study
Patients were assessed at admission and discharge of ICU and assessed using Braden Score and APACHE II score.
During the ICU stay 6 pressure sores developed and 5 Pressure sores healed. there was a correlation between APACHE II score and new pressure sores. pressure sores can be healed in ICU patients
I chose this article to gain understanding between pressure sores and critically ill patients.
Tschannen D1, Bates O, Talsma A, Guo Y.
American Journal of Critical Care
2012
Quantitative;
Cohort Study
3,225
However, only 10% of nurses actually complete accurate inspections of the skin during their initial physical assessments of the patients (Lahmann et al., 2010). As a result, patients who are at risk of developing pressure ulcers are often overlooked by nursing staff.
Outcome 1 understand the anatomy and physiology of the skin in relation to pressure area care
Special dressings and bandages can be used to protect and to speed up the healing of pressure sores.
Outcome 1: Understand the anatomy and physiology of the skin in relation to pressure area care
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 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.
To start the search for evidence within University Hospital, questions were asked in regards to pressure ulcers. Monthly updates are often sent out via email from the wound care team to keep everyone up to date on knowledge. While there was informative numbers within those updates, this information falls short according to Moore, Webster, & Samuriwo (2015). The main limitation of the study is the lack of a control group in pressure ulcer prevention and treatment. There is no clarity in the specific criterion that contributed to improved clinical outcomes. Teams used more than one method in the research project. Also, there is no study that meant the inclusion criteria in the random clinical trials. The lack of standardized
The hospital acquiring data on the above indicators of pressure ulcer incidence, prevalence of restraints,
The nursing supervisor has multiple issues to address in this scenario, the use of restraints and formation of a pressure ulcer are of a great concern, but I believe these are easily rectified with training and follow-up audits to ensure
Pressure ulcers are a serious health care problem and it is crucial to assess how patients acquire pressure areas after admission to the perioperative environment (Walton-Geer, 2009). In the operating room factors related to positioning, anaesthesia and the durations of surgeries along with individual patient related factors can all contribute to pressure ulcer development. This essay aims to review current standards of recommended practice regarding pressure ulcer prevention efforts for the surgical patient.
Despite advancement of technology, pressure ulcer continues to be a primordial in the health care system. Prevention of pressure ulcer remains an important issue in the health care facility. The critically ill ICU patient is the main target of this disease. Prevention remains the key for this problem. Some facility have standard policy for the eradication of pressure ulcer However the question is will the sacrum pressure ulcer formation be reduced in adult critically ill clients
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
This paper will explore a clinical practice guideline from the National Guideline Clearinghouse and will focus on hospital-acquired- pressure ulcers. The development of hospital -acquired pressure ulcers are a great concern in today’s health care. Pressure ulcer treatment is costly, and the development of ulcers is prevented by the used of evidence-based nursing practice. According to the Centers for Medicare and Medicaid Services (2008), announces that they will no longer pay for additional costs incurred for hospital-acquired pressure ulcers. The development of stage 111 and the 1V ulcer is considered a “never event” Therefore, this new change has resulted in an increased focus on preventive measures and institutional scrutiny of pressure
In this experiment, air (an ideal gas) was heated in a pressure vessel with a volume of 1 liter. Attached to this pressure vessel was a pressure transducer and thermocouple to measure the pressure and the temperature, respectively, of the air inside the vessel. Both of these transducers produced voltage signals (in Volts) that were calibrated to the pressure (kPa) and temperature (K) of the air (the atmospheric pressure for where the experiment occurred is assumed to be 13.6 psia). In addition, the theoretical temperature (K) of air was calculated as a function of the measured pressured values (kPa).
For this question, I’m going to discus about three measurements that I searched about which is used for measuring the temperature. Vapor pressure measure thermometer was the first one I choose. I hadn’t known there was an instrument that could measure the temperature depending on the pressure. The second instrument is Liquid in Glass thermometer. And finally, the third instrument is infrared Pyrometer. I will provide figures and some information about these thermometers, and also the advantage and disadvantage.