What Is Gap Analysis? Registered Nurses Of Ontario ( Rnao )

Pressure ulcers that occur in the long term care setting are increasing in the number of incidences each year in the United States. Consequences and complications of pressure ulcer development include pain, sepsis, cellulitis, bone, and joint infections. Pressure ulcers are also associated with an increased morbidity and mortality rate, negative emotional and physical effects on patients and caregivers, and are the second leading cause of litigation in long term care facilities. The cost of treatment for pressure ulcers in the United States is estimated at 11 billion dollars annually. This has led to many programs that focus on education and intervention to prevent the development of pressure ulcers, even being addressed in public initiatives such as Healthy People 2010. Appropriate information and education for healthcare providers, patients, and families has proven to be a key factor in the prevention of pressure ulcer development. Wound management is an area of healthcare that must include a comprehensive plan for the best outcome. A care plan that includes a well-educated care team composed of various disciplines working together for holistic care of each patient has seen the best results for patients who suffer from pressure ulcers.

Pressure ulcer or bedsores as it is called is commonly referred to as very prevalent among high-risk patients, especially those confirm to hospital or long-term care setting. These individuals may be adults, elderly, frail, poorly nourished, and with comorbid illness. The objective of this assignment Is to Provide Awareness to my PICOT question which will be a quantitative research and will be supported by evidence-based research and obtained by systematic review from many database searches.

Pressure ulcer prevention (PUP) in surgical patients has become a major interest in acute care hospitals with the increased focus on patient safety and quality of care. A pressure ulcer is any area of skin or underlying tissue that has been damaged by unrelieved pressure or pressure in combination with friction and shear. Pressure ulcers are caused due to diminished blood supply which in turn leads to decreased oxygen and nutrient delivery to the affected tissues (Tschannen, Bates, Talsma, &Guo, 2012). Pressure ulcers can cause extreme discomfort and often lead to serious, life threatening infections, which substantially increase the

The goal to treat an ulcer in a diabetic patient is to heal the wound faster to prevent infection, pressure has to be take off the area by “offloading” the foot, remove dead tissue by the process of debridement, apply to dress per doctors order, and focus on managing the patient’s blood sugar effectively to promote healing. In addition, to prevent infection, the patient must keep the dressing clean, cleanse the wound daily and change the bandage and dressing, the patient must also avoid walking on barefoot.

It is important to count & track pressure ulcer rates as a major factor for quality improvement. Being able to track pressure ulcer rates, care can be altered to better improve medication interventions and ultimately decrease the rates of pressure ulcers. It also allows the interdisciplinary team members be able to gain perspective on data trends. Improvement efforts are ongoing basis and the AHRQ recommends that pressure ulcer incidence or prevalence rates be monitored to determine outcomes, utilization of at least one or two skin assessments, and determine responsibility for overseeing accuracy of skin assessments.

Pressure ulcers are; damage to the skin or underlying structures from either inadequate perfusion or tissue compression. (Taber’s Cyclopedic Medical Dictionary, 2009, p. 1889). Those at an increased risk for pressure ulcer formation: older adults, persons with spinal cord injury, surgical patients, obese patients, underweight patients, children and patients at end of life. (Ruth & Nix, 2012, p. 125). The Braden Scale, is a tool used to help identify a patient’s risk of developing a pressure ulcer.

Pressure ulcers refer to damage that occurs to the skin of a patient. Pressure, shear and friction are among the known causes (Shahin, Dassen & Halfens, 2009). Pressure ulcers mostly affect the lower part of the body, the elderly and patients with spinal injuries (Shahin et al, 2009). They are expensive to treat, require long periods of time and numerous treatments to heal. As a

We then assessed the patient on the 7 subscales of the Braden Q. These include mobility, activity, sensory perception, moisture, friction/shear, nutrition, tissue perfusion and oxygenation. Each of these sections is scored from 1-4 with the highest score being 28 (very little risk of pressure ulcer development) and the lowest is 7 (high risk of pressure ulcer development) (See appendix for full scale for Patient P). Based on our assessment date we scored Patient P as bedfast, has no sensory perception below his neck, wears a brief, is G-tube fed and he experiences bouts of decreased oxygen saturation < 95%. His cumulative score for the Braden Q was a 13 and categorizes him at high risk for developing a pressure ulcer (PU). In particular, the scale highlighted lack of mobility, bedfast-ness and friction and shearing as being risk factors in PU development in Patient P. Based on this information I targeted my interventions to address these

And as a nurse, following the instruction on how it is done, applying the right medication and doing it on schedule are very important for a quick wound healing process and a quality patient care (Waugh, 2014, p. 354). Not only that, wound and total skin assessment at least twice a day, good documentation and multidisciplinary collaboration are essential (Smeltzer, Bare, Hinkle, & Cheever, 2010, p. 209). Prompt notification to the doctor for any wound progress, collaboration with the dietitian regarding the proper diet to help speed up the healing process, a clear instruction to the nursing aid that frequent patient turning and repositioning, and changing the diaper timely will aid in the wound healing and prevent further skin damage and the development of a new one (Smeltzer et al., 2010, p.

The purpose of this paper is to acknowledge pressure ulcers, including what a pressure ulcer is and what it should look like in each stage of progression. Furthermore, it should educate the reader on how a pressure ulcer is formed. After reading this paper you should see the importance of preventing pressure ulcers altogether. Through review of various peer reviewed articles, as well as credible internet sources, information will be gathered to show statistics of pressure ulcers in the elderly as well as the contributing factors of this problem. There are solid ways to prevent elderly patients from getting pressure ulcers.

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,

The National Pressure Ulcer Advisory Panel defines pressure ulcer as “localized injury to skin and/or underlying tissue usually over a bony prominence, as a result of pressure, or pressure in combination with shear.” Pressure ulcers are caused by unrelieved pressure usually located over bony prominences and are localized area of tissue injury. Agency of Healthcare Research & Quality has an effective vision regarding pressure ulcers: If you can’t measure it, you can’t improve it. To determine the severity of a pressure ulcer, an assessment of the lack of skin integrity is categorized according to severity by stages to reflect level of tissue injury or damage . Variations in the breakdown of skin are staged to correspond to the level of wound severity and the extent of tissue involvement which can range from mild reddening of skin to severe tissue damage to muscle and bones. Pressure ulcers can also result in severe infection.

One of the greatest indicators for the quality of care is health care facilities is the amount of pressure ulcers acquired in patients. Approximately 1 million people develop hospital-acquired pressure ulcers each year affecting hospitalized patients in both acute and long term care settings. The incidence of pressure ulcers ranges from 0.4%-12% in acute care settings, along with the prevalence range from 12%-18%. Pressure ulcers cause increase pain, suffering, and decreased quality of life along with extended hospital stay. According to the national pressure ulcer advisory panel a pressure ulcer is defined as “localized injury to the skin and/or underlying tissue usually over a bony prominence, as a result of pressure, or pressure in combination

The RPNAO guideline places emphasize on health history and medical status within recommendation 1.1 and 1.7. (1) Through the health and psychosocial history, the clinician can understand what conditions may affect wound healing, lead to further stress on the patient, or place the patient at risk for infections. Within this category, the history of ulcer development is discussed along with current or past treatment plans. (1) The authors experience has shown a thorough and focused interview can take 5-10 minutes and establishes both the patient and family members’ knowledge, expectations, values, and

Pressure ulcer has caused thousands of deaths in Australia every year. It is very common in elderly people due to poor nutrition intake, fragile skin, reduced mobility and illnesses. Sally is an 82 year old resident who has been under affected by diabetes for years and has recently developed a leg ulcer. Her leg ulcer has become a serious health problem and is causing Sally a lot of pain while decreasing her quality of life. Sally’s leg ulcer has made her no longer socialize like she used to; she could barely move or leave the house and also suffered lot of pain in her lower leg. Emotionally, she become harder for her husband to deal with, she get anger more easily and enjoy her life less. Physically, it is harder for her to do her daily living