Preview

Pressure Ulcers

Better Essays
Open Document
Open Document
987 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Pressure Ulcers
Abstract
Pressure ulcers are a common problem in the acute care setting. Critically ill patients are at a high risk for the development of many types of wounds. It is the responsibility of the nurses to provide nursing care that prevents development of pressure ulcers. Certain patient risk factors such as, advanced age, underlying disease processes, and severities of illness are not modifiable, yet they directly increase a patient’s risk of wound development. Development of pressure ulcers cost hospitals additional money by increasing the patients’ length of stay the need for additional treatments to take care of the wound, and the potential for litigation. It also increases the patients’ risk of infection and mortality. Current literature recommends additional education and training days for nurses, recognizing that many nurses have not had any additional education and training since their graduation from a nursing program. Literature acknowledges that nurses have many barriers that inhibit their ability to provide excellent nursing care.

Evidence-Based Research on Pressure Ulcers in the Acute Care Setting Looking in evidence-based research for an effective strategy to decrease the spread of pressure ulcers is the primary objective for a medical unit that exceeds the national average and is the topic of this research discussion. Most pressure ulcers are preventable. This is an important challenge for nurses. Patients who suffer from complications such as, impaired skin integrity, impact a patient with discomfort, increased hospitalization, and may lead to sepsis.
Findings and nursing practice changes identified from current literature.
According to Moore and Price (2006), the incidence of pressure ulcers has not improved and with the surge of older patients, this will exacerbate the situation. Registered nurses working in the acute care facilities encounter many patients with pressure ulcers. Alteration in skin



References: Moore, Z., & Price, P. (2006). Nurses ' attitudes, behaviours and perceived barriers towards pressure ulcer prevention Saleh, M., Anthony, D., & Parboteeah, S. (2009). The impact of pressure ulcer risk assessment On patient outcomes among hospitalized patients Smith, D., & Waugh, S. (2009). Research study: an assessment of registered nurses ' knowledge of pressure ulcers prevention and treatment

You May Also Find These Documents Helpful

  • Good Essays

    Nvq3 Unit 4222

    • 999 Words
    • 4 Pages

    5. Mobility has a significant role to play in the prevention of pressure ulcers. By facilitating the residents’…

    • 999 Words
    • 4 Pages
    Good Essays
  • Powerful Essays

    Assignment2 S251057NUR248

    • 2363 Words
    • 8 Pages

    Nurses are expected to deliver high quality care with the latest techniques and information available. In order to do this nurses are required to actively participate to nursing research and critique them. Nursing research has increased greatly in the past three decades exposing nurses to latest knowledge, to provide quality care to the patients (Polit & Beck, 2004). Further more, to provide evidence based practice, nurses must be able to assess and critique research to evaluate and to judge whether the research is useful, good quality, current and safe to apply in their practice (Fink,2005). This…

    • 2363 Words
    • 8 Pages
    Powerful Essays
  • Good Essays

    Pressure Area Care

    • 1008 Words
    • 5 Pages

    Some of the interventions that can be taken to help minimise the risk of pressure ulcers occurring in those that are at risk, one method is to that the individuals is position is changed on a regular basis, another is to use a pressure relieving device such as a special mattress, bed frame, seat…

    • 1008 Words
    • 5 Pages
    Good Essays
  • Good Essays

    Dashboard Analysis Paper

    • 691 Words
    • 3 Pages

    The area of performance improvement indicator selected from the dashboard, was patients with acquired pressure ulcers in quarter one for year 2010. The target for this quarter was set at 0.00. The Performance improvement indicator of patients with acquired pressure ulcers relates to patients that have acquired a pressure ulcer during their hospitalization. The actual percentage with patients who acquired pressure ulcers was 4.35. The national mean average was set at 6.15 percent. I selected the area of patient’s with acquired pressure ulcers because pressure ulcers cause patients to have longer hospital stays; they increase the mortality rates inpatient. Pressure ulcers also drive health care costs up every year. Pressure ulcers that have been acquired during patient hospitalization are considered a never event. In 2008, the Centers for Medicare and Medicaid Services…

    • 691 Words
    • 3 Pages
    Good Essays
  • Satisfactory Essays

    Pressure Ulcers Stage 4

    • 148 Words
    • 1 Page

    Having pressure ulcers especially on stage 4 give impact to individual’s life. Impact may vary from person to person where some patient may feel having pressure ulcers is the worst thing can happen and some can live normally with the ulcers. First impact on having pressure ulcers is on quality of life. People who suffer from pressure ulcers experiencing excruciating pain while doing daily activities such as dressing changes.Individual who suffer from pressure ulcers also suffer from financial problem where they need to deal with expensive healthcare such as medical care charges, medication, trips for appointment and home modification. Next, patients may experience social isolation. Patients may feel isolated when they do the treatment. For…

    • 148 Words
    • 1 Page
    Satisfactory Essays
  • Good Essays

    In their article published in the June, 2012 issue of Critical Care Nurse, authors Estilo, Angeles, Perez, Hernadez, and Valdez discuss the issue of pressure ulcers on patients in intensive care units. These patients are high risk for pressure ulcers for several reasons. They usually are unable to turn themselves from back to side to relieve pressure on bony areas of the back such as the tailbone. If caregivers do not turn the patient properly, friction and shearing can occur which can lead to pressure ulcers. Medications could interfere with circulation that supplies oxygen to the skin to keep it healthy. Most patients lose weight while in intensive care, causing bones to be more prominent. Failure of caretakers to keep patients clean and dry from incontinence can also contribute to pressure ulcers.…

    • 417 Words
    • 2 Pages
    Good Essays
  • Good Essays

    Diabetic Foot Ulcers

    • 695 Words
    • 3 Pages

    Nursing practice is always changing with new research findings. Nurses have to use current evidence-based practice methods available to ensure that the patients receive quality care through best practices. This research paper will review a growing problem in today’s healthcare field that needs to be addressed: Diabetic foot ulcers. To ensure quality patient care, current evidence based research has to be an important part of this process. With every new research proposal, a solid foundation has to be the basis for that specific research. This paper will discuss why diabetic foot ulcers are a growing problem in healthcare, methods used to improve outcomes (negative pressure wound therapy versus moist wound therapy),…

    • 695 Words
    • 3 Pages
    Good Essays
  • Powerful Essays

    National Pressure Ulcer Advisory Panel. Pressure ulcers in America: prevalence, incidence and implications for the future. Adv Skin Wound Care. 2001;14:201-215.…

    • 1804 Words
    • 8 Pages
    Powerful Essays
  • Good Essays

    The NPUAP website has the ability to be a good start for clinicians in the battle of the bedsore. Sullivan & Schoells, (2013) further credit the information given by the NPUAP by stating, “guidance provided by such organizations as the Institute for Healthcare Improvement, National Pressure Ulcer Advisory Panel, and AHRQ has resulted in successful implementation of bundled evidence-based practices throughout the United States.” It is clear that the information on the NPUAP website is not only valid, but it is based on best practice and is evidence based. Nurses dealing with patients that are susceptible to pressure ulcers are doing themselves and their patients an injustice by not utilizing the tools that the site has to offer. Nurse educators, and wound nurses will find this site especially valuable and would be able to change practices and policies if needed based on the information the site provides. Another nice feature of the site (especially for the busy consumer researching medical information) is the link to Medline and the description it gives of the usefulness of evidence based…

    • 957 Words
    • 4 Pages
    Good Essays
  • Good Essays

    Pressure Ulcer

    • 568 Words
    • 3 Pages

    As part of your treatment plan, your care team will discuss with you the best way to prevent pressure ulcers. This will be based on your individual circumstances.…

    • 568 Words
    • 3 Pages
    Good Essays
  • Good Essays

    Knowing the prevalence, one could consider the actions leading up to the good and bad outcomes, compare the two to determine contributing factors, then put together a plan of action to prevent bad outcomes from occurring. The data collected on the unit could then be shared throughout the hospital to have better outcomes and a greater patient satisfaction score overall. Through this process, healthcare workers could learn to prevent nursing-sensitive indicator, such as pressure ulcers, by turning or repositioning patients at least every two hours. Being proactive throughout the hospital will reduce the number of hospital acquired pressure ulcers and help the healing process of those that were present upon admission. This also aids in a better patient satisfaction…

    • 740 Words
    • 3 Pages
    Good Essays
  • Powerful Essays

    For the purposes of this assignment, the patients name will be referred to as Mr S. Mr S was admitted from a care home onto our ward as a bed bound patient with a grade four sacral pressure sore which was severely bleeding and at high risk of infection. NHS Choices (2012) shows that this grading is the most severe type of pressure sore. The skin was severely damaged and the surrounding tissue beginning to die (tissue necrosis). The underlying muscles or bone may also be damaged. Pressure sores are a serious problem in health care systems. They cause pain and suffering and can lead to infection, and if not prevented or managed effectively can result in fatality. Nazarko (2005) Current research shows that Pressure sores are a common and often underrated health problem. Focus on disability (2012) estimates in the UK that between 4%-10% of all patients admitted to hospital will form at least one pressure sore. For elderly people with mobility problems, the figure can be as high as 70%. Pressure sores are an area of localized injury to the skin and underlying…

    • 1978 Words
    • 6 Pages
    Powerful Essays
  • Powerful Essays

    Reflection-Leg Ulcers

    • 2209 Words
    • 9 Pages

    de Laat, E.H. et al (2005) Pressure ulcers: diagnostics and interventions aimed at wound-related complaints: a review of the literature. Journal of Clinical Nursing; 14: 4, 464-472.…

    • 2209 Words
    • 9 Pages
    Powerful Essays
  • Good Essays

    Pressure ulcer prevention is an important clinical issue in the renal unit that causes patients in the hospital setting unnecessary pain and discomfort, an increased risk for infection, and an increased need of resources for treatment. According to the American Journal of Critical Care (AJCC, 2012), hospital admissions are “resulting in annual costs of $11 billion for treatment related to the ulcers.” Another issue that hospitals have come across with the prevalence of pressure ulcers is the responsible party that will pay for the extended hospital stay. According to the Centers for Medicare and Medicaid, “hospitals are no longer reimbursed for care related to stage III and stage IV pressure ulcers that develop during a hospital admission”…

    • 636 Words
    • 3 Pages
    Good Essays
  • Good Essays

    Essay On Pressure Ulcers

    • 657 Words
    • 3 Pages

    Pressure ulcers are formed depending on the individual’s lifestyle. Some risk factors that are contributed to pressure ulcer formation are depending on their nutritional status, age, their medications, severity of their illness and immobility. Every individual needs proper nutrition including enough calories, proteins, vitamins and minerals every day to stay healthy and to prevent any breakdown of the tissues. As the person ages, the skin starts getting more fragile, less elastic and dry than the skin of younger adults. As they age, their body starts making new skin cells that is more vulnerable to skin damage. On the other hand, the factors that promote wound healing are nutrition, age and proper hygiene; which are very similar to pressure ulcer risk factors. Depending on what an individual eats can progress the wound healing faster. Foods that are high in protein, minerals, and vitamins will also help with the…

    • 657 Words
    • 3 Pages
    Good Essays

Related Topics