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PressureUlcerRatey11.docxPRESSURE ULCER RATE 1
Institution Name- Capella University Student Name- Sudip Basnet Instructor Name- Dr. Chad Moretz Course Title- BHA4010 Intro to Health Care Research Due Date- May 1st, 2022
Contents Background and Evidence 2 Problem Statement 3 Purpose Statement 4 Purpose Statement Checklist 5 Conclusion 5 References 6
Background and Evidence
It is possible to prevent pressure ulcers from developing in patients who are in acute care, long-term care, or rehabilitation facilities by employing prevention strategies. Malnourished people may develop pressure ulcers on bony prominences, such as the hips, shoulders, coccyx, and spine, as a result of inadequate nutrition. Patients in respiratory distress who wear bi-pap masks are more prone to develop pressure ulcers on the bridge of their nose and on their cheeks as a result of the usage of these masks. Intubation with an endotracheal tube results in mucosal pressure sores (Kim, 2021). Incontinent patients are more likely than non-incontinent people to develop pressure ulcers on their buttocks and coccyx as a result of the maceration of their skin. In part because of inadequate tissue perfusion, persons with low blood pressure are more likely to develop pressure ulcers than those with normal BP (Aloweni, 2018). In the United States, about 2.5 million people are diagnosed with pressure ulcers each year in healthcare institutions, and 60,000 of these patients will die as a result of complications related to these ulcers. It costs the healthcare system $3.6 million per year to treat pressure ulcers, which is a 3.6 percent increase from the previous year. However, despite the fact that the occurrence of pressure ulcers has decreased over the past ten years, there is still more that can be done to reduce this preventable disease.
Patient posture, aggressive blood pressure management, and identifying persons at risk for developing pressure ulcers are all effective methods of reducing the incidence of pressure ulcers in the hospital setting.
Problem Statement
As a result of lack of understanding about the causes, risk factors, and treatment of pressure ulcers, and erroneous use of medical equipment, there is a potential for preventable pressure ulcers to be developed. Patients and the healthcare system suffer as a result of pressure ulcers. There was a preexisting skin care policy in place at the institution that instructed nurses on how to do skin assessments, document findings, and keep an eye on pressure ulcers. As a result, no policies or specific interventions to reduce pressure ulcer development were discovered.
A biennial pressure ulcer staging examination was part of the facility's educational requirements. Pressure ulcer prevention became more difficult as a result of a lack of information about the elements that contribute to the development of the ulcers. At-risk patients could be identified by their dietary state, incontinence status, and the usage of specialized medical devices. A patient's risk of pressure ulcer development is further raised by the nurses' incorrect positioning of them (Kopuz, 2019). Vasopressor drugs, which are used to treat patients with shock and hypovolemia, were another area where understanding was lacking. These drugs have an effect on tissue perfusion, and as a result, tissue integrity is compromised.
Purpose Statement
Educating nurses at the bedside about pressure ulcers was the goal of the initiative, which aimed to reduce the occurrence of pressure ulcers. We talked about things like mechanical loads and tissue response and damage mechanisms as well as susceptibility to developing pressure ulcers and risk factors as well as skin assessment and prevention and control skin care. We also talked about the management of pressure ulcers as well as the pain that comes along with an ulcer. A study was conducted to determine the effectiveness of the education provided to bedside nurses by recording the occurrence of pressure ulcers for 60 days before and after the education session (Biçer, 2019). There was an educational skills exhibition that took place on April 17, 18, and 19 of this year, which took place from April 15 and April 28. The occurrence of pressure ulcers was investigated in two different time periods: from February 13, 2019 to April 14, 2019 and from April 29, 2019 to June 28, 2019, respectively.
Purpose Statement Checklist
Despite the fact that pressure ulcer prevention is a team effort, nurses play a critical role. When it came to healthcare pressure ulcer prevention, the US Agency for Healthcare Research and Quality (AHRQ) published clinical guidelines in 1992 that were widely adopted. Using 8 Level 3 evidence, expert opinion, and panel consensus, care for patients at high risk of developing pressure ulcers was delivered. In spite of its publication date of 15 years ago, the AHRQ statement remains a basis for delivering preventative pressure ulcer care and a model for subsequent guidelines on the subject (Russell, 2018). This extensive set of guidelines should be thoroughly reviewed by all registered nurses. Pressure ulcers can be prevented by following the measures indicated in the text, and research suggests that doing so reduces the frequency of pressure ulcer development. According to the study, doctors and nurses working together as a team are less likely to experience pressure ulcers. As a result, preventing pressure ulcers should be a patient safety aim.
Conclusion
The systematic assessment of pressure ulcer risk factors acknowledged high-quality field research, consistent risk variable definitions, and improved data sets underpinned by a conceptual process for constructing and evaluating prediction models. Primary prevention and secondary prevention/treatment decision paths were distinguished in the risk assessment framework, which included pain and severe pressure ulcer work packages.
It is possible to reduce the occurrence of pressure ulcers in the hospital setting by improving patient posture, controlling blood pressure, and identifying those at risk.
References Aloweni, F., Ang, S. Y., Fook‐Chong, S., Agus, N., Yong, P., Goh, M. M., ... & Soh, R. C. (2019). A prediction tool for hospital‐acquired pressure ulcers among surgical patients: Surgical pressure ulcer risk score. International wound journal, 16(1), 164-175.
Kim, S. H., Nah, H. S., Kim, J. B., Kim, C. H., & Kim, M. S. (2021). Relationships Between Oral-Mucosal Pressure Ulcers, Mechanical Conditions, and Individual Susceptibility in Intubated Patients Under Intensive Care: A PCR-Based Observational Study. Biological research for nursing, 23(4), 557-567.
Kopuz, E., & Karaca, A. (2019). Evaluation of nurses’ knowledge about risk monitoring and risk prevention for pressure ulcers. Clinical and Experimental Health Sciences, 9(2), 157-165.
Biçer, E. K., Güçlüel, Y., Türker, M., Kepiçoglu, N. A., Sekerci, Y. G., & Say, A. (2019). Pressure ulcer prevalence, incidence, risk, clinical features, and outcomes among patients in a Turkish hospital: a cross-sectional, retrospective study. Wound Manag Prev, 65(2), 20-8.
Russell, J. (2018). Quality Improvement: Implementing a Pressure Ulcer Program in Long-Term Care (Doctoral dissertation, Grand Canyon University).
