APA , Nursing
Nursing – The Problem of Pressure Ulcers and Solutions
By: Vannelyn Oriel
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Solution to Pressure Ulcers
Resolving the problem of pressure ulcers can be complex for nurses and patients.
One of the most effective way of resolving the problem of pressure ulcers is integrating a wider interprofessional team (IPT) technique.
IPT technique would provide a platform where nurses, dermatologists, clinicians among other healthcare professionals can
Interprofessional team (ITP) technique is one of the most effective and efficient solutions to pressure ulcers.
However, ITP technique has been ignored for many years.
Evidence-based research based on ITP technique need to be accelerated
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Intended outcome of ITP technique
The interprofessional approach aimed at resolving pressure ulcers would be effective in improving current practice or knowledge and attitudes towards diagnosing, treating, managing and preventing pressure ulcers.
In most cases, ,many healthcare professionals have unsatisfactory levels of knowledge and attitudes regarding how to prevent pressure ulcers.
For many years, pressure ulcers have been regarded as nursing issues which should not be the case.
Pressure ulcers should be viewed from an interprofessional point of view and not via nursing alone.
ITP outcomes
Preventing pressure ulcers
Treating and managing pressure ulcers.
Improved morale and productivity of healthcare professionals.
Improved efficiency of the overall healthcare system.
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Description of Implementation Plan
Nurses should have to start by embracing the identity and input of other healthcare professionals such as dermatologists, pharmacists, and clinician diagnosing, treating, managing and preventing pressure ulcers.
Secondly, under the interprofessional (ITP) technique, all the healthcare professionals would have to share their assessments regarding patients with pressure ulcers.
Consequently, this will aid in identifying common goals for preventing pressure ulcers.
Implementation Plan
Embracing identity.
Sharing of patient assessments concerning patients with pressure ulcers.
Developing common goals for preventing pressure ulcers.
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Responsibility and Outcomes
In this scenario, pharmacists will be responsible for providing patient-self management strategies for pressure ulcers.
Pharmacists will provide personalized medicine for patients with pressure ulcers.
Education and drug information relation to treating pressure ulcers will be done by pharmacists.
All these will combine to help patient with pressure ulcers achieve desirable health outcomes in the long run.
Generally, nurses, pharmacists, dermatologists and clinicians among other health professionals can together develop a collaborative medication therapy management for patients with pressure ulcers.
It will help improve their knowledge and attitudes towards achieving desirable patient outcomes.
ITP technique leads to;
Personalized treatment for patients with pressure ulcers.
Improved knowledge and skills regarding diagnosis, treatment, prevention and management of pressure ulcers.
Overall, a collaborative medication therapy management system will be developed to help patients with pressure ulcers.
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Time Frame
2023
| Time Frame for Implementation of ITP approach | Tasks |
| Jul-18-2023 | Holding an inter-professional meeting and informing all health professionals of the intended ITP approach and providing an overview of its outcomes based on pressure ulcers |
| Aug-18-2023 | Providing training through workshops on how various healthcare professionals can collaborate in diagnosing, treating, managing and preventing pressure ulcers. |
| Nov-18-2023 | Implementing a pilot program on the ITP model. |
| Dec-18-2023 | Assessment of the project outcomes and determining way forward. |
Importance of time frame
Helps healthcare professionals effectively organize the work that needs to be done.
Aids in analyzing pattern of the ITP technique to establish its viability.
Establishing the ITP technique milestones in treating and preventing pressure ulcers.
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Potential Setbacks
Inadequate financial resources to hold training workshops to familiarize healthcare professionals on the interprofessional approach.
Time constraints.
Lack of communication among different healthcare professionals.
Lack of clear goals and success assessment criteria.
Overambitious plan
There will always be challenges when implementing the ITP plan
Limited time
Financial challenges
Being too overambitious with the plan
Poor communication.
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Risk Management Plan
The biggest risk for implementation of this ITP approach project is the lack of clarity since nurses, clinicians and dermatologists might not effectively understand their roles in preventing and managing pressure ulcers.
Secondly, it would be important to undertake qualitative analysis of the risks
Monitor the identified risks to ensure that their effects are mitigated.
Risk Management Plan aids in:
Knowledge of a contingency budget
Maximizing on benefits
Minimizing on costs
Increasing awareness regarding the project’s progress
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Tasks needed before taking any action
Communicating to the various healthcare professionals to enhance clarity regarding implementation of the ITP approach in preventing pressure ulcers among patients in hospitals.
Ensuring availability of resources such as finances.
Undertaking preliminary assessment of the project before implementation would be effective in identifying gaps and solving them.
Availability of enough healthcare professionals.
Pre-task analysis serves to:
Make healthcare professional be aware of the ITP technique to be implemented.
Reduce potential errors that might accrue in the project.
Increases quality of healthcare provided to patients.
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Budget Role
| Project Activity | Expected Budget | Actual Budget |
| 1. Planning for implementation of the ITP approach among healthcare professionals | $10,000 | _ |
| 2. Executing the ITP approach by for example facilitating training of healthcare professionals on how to achieve interprofessional collaboration in healthcare environment. | $40,000 | _ |
| 3. Controlling the implementation of the ITP approach | $5000 | _ |
| 4. Closing the project | $0 | $0 |
| Total project cost | $55,000 | _ |
The actual budget is zero since the ITP technique as a project has not been completed.
The total expected cost for implementing the ITP technique in a healthcare environment aimed at enhancing health of patients with pressure ulcers is $55,000.
However, the actual budget is unknown as it can be higher or lower than the expected budget.
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EBP Model
Based on EBP model, evidence show that there is limited interprofessional collaboration in treating and preventing pressure ulcers.
For example, the problem of pressure ulcers has always been a nursing issue only which should not be the case.
Additionally, many clinicians have limited knowledge and skills regarding pressure ulcers
EBP model would also take into account the patient’s wants and needs.
Findings from EBP Model
Limited interprofessional collaboration among health professionals.
Clinicians have limited knowledge and skills regarding pressure ulcers.
EBP model integrates the needs and wants of patients with pressure ulcer thus helping them achieve desirable health outcomes in the long run.
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Description of evaluation plan
In this case, the short-term outcome will be to explore and determine the knowledge and attitudes of healthcare professionals based on the interprofessional approach.
Questionnaires would be disseminated to the healthcare professionals via online.
The data will be analyzed using descriptive and inferential statistics.
Data collection
Use of questionnaires.
Descriptive and inferential statistics can be used to analyze the data.
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Description and evaluation plan
The long term outcome will be achieving desirable health outcomes among patients.
Pressure ulcers prevention presents a unique clinical challenge to every healthcare professional thus the need for interprofessional approach.
ITP integrates knowledge and experience from across the healthcare team thus effective prevention of pressure ulcers (Clarkson et al., 2019).
Interprofessional team approach is vital in combining knowledge, and skills of different healthcare professionals in achieving desirable health outcomes among patients with pressure ulcers.
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References
Clarkson, P., Worsley, P. R., Schoonhoven, L., & Bader, D. L. (2019). <p>An interprofessional approach to pressure ulcer prevention: A knowledge and attitudes evaluation</p>. Journal of Multidisciplinary Healthcare, 12, 377-386. https://doi.org/10.2147/jmdh.s195366