The Clinical Issue and Research Questions Developed Using PICOT

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The Clinical Issue and Research Question Developed Using PICOT: Pressure injury prevention.

Eliane NShirimbere

West Coast University

NUR 350: Research in Nursing

Professor Melissa Soileau

04/23/2023

Introduction

Over the past few years, wound pressure injuries have been referred to under various titles. Formerly known as pressure ulcers, decubitus ulcers, or bed sores, these wounds are now more generally called pressure injuries. They were called bed sores in the past (Haavisto et al., 2022). A pressure injury can cause damage and severe complication, so it is crucial to prevent it for patients’ safety.

Description

This paper will discuss why protecting older people with restricted mobility from developing pressure injuries is crucial. Patients of advanced age who are bedridden throughout their hospital stay or long-term facilities are at increased risk for developing pressure injuries. Ulcers can slow a person's effective recovery and cause pain and infections. Persistent pressure injuries may cause emotional problems in some patients . Some measures must be considered to protect and ensure the safety of the patients.

Background information

Pressure injuries refer to the breakdown of the skin's integrity due to certain types of pressure that are not released. This may occur when a bony part of the body sustains pressure injury due to coming into touch with an external surface. These wounds are the result of many different mechanisms and etiologies, and they result in the disruption of the typical structure and function of the skin and the surrounding soft tissue. Pressure damage can happen because of several internal and external risk factors: infection and chronic diseases such as diabetes. Also, Aging, immobility, deficiency in nutrition, hypoxia, friction, long-term use of the device, and decreased mental health awareness might affect wound healing. Moisture also contributes to skin injuries typically caused by urinary incontinence (Cahill, 2020).

The primary prevention strategy for preventing pressure injury begins with nurses.

This means successful pressure injury prevention indicates the quality of nursing care (De Oliveira, 2020). Nurses are responsible for assessing patients with pressure injuries, taking care of them by repositioning them, and ensuring they are clean and dry.

Significance of the topic to nursing

Preventing pressure injuries is crucial to nursing; Avoiding life-threatening consequences requires pressure ulcer prevention and treatment. While the entire clinical team is involved in preventing pressure injuries, the nurses typically take the lead. The occurrence of a preventable pressure injury is a severe breach of patient safety that should not be ignored as a measure of the quality of nursing care provided (De Oliveira et al., 2020). Patients should be central to all assessments and interventions for pressure injury prevention and treatment. In addition, preventing pressure is injury is crucial to nursing; it is one of their main duties. Nurses' responsibilities include managing pain and symptoms and ensuring patients are comfortable.

PICOT Question

In intensive care unit patients(P), do skin cleaning and hydration of dry skin ( I) compared to performing the patient repositioning with non-invasive ventilation (C) prevent pressure injury (O)?

Conclusion

Preventing pressure injuries is crucial since they reflect patient care and can cause some complications. Pressure injuries can impede functional recovery, lead to discomfort and infection, and lengthen patients’ time in the hospital. A pressure injury is associated with a bad prognosis and has the potential to hasten the death of some individuals.

References

Cahill, Thomas J. (2020). “Pressure injuries and the RT: What Is Our Role?” AARCTimesJanuary1com.westcoastuniversity.idm.oclc.org/login.aspx?direct=true&db cul&AN=141424162&site=ehost-live.

De Oliveira Rebouças, R., de Brito Belchior, A., Barbosa Marques, A. D., Vieira Figueiredo, S., Fontenele Lima de Carvalho, R. E., & Paz de Oliveira, S. K. (2020). Quality of care in an intensive care unit to prevent pressure injuries. Revista Estima, 18, 1–9. https://doi org.westcoastuniversity.idm.oclc.org/10.30886/estima.v18.947_IN

Haavisto, E., Kielo-Viljamaa, E., Hjerppe, A., Pukka, P. Ms., & Stolt, M. (2022). Consistent practices in pressure injury prevention at long-term care facilities. Advances in skin & wound Care, 35(3), 1–10. https://doiorg.westcoastuniversity.idm.oclc.org/10.1097/01.ASW.0000818576.93870.40