Local health communities should review their existing service provision for pressure ulcer risk assessment and prevention - including the use of pressure-relieving devices (beds, mattresses and overlays) for the prevention of pressure ulcers in primary and secondary care - as they develop their Local Delivery Plans…
This is important in the realm of health care, especially when the human aspect is involved in the context of nursing staff. The approach towards management of pressure ulcers is of utmost importance, as this is one of those medical conditions wherein the treatment circumstances greatly impact the final course of healing. This topic hence entails immense significance and needs to be understood in the context of real-time problems that exist within the treatment mechanism.
The research goes upfront with the hypothesis that the nursing care system can play a vital role in treatment of patients with pressure ulcers. This can largely be speculated due to the fact that it is both an internal and an external condition. Though the internal condition can be taken care of by medicines, the external one largely depends upon the physical environment that is available over there. This is important as this acts as a vector for the study, and gives it the needed direction on order to answer the research question.
The said topic was chosen because it gives a very nice converging point for a multitude of study areas, namely internal medicine, external health care, ancillary health services, nursing health care practices and physical atmospheric comforts in healthcare. An all-encompassing issue, this can give an overview about the issue and finally as to what can and is to be doe in the future on this subject. To investigate in detail the aforementioned reason, a number of recent researches on the topic were studied, to evaluate how is this issue being dealt with in real-time. Search engines of the Med-Line and BMJ were consulted for an all encompassing and international perspective on the issue, and the researches subsequently present a very thorough and diverse standing on the subject.
Listing of Relevant Literature
Following researches conducted on the said topic in the last decade are of significant mention:
"Pressure ulcers were once viewed as an inevitable consequence of being infirm and bed-ridden. As it has been recognized that this is not the case, pressure ulcers have come to be seen much more as an indicator of the quality of care provided, and are consequently high on the political and health agenda. This article provides an overview of the key aspects of pressure ulcer risk assessment and prevention drawn from a variety of national policy documents" (Stephen-Haynes, 2004).
"To study prevalence of pressure ulcers among functionally impaired patients in the community and evaluate risk factors associated with the development of pressure ulcers in these patients. Design. Cross-sectional, observational study. Community dwellers served by the Primary Health Care Area of Rincon de la Victoria in Malaga.Participants. All patients included in the Impaired Patient Programme (n=178). Prevalence of pressure ulcers in our Basic Health Area was 12.9%. The most important sociodemographic characteristic associated with the presence of pressure ulcers in these patients was the educational attainment of the caregiver. Health variables of the patient were also associated with the risk of developing ulcers. Results indicate the need of diagnostic protocols with standardised instruments and prevention plans to reduce pressure ulcers in the community. Longitudinal studies are needed to evaluate interventions in this area" (Galvez et al, 2002).
"This study aims to ...
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Pressure sores have remained a global health care program even to this day. There are several factors that contribute to the development of pressure sores. However, there is limited clarity on the exact influence of these factors on the development of pressure.
National Institute for Health and Clinical Excellence (NICE) guidelines is a part of National Health Society (NHS) in England and Wales which sets the guidelines on how to prevent or treat pressure ulcers. Similarly, there are several other reference clinical guidelines in other states that help assess the risk of developing pressure ulcers, diagnosis, treatment, care and self-help or a combination of all these practices.
EHR ensures a health facility easy access to and use of important data easily and faster during patient appointments. The program can provide effective assessment tools and management processes for pressure ulcer, which would be a dream in a paper-work system (Liang, 2007).
The study has initially identified risk factors: both systemic and local, which increases preponderance for the development of foot ulcers. Specifically, seven variables were noted to be directly associated with the development of foot ulcers, to wit: neuropathy, callus, deformity, elevated peak pressure, vascular disease, ill-fitting footwear.
Since these occur commonly in high-risk populations including elderly individuals and individuals with physical impairments, the nursing care is of utmost importance to prevent these. However, not infrequently, care fails to achieve standards and quality, and as a result pressure ulcers set in, and they interfere with the patients' functional recovery and are often complicated by pain and infection, and are among dreaded contributors of increased length of stay in the hospital, further threatening the outcomes, such that pressure ulcers indicate poor quality of care, poor overall prognosis, and chances of premature mortality in some of these high-risk patients.
So, there are various topics related to the work and placement of a nurse varying from department to department. However, there are some topics that have wider implications and serious challenges related
According to the paper despite the evidence-based pressure ulcer prevention protocols, patients still suffer serious problems. This results due to poor nursing practices especially where nurses fail to meet proper nursing guidelines, longer stay in hospitals, recruiting nurses with inadequate nursing skills and other issues. Preventing pressure ulcers is one of the key practices that have been for a long time carried out by nurses across the globe.
wer leg increases, it may cause fluid to seep out of the veins underneath the skin, causing swelling that damages the skin, which eventually breaks down forming and ulcer. The recurrence of an ulcer entails a break in the skin that persists for not less than six weeks and
Pressure ulcers results from pressure with a combination of friction and shear effects on the areas discussed. When pressure is applied on the soft tissues of the body, it obstructs blood flow on the soft tissues. Shear effects then
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