Nurses Role in Preventing Pressure Ulcer 5927 Words Introduction Ulcer refers to an inflammatory and a blubbing laceration on the skin or on an internal mucosal surface of the body and it often results in necrosis of the tissue (McInnes & Cullum, 2011). Ulcer is also defined as a confined defect on the surface of an organ or tissue caused by sloughing of inflammatory necrotic tissue…
First, pressure ulcers (PRUs) are rather common medical conditions that have affected the patients for ages with ever increasing morbidity and mortality rates. For these reasons, pressure ulcers and their effects have prompted nurses to work tirelessly to address their detection, prevention, treatment and management (National Institute for Health and Care Excellence, 2013). Most importantly, that PRUs have metamorphosed into a national healthcare issue underscores the importance of its prevention to the nursing. The other reason this topic was chosen for this paper is that despite the tremendous efforts and strides made in other fields such as medicine, nursing care, surgery, and self-care education, pressure ulcers remain among the chief causes of morbidity and mortality for different types of illnesses (National Institute for Health and Care Excellence, 2013). The situation is particularly dire for people with prolonged immobility, weakened sensation and advanced age. This topic was also favoured by the need to aptly and effectively prevent and manage PRUs and the need for more research in the area of pressure ulcers with regards to their prevention, characterization and treatment. Unfortunately, more needs to be done with regards to caring for patients to prevent and treat pressure ulcer in hospitals. To this effect, the numerous guidelines available to professionals should be accessed and implemented. Generally, these guidelines pinpoint the various strategies of preventing and treating pressure ulcers. Among these areas are those of skin care and protection, positioning, use of pressure-relieving devices and nutrition (National Guideline Clearinghouse, 2006). Agreeably, keeping the skin clean, dry and moisturized is the first and an important preventive step. Other guidelines emphasise the avoidance of the massaging of bony prominences. Dry lubricants and/or other protective dressings such as transparent films and hydrocolloids are also recommended for use since they help avoid skin injury from friction during patient transferring and turning (National Guideline Clearinghouse, 2006). In addition, the use of skin protectants or incontinence skin barriers is recommended by experts (Allsop, 1995). Another skin-related intervention that comes highly recommended is the use of absorbent under-pads and undergarments to wick moisture away from the skin. The recommendations with regards to positioning and pressure-relieving devices include elevation of the head of the bed to about 30 degrees, the use of a 30-degree lateral lying position, use of trapeze bars to help with mobility, use of pillows or wedges to lessen pressure and the cushioning of high-risk areas such as the elbows, heels and sacrum (McInnes & Cullum, 2011). Others are emphasis on the need to avoid dragging or pulling patients and the use of lift sheets/equipment to reposition or transfer patients. According to the NICE, 2013, about half a million UK citizens develop at least one pressure ulcer yearly while the NHS reports that about one in twenty people admitted to hospitals with a sudden illness will develop a pressure ulcer. According to most media reports, pressure ulcers not only inflict severe harm to patients but also cost the NHS billions of pounds each year to treat (Manfred, 2005). Nevertheless, the majority of pressure ulcer cases could be prevented via rather ...
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Management of Pressure Ulcers among Chronic Care Patients
Pressure ulcers are one of the most common issues among chronic care adult patients. These pressure ulcers mostly arise from the limited mobility of the patient, owing to a variety of medical conditions including stroke, fractures, spinal injury, and similar physically debilitating diseases.
Depending on the nature of the pressure ulcer, common treatments include relieving pressure, restoring circulation, and resolution or management of related disorders. However, prevention still remains as the most potent intervention which significantly reduces the chances of undergoing excruciating long-term therapy.
The paper evaluates the role of nutritional diets for such patients who suffer from chronic wounds. The research takes into account the factors that either impede or foster wound healing during the various phases of wound management. The paper identifies the potential nutritional needs of the older population in U.K who are found to be extremely vulnerable towards chronic wounds.
Vancomycin was isolated from Amycolatopsis orientalis. The emergence of multi-drug resistant strains of bacteria in the 1960s led to widespread research in antibiotics that could be effective against drug resistant strains.
The word count is: Signature: Student’s name: Elmira Mah Date: 15/5/2013 Acknowledgements I will like to acknowledge the support and encouragement given to me from a number of people throughout this dissertation process. I will first of all start by thanking God for giving me the strength and good health to sail through this dissertation process.
Although CDD is also responsible for nosocomial outbursts of diarrhoea as well as colitis, antibiotic associated diarrhoea (ADD) is partially featured as inconsistency of intestinal microflora. The spread of Clostridium infection and its prevention is the major concern to check amplification of nosocomial infections, as most of the out breaks are accredited to Cl.
Patients with limited mobility are provided with mattress overlays and replacement mattresses to reduce the chance of developing pressure ulcers.A study was conducted to determine the effectiveness of replacement mattresses and mattress overlay in preventing ulcers,affecting the healing process, and patient acceptability.
This type of research is ongoing. White, et al (2004) describes that impact of unrelieved patients on nurses is quite depressive. So support mechanism is very much important. So to deal with such challenges adequate training and education, peer supports are required.
The study concluded that aggressive treatment used in Orsett Clinic showed a significant improvement in metabolic parameter results of the patients. Lowering of HbA1c, total cholesterol, blood pressure and grade ulcer level demonstrated a remarkable improvement among diabetic patients after discharge.
Moore & Cowman (2010) stated that the risk assessment tool is a routine part of assessing individual risk for developing the pressure ulcer. The study aimed to determine whether using structured, systematic pressure risk assessment tools reduces the incidence of pressure ulcers in any healthcare setting.
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