OUTCOME AND ASSESSMENT INFORMATION SET DATA THAT PREDICT PRESSURE ULCER DEVELOPMENT IN OLDER ADULT HOME HEALTH Research Question What are the risk factors associated with pressure ulcer and how can the effects of the disease be minimized in older adults? Theoretical Framework Old age or ageing is seen by reviewers as a state of maturity associated with several health related issues that should be of great concern to health practitioners such as the nurse…
According to the American Geriatics Association (2005), “Pressure ulcers are areas of tissue damage that develop when the skin and soft tissues (eg, muscle) are squeezed between the bones and the surface that is in contact with the body, such as a mattress.” These ulcers occur around areas such as hip, heel and buttocks. Methods The results of the research by Bergquist-Beringer and Gajewski, which was conducted among 5395 non-hospice patients of 60 years or older showed that bowel incontinence, needing assistance with grooming, dependence in ability to dress the upper body, dependence in ability to dress the lower body, dependence in toileting, inability to transfer, being chairfast or bedfast, and the presence of a PrU on admission were positively associated with new PrU development (Bergquist-Beringer and Gajewski, 2011). The factors raised in the researcher were therefore concluded as the risk factors for pressure ulcers for patients in home healthcare. In a similar research conducted among 1711 nonhospice patients 60 years or older, Bergquist (2003) however came out with results that were not directly in line with the risk factors pointed out by the former researchers. Unlike the first researchers but not in sharp contrast to their results, Bergquist pointed to the risk factors for pressure ulcers for patients in home healthcare as Limitation in activity to bed, dependence in dressing, urinary incontinence, and needing assistance with transferring predicted Stage I pressure ulcer development (P ...
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254). The “bony prominence” areas where pressure ulcers usually form are the sacrum, coccyx, hips and heels. Older people have a tendency to develop pressure ulcers because skin constitution changes as one gets older becoming thinner with less collagen and with diminished capability to protect itself from the bacteria and the environment.
Substance abuse led many facilities and service providers to address the problem. Since early 2000, persons aged 55 and older had been found to have used illicit drugs and mostly were older adult men. Further, over 6 million had been reported to be alcohol users (“Substance Abuse Among,” 2001).
Braden scale evaluates the level of risk for getting pressure ulcers and those discovered to have or at risk of developing the ulcers are given preventive care. According to Braden (2009), the Braden scale consists of six subscales/areas that can be completed in one minute.
Effectiveness of Risk Assessment in Preventing Pressure Ulcer. The research question for the study will be: Does increased risk assessment and early detection reduce the prevalence of pressure ulcers in healthcare institutions? The independent variable is risk assessment and detection of ulcers while the independent variable is prevalence of ulcers.
According to the paper the basis of home-based care is the expense experienced in hospitals and the high risk of infection that patients face as opposed to home based care. As a result, there is a large preference to treat the condition in a home setting to stay clear of the above negative impact of hospital settings. In hospitals, patients undergo plenty of trauma or pain based on the equipment and degradation of one’s quality of life by having to stay still and experiencing equipment and reduced functionality.
Braden scale evaluates the level of risk for getting pressure ulcers and those discovered to have or at risk of developing the ulcers are given preventive care. According to Braden (2009), the Braden scale consists of six subscales/areas that can be completed
This begs the question why its nearly impossible to have a sustained pressure ulcer prevention in the geriatric patient. This research topic tends to settle down this question by determining the attitude and knowledge of nurses on geriatric