It is the health care professional who is entrusted with the assessment of risk of pressure ulcers in a person, usually suffering from some health issue where the patient is bedridden, or in the elderly population with decreased mobility. Although ulcers can be prevented using aggressive measures, it is found to be having a “floor effect” with the probability of another ulcer developing in the same area. Strategies for prevention include assessment for risks of developing pressure ulcers in outpatients or inpatients. Perry et al. (2010) have discussed the prevention and treatment protocols for outpatients and inpatients that offer recommendations for assessment, prevention and treatment on a continuous basis. While a list of questions are used to assess risk for outpatients, risk assessment among inpatients uses standard tools like the Braden (Q) Scale, Norton Scale or the Waterlow Scale (EPUAP & NPUAP, 2009). Braden Scale for Predicting Pressure Sore Risk (Braden Scale) Braden Scale is the most widely used risk assessment tool for pressure ulcer development and is found to be an enhancement of the Norton Scale and is used as a general tool for predicting pressure sore risks on four different scales based on six factors. The six factors or sub-scales include: sensory perception, activity, mobility, skin moisture, friction, and nutrition. The scores of Braden Scale assessment determine the level of risk of development of pressure ulcer in inpatients, and this scale provides a systematic and quantitative risk assessment aiding interdisciplinary team communication for effective prevention and treatment by the health care professionals (Reilly et al., 2007). Figure 1 below represents the Braden Scale factors: Figure 1: Braden Scale factors. Source: (Reilly et al., 2007). It is seen that a risk factor score of
Pressure Ulcer Prevention: Risk assessment tool/s used by nurses in preventing pressure ulcer in the hospital Pressure ulcer and strategies for assessment Pressure ulcers lead to morbidity and often mortality, and health care professionals need to follow specific guidelines to prevent and treat pressure ulcers…
After three days of admission, the patient developed a Grade 2 pressure ulcer at his sacral area. This student has chosen the case to discuss because pressure ulcers are a common problem for patients who have suffered orthopaedic affectations mostly because of their poor mobility during the confinement.
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.
Frequent Repositioning May Not Always Be Effective To Prevent Pressure Ulcer Pressure ulcer prevention is important among elderly and patients in the intensive care settings. Elderly patients and those requiring intensive care usually suffered from pressure ulcers, the most common complication of immobility which lead to substantial pain and suffering, increase hospital costs.
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).
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.
The review should consider the resources required to implement the recommendations, the people and processes involved, and the timeline over which full implementation is envisaged. It is in the interests of patients that the implementation timeline is as rapid as possible.
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.
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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