This essay presents a rapid appraisal of articles about treating and preventing pressure ulcers. The writer aims to address a two-fold objective to wit: to summarize the articles; and to identify the different research elements such as design, methods, population, strengths, and limitations…
The original review found no studies that would meet the inclusion criteria and that there was no statistically significant difference among groups in terms of pressure ulcer incidence. Further evaluation and studies need to be conducted regarding the effectiveness of risk assessment tools.
The randomized controlled trial was utilized as the design of the study. Methods include were the Braden pressure ulcer risk assessment tool and training, unstructured risk assessment and training, and unstructured risk assessment alone. The population included 256 people randomized by ward into three groups. The strengths of the study included the focus made on resolving biases such as sequence generation, allocation concealment, blinding, incomplete outcome data, selective outcome reporting, and extreme baseline imbalance. Limitations of the study include methodological limitations that prevent firm conclusions and unavailability of high-quality RCT evidence.
The article of Jaul (2010) discussed the pathogenesis of pressure ulcer development in the elderly (p. 311). Elderly were assessed in terms of comorbidities, risk factor, and management of pressure ulcers.The review found out the pressure ulcers were common problems of elderly in all types of healthcare settings. Immobility, nutritional deficiency, chronic diseases, and multisystem dysfunction predispose the elderly to the development of pressure ulcers. Factors related to the overall health status of the patients and the management done by health care practitioners affect the development and treatment of pressure ulcers.
The article is primarily a review; no research design stated. Methods employed were the review of literature and studies. There was no specific population stated but elderly in general. The vast majority of literature and studies were the strengths of the article. Limitations focused only on review of the risk factor, wound, pathogenesis, and management of pressure ulcers. ...
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On the other hand, pressure ulcer refers to an area of unrelieved pressure on a specific area, which results in ischemia, cell death and tissue necrosis (National Institute for Health and Care Excellence, 2013). There are several reasons pressure ulcer is the topic of choice for this paper.
According to the CMS, a patient who has a hospital acquired condition cannot be billed for any additional amounts nor can Medicare pay for such additional amounts, for any condition that has been acquired from the hospital (US HHS 2012). 2. Is the condition you selected always preventable?
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.
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.
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.
Pressure ulcers among elderly hospital patients diminish quality of life and increase the cost of hospital care. The development of ulcers on heel area is a serious problem, requiring lengthy hospital stays and periods of disability, and often leads to lower limb amputation.
It normally begins as redness of the skin and then forma a blister and later an open sore. Finally it becomes a crater.
Areas where the bones are close to the skin are most likely places to develop these ulcers. Patients on wheel chair or bedridden, either temporarily or permanently, are at risk of developing pressure ulcers.
o Polit and Hunger (1999; cited in Melnyk et al, 2000), "research utilization is the use of some portion of research in practice that is similar to the manner in which it was used in the original study.” Research has shown that following certain strategies to prevent and
As the disease is identified to be very painful, and in some cases, it is difficult to treat, it is extremely important that the approach taken to treat pressure ulcers include prevention, early detection, and intensive and proper skin care. The patients at risk must receive proper skin care if the occurrence of pressure ulcers is to be curtailed.
However, there are cases wherein nurses could face some ethical dilemma during practice. For instance, when handling a patient who is a minor or one that has severe dementia, some nurses may find it difficult to
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