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Impact of implementing clinical practice guidelines to prevent pressure ulcers - Literature review Example

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Impact of implementing clinical practice guidelines to prevent pressure ulcers

The paper tells that over the years, researches and similar works have recognised the ill effects of extended immobility. In fact, Clavet, et al. found that immobility leads to skeletal degeneration, while Smorawiński, et al. found that immobility causes oxygenation problem. In addition, Paddon-Jones, et al. revealed that patients who stay bedridden for a long period of time experience loss of muscle mass, the severity of which depends on the length of immobility. Still, among the most adverse effects of immobility is the development of pressure or decubitus ulcers. Pressure ulcers are usually caused by the shearing effects of friction against the skin surface constantly in contact with the bed or mattress. They are a major concern for healthcare professionals because of their impact on the patient, the costs and challenges they present to the healthcare delivery system, and because of their prevalence and severity. Indeed, in the United States alone, around one million individuals develop pressure ulcers. Bedsores are also most commonly found in elderly individuals, both in hospitals and nursing homes or similar institutions. According to Park-Lee and Caffrey, 11 percent of nursing home residents (or 159,000 patients) developed pressure ulcers in 2004. Patients who are around 64 years of age are more prone to developing pressure ulcers, the most common of which is Stage 2 bedsores. Moreover, in terms of severity, the same authors noted that pressure ulcers have been observed as the direct cause of death in around eight percent of paraplegic patients. ...Show more

Summary

This paper will explore different implementing clinical guidelines for pressure ulcer prevention and treatment, as well as the impacts of these guidelines. In addition, this paper will also present some of the methodological issues of the studies reviewed…
Author : jrosenbaum
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