The author of this essay "Frequent Manual Repositioning and Incidence of Pressure Ulcers" touches upon the problem of Pressure ulcers. It is mentioned that Pressure ulcer prevention is important for elderly and patients in the intensive care settings. …
Longer hospital stays and costs, as well as the substantial pain and suffering on the part of the patient, can be reduced if the focus will be given to preventing pressure ulcers. Frantz, Tang & Titler (2004) stated in their article that the Agency for Healthcare Research and Quality (AHRQ) conducted a literature review in the summer of 1990 and found out that the incidence of pressure ulcers range from 2.7%to 29.5%, 9% of it occur in general population while 66% occur in high risk populations.Based on the results of the statistics, the population at relative high risks for pressure ulcers are more likely to have more incidences of the case.Thus, bedbound patients are at high risks for developing pressure ulcers. Learning the susceptibility of a population to develop pressure ulcers, a number of preventive measures including international and clinical guidelines for pressure ulcer prevention have been recommended; among of which include frequent repositioning of patients with limited mobility. Although repositioning is an accepted and a standard guideline for pressure ulcer prevention, there are limited evidence and studies that would support the effectiveness of repositioning in reducing the incidences of pressure ulcers (Rich et al., 2011, 11). In addition, studies suggest that repositioning should depend on the level of tissue injury or stages of pressure ulcers. Therefore, before accepting repositioning as a standard practice at a national level, guidelines about the appropriate assessment tool to use and the correct number and duration of turns in repositioning must be well-established to render effective and cost-reducing prevention as the Centers for Medicare and Medicaid Services no longer reimburses hospitals for treatment of hospital-acquired stage 3 and 4 pressure ulcers due to the reason that pressure ulcer can be prevented by using the current evidence-based practice guidelines (Cox, 2011, 365). Early studies about preventing pressure ulcers through repositioning correlate to the number of movements of elderly at night. Hampton (2009) stated that an elderly make 20-40 full turns with small position changes every 5–10 minutes at night (p. 65). This should be a number of movements an elderly should do in order to prevent pressure ulcers; however, the number of turns is not applicable to bedbound patients as it only applies to healthy adults. Then on, subsequent studies focus on the duration of pressure as the most important indicator of pressure ulcer susceptibility until repositioning every two hours develop and become a ritual practice. Repositioning the patient regularly is proven to reduce the incidences of pressure ulcer, however, turning every two hours can increase the risk of shearing and friction leading to damaged tissues (Hampton, 2009, 65). Thus, turning every two hours could not be effective in preventing pressure ulcer because increased friction is also a contributing factor for pressure ulcer development. ...
Cite this document
(“Frequent Manual Repositioning and Incidence of Pressure Ulcers Essay”, n.d.)
Retrieved from https://studentshare.net/nursing/59895-frequent-repositioning-may-not-always-be-effective
(Frequent Manual Repositioning and Incidence of Pressure Ulcers Essay)
“Frequent Manual Repositioning and Incidence of Pressure Ulcers Essay”, n.d. https://studentshare.net/nursing/59895-frequent-repositioning-may-not-always-be-effective.
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.
According to the study conducted, Kaiser Permanente Medical Center is using the Braden scale for staging pressure ulcers when the client is admitted to the hospital and other pressure ulcer prevention and care strategies are already in place but there are no specific documentation guidelines customized for pressure ulcers in place in this healthcare facility.
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
5 Pages(1250 words)Essay
GOT A TRICKY QUESTION? RECEIVE AN ANSWER FROM STUDENTS LIKE YOU!
Let us find you another Essay on topic Frequent Manual Repositioning and Incidence of Pressure Ulcers for FREE!