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Stage 2 mentor programme:Domain 7, evidence based practice : creat a resource which helps students to link evidence based theory with an aspect of practice they will commonly undertake in community/district nursing . Chosen practice is pressure ulcer - Essay Example

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A home care research found out a connection between greater risk of pressure ulcer and being bed-bound, overreliance, and urinary incontinent as contributing factors for stage one pressure ulcer development. For…
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Stage 2 mentor programme:Domain 7, evidence based practice : creat a resource which helps students to link evidence based theory with an aspect of practice they will commonly undertake in community/district nursing . Chosen practice is pressure ulcer

In the UK, the stated rates of prevalence are 22 percent in community nursing populations and roughly 32 percent in hospital population (Armstrong et al., 2008, p. 472).
Hence, pressure ulcer prevention should be prioritized by the National Health Service (NHS). Stage one pressure ulcers can be cured if diagnosed quickly, and majority of advanced stage ulcers can be cured with proper care (Armstrong et al., 2008), yet everything needs an interdisciplinary and evidence-based model of pressure ulcer prevention and management. This essay discusses evidence-based practice in the prevention of pressure ulcers within the context of community nursing. Special attention is given to the areas of nutrition and hydration; skin check, and incontinence.
Pressure ulcers are a major issue in health care sectors across the globe. Pressure ulcer is defined by the National Pressure Ulcer Advisory Panel (NPUAP) as “a localized injury to the skin and/or underlying tissue usually over a bony prominent, as a result of pressure, or pressure in combination with shear and/or friction” (Sarabahi & Tiwari, 2012, p. 283). Majority of pressure ulcers are located on the sacrum and heels. For hospitalized patients, besides sacrum and heels, elbows were a usual location of ulcers; majority of ulcers took place within a two weeks of death. Pressure ulcers are related to complications such as emotional and financial costs, greater duration of stay, sepsis, osteomyelitis, and cellulitis.
Pressure ulcers develop from the duration and extent of pressure and tissue tolerance (Touhy et al., 2013). Lack of mobility as observed in chair- or bed-bound patients, weakened capacity to react to one’s environment, defective cognitive capability, friable skin, and undernourishment are several of the leading known risk factors for pressure ulcers (Sarabahi & Tiwari, 2012). Hence it is vital ... Read More
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