This assignment is about the critique and evaluation of the Evidence-Based Guidelines for Preventing; Ventilator-Associated Pneumonia bundled strategies by OKeefe-McCarthy, S., Santiago, C., & Lau, G. (2008) and its findings. Some of the issues are discussed under the…
It was intended to identify the following issues at this moment divided into general objective and specific objectives under such subheadings.
There exist modifiable and non-modifiable risk factors in addition to other factors contributing to the prevalence of Ventilated-Associated Pneumonia with modifiable risk factors being; education of personnel, surveillance and reporting, transmission prevention, and modification of host risks. It was realized that education of personnel regarding the ventilator-associated pneumonia reduction strategies reduces the incidence of the same (Coffin, 2008). It was found out that Surveillance and reporting of ventilator-associated pneumonia to certain extend help to track and identify the major causes of Ventilated-Associated Pneumonia.
Vaccinations of all healthcare workers and high-risk peoples in the community is a priority in the prevention of community-acquired and healthcare-acquired pneumonias especially after it was realized that the prevention of transmission of pneumonia from person-to-person is a major modifiable risk factor that could be achieved by proper hand-washing and use of gloves and gowns.
Modification of host risks was also found to reduce Ventilator-Associated Pneumonia. This includes; increasing host defenses against infection and prevention of aspiration, as well as the use of noninvasive positive-pressure ventilation. The latter was also found to help in reducing the incidence of Ventilator-Associated Pneumonia. It was also found that an oral intubation route is preferred over nasal intubation to prevent sinusitis and decrease the risk of contracting in most hospitals (OKeefe-McCarthy, 2008). Supporting and maintaining a patients head-of-bed angles at 30 to 45 degrees or higher could be a good preventative strategy against aspiration of gastric contents. This plus the use of turning or ...
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