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Evidence Based Practice - Article Example

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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…
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Evidence Based Practice
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Evidence Based Practice

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 ... Read More
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