Evidence based research identifies practices for prevention and management of pressure ulcers that complement and support the institution’s recommendations. Continuous Bedside Pressure Mapping (CBPM) offers a basis for detecting pressures at different parts of a patient’s body and therefore helps to relocate the patient to offload pressure from the areas (Behrendt, Ghaznavi, Manhan, Craft, & Siddiqui, 2014). The authors established that CBPM reduces patients’ risk of developing pressure ulcers. In an experimental design, results reported 0.9 percent chance of developing pressure ulcers under CBPM and 4.8 percent chance without application of CBPM. The evidence identifies the guidelines’ objective for prevention and management of pressure ulcers but with inefficiency. While the guidelines identify need for repositioning in order to alleviate pressure, it fails to provide an approach for accurate determination of pressure levels for positioning. This means that according to the guidelines, positioning may be done when pressure is less than the threshold for causing or worsening pressure ulcers. Similarly, pressure at some point may exceed the threshold level but may not be detected for repositioning.
The discrepancy between the guidelines and practice suggest inefficiency in prevention of pressure ulcers, under the guidelines, and this can be inferred to management. Nurses can resolve this by using technology to identify real time pressure at different points of a patient’s body. With such an approach, repositioning can be effective in preventing pressure ulcers and in offloading pressure from affected regions to facilitate recovery. In addition to accurate monitoring of pressure, nurses can also collaborate with physicians and surgeons to promote surgical intervention for management of pressure ulcers (Giaquinto-Cilliers, 2014). This can facilitate ...
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