Pressure Ulcer Research Paper

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Hello Professor Chapman, and class.

1. How do pressure ulcers form? What are the main risk factors that lead to developing decubitus ulcers (pressure ulcers or bed sores)?

Answer: "Pressure ulcers, formerly called bedsores or decubitus ulcers, develop from continuous pressure that impedes capillary blood flow to skin and underlying tissue. Several factors contribute to the formation of pressure ulcers, but impaired mobility and urinary incontinence are key" (Mahan, L., Escott-Stump, S., Raymond, J., & Krause, M.,2012). In addition, "paralysis, incontinence, sensory losses, and rigidity can all contribute to the problem. Notably malnutrition (inadequate protein) and undernutrition (inadequate energy intake) set the stage for its development and can delay wound healing. The escalating chronic nature of pressure ulcers in bed-ridden or sedentary elderly requires vigilant attention to nutrition" (Mahan, L., …show more content…

Some nursing care protocols I have witnessed, while working in the ER are nurses using pillows to prop their patient to a upright position, while elevating the feet with a hospital wedge in between bony prone areas of the body. In addition, I have witnessed nurses manage the moisture build up on their patients body, due to perspiration and clean all soiled areas of the body immediately. It states, in our course textbook that , "nutrition recommendations for the treatment of pressure ulcers are as follows (Doley, 2010; Thomas, 2009): •Optimize protein intake with a goal of 1.25 to 2 g/kg/day. •Meet calorie requirements at 30-40 kcal/kg/day. •Assess the effect of medications on wound healing and supplement if indicated. •Replace micronutrients if depleted—routine supplementation is not warranted" (Mahan, L., Escott-Stump, S., Raymond, J., & Krause,

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