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Nurses' perception of a pressure ulcer
Nurses' perception of a pressure ulcer
Nurses' perception of a pressure ulcer
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Introduction
For many hundreds of years, pressure sores have been recognized clinically. Throughout this time different pedagogies have been explicated to prevent patients from developing pressure sores (R. J. G. Halfens & M. Eggink 1995). What is more, less is known about the effectiveness of these methods. On account of this observation the author opted to recapitulate the fundamental care of preventing pressure sores among high risk individuals in a nursing home setting.
Search Strategies
The search strategies to be utilized in completing this essay will be first and foremost choosing a certain topic from the list of action plan presented.
The writer will select the topic, Basic Nursing Care in Pressure Sore Prevention as a learning need to cope with placement demands. Keywords like “nursing care”, “pressure sore”, “bedsore”, and” prevention” are to be highlighted. Appropriate databases will be determined. For this topic, PubMed, CINAHL Plus. Google Scholar would be suitable. The option of finding other informative sources such as RCT’s, review studies and guidelines is highly expected, until sufficient data are gathered. This paperwork will set significant limits for searching databases in this case Boolean Operators “and”, “a” and “or”. Truncation for the word “nurse” and “care” will also be an option. English language will be exploited for the entire essay.
Pressure sores have perturbed the nursing profession for many years as a major health care inconvenience in terms of a patient's suffering (Wurster 2007). Also called decubitus ulcers or bed sores,it contribute to a big problem in hospitals, and in the nursing homes as well. Bedsores can appear in areas of the skin which is directly being subjected to pr...
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...ing methods in preventing pressure sores in Dutch hospitals. International Journal of Nursing Studies Volume 32, Issue 1, Pages 16-26 : Jannetti Publications, Inc
Nettina, Sandra M. (2009). The Lippincott Manual of Nursing Practice. 7th Ed. Lippincott, Williams and Wilkins.
Pressure Ulcer Prevention and Management Guideline. (2000) Consortium for Spinal Cord Medicine. Pressure ulcer prevention and treatment following spinal cord injury: A clinical practice guideline for health care professionals. Paralyzed Veterans of America; Washington (DC)
Siribaddana P. (2009). Bedsores: Treatment and prevention, from http://www.helium.com/items/1598703-how-to-prevent-bedsores-or-bedsore-treatment-and-prevention
Wurster J (2007) Role Nurse Leaders Can Play in Reducing the Incidence of Pressure Sores: Addressing a Complex Issue. Nursing Economy 25(5), 267-269
Practice. In P. A. Potter, & A. G. (7th ed.) Perry, Fundamentals of Nursing (pp. 215-324). Saint Louis MO: Mosby-Elsevier.
Risk assessment scales have been in situ for over 50 years within the adult sector. These scales consist of several categories, which are thought to be associated with the potential occurrence of a pressure ulcer. Factors such as mobility and incontinence etc. are considered. Each category of the assessment is added up to give a total. The score then suggests whether a patient is at low, medium or high risk of developing a pressure ulcer. Higher-risk patients are therefore more susceptible to develop pressure ulcers and interventions are implemented such as, Air mattresses or nutritional support which is hoped to reduce the occurrence of pressure
...ssure ulcers can be preventable if there is a systemic and multi-professional approach to their prevention and continuing assessment of skin integrity. Mary was determined and worked well with the physiotherapist; she was up and on her feet within a week of returning. Staff had to prompt her to move around the ward, which at times was hard for her due to her anxiety. Mary was deemed high risk for falls, so was put on a prevention of falls chart in conjunction with the pressure area chart and repositioning chart.
For this practice guideline, the original development panel of six members included; a Chief Nursing Officer, Charge Nurse, Clinical Nurse Specialist, Clinical Practice Facilitator, a Professor from a School of Nursing, and an Education Coordinator. The revision panel members included; a Chief of Nursing & Professional Practice, an Assistant Lecturer from York University, a Clinical Nurse Specialist, Clinical Practice Facilitator, a Nursing Professional Development Educator, an Internist/Geriatrici...
Taylor, C. (2011). Introduction to Nursing. Fundamentals of nursing: the art and science of nursing care (7th ed.). Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins.
It will seek to demonstrate the appropriateness in supporting the patient and their family, whilst reflecting upon personal experience, and how literature may influence the healing effectiveness. The factors that enhance and inhibit the learning environment will be explored and suggested techniques to improve clinical learning will also be discussed. Finally the nurse-patient learning relationship will be explored along with the application of teaching and learning strategies will be examined.
I gave comfort care educations for patient’s family. I taught patient and family how to reposition in order to prevent pressure ulcer. In addition, I taught them the benefit of placing pillows behind the patient 's back so that he stays in position and also placing a pillow between the legs to prevent friction. In addition, I show them how to put elbow and heel protection.
The aim of the Healthcare Quality Strategy (HQS) is to deliver excellent healthcare to the citizens of Scotland and brand NHS Scotland as a world leading care provider (Scottish Government, 2010). An improvement intervention examined in the HQS is the prevention of pressure ulcers (PUs). Using the Gibbs (1988) framework, this essay will demonstrate how I was involved in this intervention by applying my skills of compassion, person-centred care and teamwork. I have chosen PU prevention as the subject for this reflection; since, the majority of PUs are preventable (Watret and Middler, 2012) and the cost of treating them ranges from £1,214 to £14,108 (Dealey, Posnett and Walker, 2012). Supporting the Nursing and Midwifery Council (NMC) (2011) confidentiality guidelines, the pseudonym “Ruby” has been used.
Nursing/Academic Edition. Web. The Web. The Web. 01 Apr 2014.
Patient safety is a large concern for practices, nurses and doctors. There are many tasks and precautions that can be taken to prevent accidents in the work place, whether it involves patients or not. Florence Nightingale once said “The very first canon of nursing, the first and last thing on which a nurse’s attention must be fixed is to keep the air within as pure as the air without”. This quote is argued to be an analogy for keeping the patient safe and to return them to the same condition as before they fell ill. Patient safety is one of many top priorities in a nurse’s creed, right next to caring for the patient and returning them to proper health. It is the nurse’s responsibility to keep the patient as comfortable as possible. This has
Dougherty, L. & Lister, s. (2006) ‘The Royal Marsden Hospital manual of Clinical Nursing Procedures: Communication 6th Edition Oxford: Blackwell Publishing Ltd
As an ICU nurse I constantly watch how patients develop pressure ulcers, a pressure ulcer is an area of skin that breaks down due to having constant friction and pressure, also from having limited movement and being in the same position over a prolonged period of time. Pressure Ulcers commonly occur in the buttocks, elbows, knees, back, shoulders, hips, heels, back of head, ankles and any other area with bony prominences. According to Cox, J. (2011) “Pressure ulcers are one of the most underrated conditions in critically ill patients. Despite the introduction of clinical practice guidelines and advances in medical technology, the prevalence of pressure ulcers in hospitalized patients continues to escalate” (p. 364). Patients with critical conditions have many factors that affect their mobility and therefore predispose them to developing pressure ulcers. This issue is significant to the nursing practice because nurses are the main care givers of these patients and are the ones responsible for the prevention of pressure ulcers in patients. Nurses should be aware of the tools and resources available and know the different techniques in providing care for the prevention of such. The purpose of this paper is to identify possible research questions that relate to the development of pressure ulcers in ICU patients and in the end generate a research question using the PICO model. “The PICO framework and its variations were developed to answer health related questions” (Davies, K., 2011).
Quality improvement issues in healthcare focus on the care that patients receive and the outcomes that patients experience. Nurses play a major advocacy role for ensuring safe and quality care to all patients. Also, nurses share the responsibility in leading the efforts in improving patient care in all settings (Berwick, 2002). One of the ongoing problems plaguing hospitals and nursing homes is the development of new pressure ulcers in patients after admission. A pressure ulcer can be defined as a localized area of necrotic tissue that is likely to occur after soft tissue is compressed between a bony prominence and a surface for prolonged periods of time (Andrychuk, 1998). According to the Centers for Medicare and Medicaid, patients should never develop pressure ulcers while under the supervision of any medical institution because they are totally preventable (Berwick, 2002). The purpose of this paper is to discuss the problems associated with pressure ulcers, examine the progress on improving this specific issue, and explain the Plan, Do, Study, Act cycle that I would use to improve patient care in this area.
O’Brien, B. L., Anslow, R. M., Begay, W., Pereira, S. A., & Sullivan, M. P. (47-57). Fall. Nursing Administration Quarterly, 26(5), 47-57.
Potter, P. A., & Perry, A. G. (2009). Fundamentals of nursing (Seventh ed.). St. Louis, Mo.: Mosby Elsevier.