An astounding 2.5 million patients develop pressure ulcers, and 60,000 lose their lives as a result each year, according to the Agency for Healthcare Research and Quality. As a huge concern in the health industry, quality initiatives are a priority in decreasing the incidence of pressure ulcers in hospitals. One reason for the concern is that many units in hospitals are seeing an increased incidence of patients with limited or no mobility. With the already high critical care needs, moving patients can be highly dangerous, if it all possible. There are so many factors that play a role in helping a patient become healthy again. However there are set back and incidents do occur, and as a nursing student identified when finding undetached pressure ulcer on a patient.
On one occasion a nursing student that witnessed this issue at a large city hospital that is licensed for 546 beds, 40 bassinets, 1116 registered nurses and 1373 medical staff. The incidence occurred on an orthopedic inpatient care unit with 36 beds. The hospital is part of a larger healthcare system of clinics, hospitals, pharmacies, and specialty medical services. This health system is overseen by a Board of Directors, which monitors and manages strategies, operations, and performances. More importantly this leadership team would be head team to make sure policies, structures, and patient care is carried out.
The mission statement of the facilities according to their website is “[w]e serve our communities by providing exceptional care, as we prevent illness, restore health and provide comfort to all who entrust us with their care” (Anonymous, 2014). The vision for the facility according to Anonymous “ put the...
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...ate of skin. Thus, is it really a possibility to fully prevent pressure ulcers, and are the statistics not for ignorance but due to these advanced medical needs of patients. In any event the health and safety of the patient is the priority and preventing pressure ulcers will increase the likelihood of healthier outcomes.
However difficulty it may be to prevent pressure ulcers, there needs to be improvement in this area. If patients are to receive the best care, facilities and health professionals need to stand their values. There are steps being implemented to prevent the further increase in nosocomial pressure ulcers, but further research can provide ways to start dramatically decreasing the high rates. Looking into ways on how to better use medical equipment and devices can lead to improved outcomes for those patients who are in critically ill.
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- Pressure ulcers are a common but preventable problem in hospitals that can result in a substantial decrease in the quality of life. The Institute for Healthcare Improvement estimated that more than 2.5 million patients in the USA develop pressure ulcers each year resulting in almost 60,000 deaths. Between 2005 and 2007, hospital acquired pressure ulcers cost $2.4 billion and increased a patient’s length of stay by more than 4 days (Barker et al. 2013). Patients with very limited mobility on mental health units are at risk for developing pressure ulcers because of limited mobility, vasoactive medications, medical devices, and hemodynamic instability.... [tags: Risk, Risk assessment, Management]
1204 words (3.4 pages)
- Introduction Pressure ulcers are a significant problem in those with complex illnesses or injuries which require admission into the Intensive Care Unit (ICU). Many ICU patients suffer from pressure ulcers. According to Shahin, Dassen and Halfrens (2009) “patients in the ICU have a 50% higher chance of developing a pressure ulcer as compared to patients on any other unit in a facility” (p. 370). ICU registered nurses (R.N.s) blame the frequency of pressure ulcers on not having enough time to provide adequate care and the presence of machines and monitoring devices attached to patients, which restricts movement.... [tags: Critical Care Nursing]
1295 words (3.7 pages)
- 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).... [tags: improving patient care]
1407 words (4 pages)
- Introduction According to Shahin, Dassen and Halfrens (2009) “patients in the Intensive Care Unit (ICU) have a 50% higher chance of developing a pressure ulcer as compared to patients on any other unit in a facility” (para 1). Pressure ulcers are a significant problem in those with complex illnesses or injuries that require admission into the ICU. Upon observation in an ICU many of the patients suffer from pressure ulcers. Registered Nurses (R.N.’s) blame the frequency of pressure ulcers in the ICU on not having enough time and the many machines and monitoring devices that are attached to patients which restricts patient movement.... [tags: nurses, patients, lewins theory]
2052 words (5.9 pages)
- Introduction A pressure ulcer is an area of skin with unrelieved pressure resulting in ischemia, cell death, and necrotic tissue. The constant external pressure or rubbing that exceeds the arterial capillary pressure (32mmHg) and impairs local normal blood flow to tissue for an extended period of time, results in pressure ulcer (Smeltzer et. Al., 2013). According to National Pressure Ulcer Advisory Panel, 2014, pressure ulcers are a major burden to the society, as it approaches $11billion annually, with a cost range from $500 to $70,000 per individual pressure ulcer.... [tags: Nursing, Patient, Health care provider, Bedsore]
1605 words (4.6 pages)
- In 2008, the Centers for Medicare and Medicaid Services announced that additional costs for pressure ulcers acquired in the hospital will no longer be covered (Cooper, 2013). Pressure ulcers are a common but preventable problem in hospitals that can result in substantial decrease in the quality of life. The Institution for Healthcare Improvement estimated that more than 2.5 million patients in the USA develop pressure ulcers each year resulting in almost 60,000 deaths. Between 2005 and 2007, hospital acquired pressure ulcers cost $2.4 billion and increased a patient’s length of stay by more than 4 days (Barker et al.... [tags: Risk, Risk assessment, Standardization]
1227 words (3.5 pages)
- 407 Theme & Brief Rationale Pressure ulcers development occurs in every hospital and it remains a major worldwide health problem for many years. However, pressure ulcers have received minimal attention when we talk about it as a patient safety issue. It is a patient safety issue as it can lead to serious damage such as life-threatening infections and pain (Richardson & Barrow, 2015). On a med/surg unit, individuals may experience long or short hospital stays depending on the situation. For the short stays, the focus of care is often on regaining activities of daily living (Registered Nurses’ Association of Ontario, 2011).... [tags: Risk, Risk assessment, Nursing, Health care]
1189 words (3.4 pages)
- Pressure ulcers have a significant cost on the health care system and on individuals. The Agency for Healthcare Research and Quality (AHRQ, 2014a) estimates that 2.5 million patients are affected by pressure ulcers per year and cost 20 to 150 thousand dollars per pressure ulcer. AHRQ also estimates 17 thousand lawsuits per year and 60 thousand deaths per year related to pressure ulcers. This cost can be in lawsuits, lawyers, wound care specialists, dermatologists, debridement, dressings, and dressing changes.... [tags: Health care, Patient, Medicine]
1974 words (5.6 pages)
- ... See Figure 1 for an example of an individual suspended in a universal sling. Although universal slings are the most common, many others have been designed to ambulate patients, to reposition them in bed, or to lift appendages. Furthermore, current nursing practice is to use universal slings and lifts for all transfers and transports involving dependent patients, as taught by practice algorithms in collaboration with the American Nursing Association.14 The impetus behind this research was the observation that patients are frequently left sitting on their slings while in their wheelchairs, for long periods of time, which may interfere with the pressure-reducing properties of the wheelchair... [tags: handling equipment, pressure ulcers]
920 words (2.6 pages)
- Pressure Ulcers has been quiet a headache for many hospitals in this country without the exceptional of our hospital. “In US health care institutions, an estimated 2.5 million patients will develop pressure ulcers, with an associated mortality rate of 60,000 deaths” (Law, Cyhaniuk & Krebs, 2015, p.4).Most people die due to sepsis cause by pressure ulcers if the not well treated. Treatment of pressure is estimated to cost about $37,800 to $ 70, 000 for each case and these patients tend to stay longer in the hospitals which even cost more than expected.... [tags: Patient, Hospital, Costs, Health care]
891 words (2.5 pages)