Preview

Patient Teaching

Better Essays
Open Document
Open Document
1082 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Patient Teaching
Patient Teaching: Importance of Repositioning
Sean Crayton
University of Toledo College of Nursing

Patient Teaching: Importance of Repositioning
Assessment of Patients Learning Needs M.C. is an elderly male who was admitted and treated for a fall and hip fracture. He had surgery, is bed ridden but is soon to be released. He and his family need proper teaching on the importance of reposition as to avoid obtaining pressure ulcers during his limitations to extensive bed rest and staying off of his feet or performing any unnecessary movements that could cause irritation or reinjuring the recently repaired hip. As requested we are including the family who will be his primary care takers at home and it is necessary that they all learn how to take care of M.C. properly due to his inability to adequately reposition himself successfully in the early stages of his release.
Priority Nursing Diagnosis Knowledge deficit. Patient will need proper positioning teaching. The teaching will pertain to the deliberate placement of the patient or body part in order to promote proper physiological and psychological well-being. r/t. Lack proper knowledge related to how position/reposition M.C. to avoid development of pressure ulcers. AEB. M.C. was admitted with a hip fracture and received surgery. He is soon to be release to go home but is ordered to long term bed rest.

Desired Patient Outcome(s) At the conclusion of the patient teaching and proper diagnosis care we hope to ensure that M.C. and his family adequately know how to position/reposition the body to reduce the risk of pressure ulcers, at more importantly the critical, but all areas of the body.
Time Frame. Being realistic we are giving M.C. and his family the duration of his projected discharge week in order to properly and thoroughly learn the information and techniques required to successfully position/reposition a patient at risk for pressure ulcers.
Interventions
Managing patients at risk for

You May Also Find These Documents Helpful

  • Good Essays

    Nvq3 Unit 4222

    • 999 Words
    • 4 Pages

    5. Mobility has a significant role to play in the prevention of pressure ulcers. By facilitating the residents’…

    • 999 Words
    • 4 Pages
    Good Essays
  • Better Essays

    Successful discharge planning is not something that should be initiated when the patient is ready to go home, but should be discussed prior to the surgery being performed if possible. The total hip replacement that Mr. Trosack is recovering from was not a planned surgery so case management should have begun working on this once he was admitted to the floor postoperatively.…

    • 2348 Words
    • 10 Pages
    Better Essays
  • Good Essays

    Pressure Area Care

    • 1008 Words
    • 5 Pages

    Some of the interventions that can be taken to help minimise the risk of pressure ulcers occurring in those that are at risk, one method is to that the individuals is position is changed on a regular basis, another is to use a pressure relieving device such as a special mattress, bed frame, seat…

    • 1008 Words
    • 5 Pages
    Good Essays
  • Good Essays

    Dashboard Analysis Paper

    • 691 Words
    • 3 Pages

    The area of performance improvement indicator selected from the dashboard, was patients with acquired pressure ulcers in quarter one for year 2010. The target for this quarter was set at 0.00. The Performance improvement indicator of patients with acquired pressure ulcers relates to patients that have acquired a pressure ulcer during their hospitalization. The actual percentage with patients who acquired pressure ulcers was 4.35. The national mean average was set at 6.15 percent. I selected the area of patient’s with acquired pressure ulcers because pressure ulcers cause patients to have longer hospital stays; they increase the mortality rates inpatient. Pressure ulcers also drive health care costs up every year. Pressure ulcers that have been acquired during patient hospitalization are considered a never event. In 2008, the Centers for Medicare and Medicaid Services…

    • 691 Words
    • 3 Pages
    Good Essays
  • Satisfactory Essays

    Physical Assessment Guide

    • 11963 Words
    • 73 Pages

    Ideally the patient should be sitting with feet on the floor and their back supported. The…

    • 11963 Words
    • 73 Pages
    Satisfactory Essays
  • Good Essays

    In their article published in the June, 2012 issue of Critical Care Nurse, authors Estilo, Angeles, Perez, Hernadez, and Valdez discuss the issue of pressure ulcers on patients in intensive care units. These patients are high risk for pressure ulcers for several reasons. They usually are unable to turn themselves from back to side to relieve pressure on bony areas of the back such as the tailbone. If caregivers do not turn the patient properly, friction and shearing can occur which can lead to pressure ulcers. Medications could interfere with circulation that supplies oxygen to the skin to keep it healthy. Most patients lose weight while in intensive care, causing bones to be more prominent. Failure of caretakers to keep patients clean and dry from incontinence can also contribute to pressure ulcers.…

    • 417 Words
    • 2 Pages
    Good Essays
  • Powerful Essays

    What are pressures and are they really preventable: The medical term Decubitus Ulcer, Decubitus mean’s “lying down” simply implies only a single etiology for these lesions, yet their pathogenesis also includes, at least, friction, shear force, moisture, temperature elevation, sensory impairment and oxygen…

    • 1804 Words
    • 8 Pages
    Powerful Essays
  • Good Essays

    The NPUAP website has the ability to be a good start for clinicians in the battle of the bedsore. Sullivan & Schoells, (2013) further credit the information given by the NPUAP by stating, “guidance provided by such organizations as the Institute for Healthcare Improvement, National Pressure Ulcer Advisory Panel, and AHRQ has resulted in successful implementation of bundled evidence-based practices throughout the United States.” It is clear that the information on the NPUAP website is not only valid, but it is based on best practice and is evidence based. Nurses dealing with patients that are susceptible to pressure ulcers are doing themselves and their patients an injustice by not utilizing the tools that the site has to offer. Nurse educators, and wound nurses will find this site especially valuable and would be able to change practices and policies if needed based on the information the site provides. Another nice feature of the site (especially for the busy consumer researching medical information) is the link to Medline and the description it gives of the usefulness of evidence based…

    • 957 Words
    • 4 Pages
    Good Essays
  • Good Essays

    Pressure Ulcer

    • 568 Words
    • 3 Pages

    Making regular and frequent changes to your position is one of the most effective ways of preventing pressure ulcers. If a pressure ulcer has already developed, regularly changing position will help to avoid putting further pressure on it, and give the wound the best chance of healing.…

    • 568 Words
    • 3 Pages
    Good Essays
  • Good Essays

    Knowing the prevalence, one could consider the actions leading up to the good and bad outcomes, compare the two to determine contributing factors, then put together a plan of action to prevent bad outcomes from occurring. The data collected on the unit could then be shared throughout the hospital to have better outcomes and a greater patient satisfaction score overall. Through this process, healthcare workers could learn to prevent nursing-sensitive indicator, such as pressure ulcers, by turning or repositioning patients at least every two hours. Being proactive throughout the hospital will reduce the number of hospital acquired pressure ulcers and help the healing process of those that were present upon admission. This also aids in a better patient satisfaction…

    • 740 Words
    • 3 Pages
    Good Essays
  • Powerful Essays

    For the purposes of this assignment, the patients name will be referred to as Mr S. Mr S was admitted from a care home onto our ward as a bed bound patient with a grade four sacral pressure sore which was severely bleeding and at high risk of infection. NHS Choices (2012) shows that this grading is the most severe type of pressure sore. The skin was severely damaged and the surrounding tissue beginning to die (tissue necrosis). The underlying muscles or bone may also be damaged. Pressure sores are a serious problem in health care systems. They cause pain and suffering and can lead to infection, and if not prevented or managed effectively can result in fatality. Nazarko (2005) Current research shows that Pressure sores are a common and often underrated health problem. Focus on disability (2012) estimates in the UK that between 4%-10% of all patients admitted to hospital will form at least one pressure sore. For elderly people with mobility problems, the figure can be as high as 70%. Pressure sores are an area of localized injury to the skin and underlying…

    • 1978 Words
    • 6 Pages
    Powerful Essays
  • Powerful Essays

    Reflection-Leg Ulcers

    • 2209 Words
    • 9 Pages

    de Laat, E.H. et al (2005) Pressure ulcers: diagnostics and interventions aimed at wound-related complaints: a review of the literature. Journal of Clinical Nursing; 14: 4, 464-472.…

    • 2209 Words
    • 9 Pages
    Powerful Essays
  • Good Essays

    Therefore, identification is the most current best practice recommendation. The most common tool used for identifying patients at risk for developing pressure ulcers is the Braden Scale. However, “quantification of the relationship between Braden Scale score and nursing interventions indicates the need for a more comprehensive and fundamental approach” (JAN, 2010). The Braden Scale is divided into six categories: sensory perception, moisture, activity, mobility, nutrition, and friction and shear. A score of 18 or less indicates that the patient is at risk for pressure ulcers. The rationale for these recommendations is that identifying a patient upon admission for being at risk allows the nurse to begin a prevention plan as soon as identified. The nurse needs to implement interventions to prevent the formation of a pressure ulcer. If the practice of identification upon admission is not followed, prevention is delayed and pressure ulcer formation begins. This causes the patient unnecessary pain, increases their risk for infection, and extends the hospital stay. Pressure ulcers are easier to prevent than to…

    • 636 Words
    • 3 Pages
    Good Essays
  • Best Essays

    Pressure Ulcers

    • 1953 Words
    • 8 Pages

    Pressure ulcers can be very distressing and become a real problem for patients and health care facilities. According to Nelson (2003) the inconvenience of a developed pressure ulcer in hospital includes inconvenience to…

    • 1953 Words
    • 8 Pages
    Best Essays
  • Better Essays

    Regularly changing position or moving helps to prevent pressure sores developing in vulnerable areas or to relieve…

    • 1044 Words
    • 4 Pages
    Better Essays