5. Mobility has a significant role to play in the prevention of pressure ulcers. By facilitating the residents’…
Identify factors which might put an individual at risk of skin breakdown and pressure sores…
For this unit you need to undertake risk assessment in relation to pressure area care and the risk of skin breakdown. This assessment will take place across a variety of health and social care settings, throughout hospitals, including operating departments, hospices, nursing and residential homes, day centres, and individuals' own homes. Risk assessment will include the use of different assessment tools selected for use to fit the individual and the environment. The assessment could be undertaken by a variety of staff within the varied care settings and is an ongoing process demanding constant review and evaluation. You will need to ensure that practice reflects up to date information and policies…
Factors which might put an individual at risk of pressure sores are Reduced mobility or Immobility, Acute illness, Sensory impairment, Level of consciousness, Poor nutrition, Poor vascularity, Anaemia, Extremes of age, Weight, Drugs, Infection, Severe, Chronic or Terminal illness, Dehydration and a previous history of Pressure ulcer damage.…
NOTICE: The best way to communicate with me outside the classroom is via email. I do not check phone messages regularly.…
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…
Braden Scale = assessment tool to determine if a person is at risk for developing pressure ulcers. The…
Nursing sensitive indicators reflect the structure, process and outcomes of nursing care. The structure of nursing care is indicated by the supply of nursing staff, the skill level of the nursing staff, and the education/certification of nursing staff. Process indicators measure aspects of nursing care such as assessment, intervention, and RN job satisfaction. Patient outcomes that are determined to be nursing sensitive are those that improve if there is a greater quantity or quality of nursing care. ("Nursing world," 2013) Having knowledge of these indicators hard-wired and put into practice in daily care of patients, could have assisted the nurses involved in this particular case in many ways. Knowing the risk of pressure ulcer development with the use of restraints could have helped the nurse prevent one in this patient. The bedside care providers, the nurse, as well as, the CNA would have recognized the reddened area as the first stage in pressure ulcer development. They would have been more meticulous with skin assessments and repositioning with the use of restraints in this elderly patient. Also, if the CNA had a better understanding of when to appropriately use restraints and how to manage a restrained patient she wouldn’t have positioned the patient on his back after he returned to bed. Another nursing sensitive indicator is patient and family satisfaction which was not taken into account in this situation. The nurse so easily dismissed the daughter’s concerns about the dietary mix up and blew off her concerns regarding what her father was served. Nursing sensitive quality indicators are an important part of the equation when it comes to establishing evidence-based practice guidelines. But measuring these indicators is not simply good science – it’s an ethical imperative.…
National Pressure Ulcer Advisory Panel. Updated Staging System, 2007. Available at: http://www.npuap.org/pr2.htm. Accessed February 23, 2008.…
Arndt, & Kelechi found that several factors play into the proper identification and staging of a pressure ulcer (2014). There are many tools that can be used to identify a wound, the National Pressure Ulcer Advisory Panel (www.npuap.org) has a reference tool that assists clinicians in the staging process. “The National Pressure Ulcer Advisory Panel Pressure (NPUAP) Ulcer Staging System and the European Pressure Ulcer Advisory Panel Staging System are widely recognized and readily available as comprehensive systems that classify pressure ulcers.” (Arndt & Kelechi, 2014) Proper staging is not only important for patient treatment and outcomes, but it is also a necessity for financial reimbursement to the…
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…
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.…
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…
Pressure ulcers are serious problems for patients and healthcare settings and are responsible for high treatment costs and even death. With the increase in the aging population and fewer resources, the intensity of pressure ulcers in patients in healthcare settings will only increase without the appropriate prevention techniques to prevent these risks from occurring. This paper will look at the risk factors that contribute to pressure ulcers such as the intrinsic and extrinsic factors, and how to prevent these factors from occurring. The final part of this paper will then examine the use of risk assessment tools to discover what degree a person is at risk of developing a pressure ulcer and some examples of risk assessment tools that are available and best suited to the situation.…
Identify factors which might put an individual at risk of skin breakdown and pressure sores…