Alternating Mask
Alternating Masks Noninvasive ventilation is a much needed option for patients in the critical care setting, but prolonged use and multiple comorbidities can lead to pressure of the face and head. Alternating the nasal/oral mask with the full face mask could help decrease the risk of skin breakdown or lessen the severity of wounds that do develop. “A full facial mask has the potential for greater redistribution of pressure because it covers the forehead and a larger area of the cheek/side of face than other masks.” (Schallom et al., 2015, p. 350)
Change Model Overview The Johns Hopkins Nursing Evidence-Based Practice Process “occurs in 3 phases and can be simply described as Practice question, Evidence, and Translation (PET)”. …show more content…
Also, many critical care patients have multiple comorbidities that increase the occurrence of skin breakdown and decreased healing. According to articles done by Conti G., Marino, P., Cagliati, A. et al; Atonelli M, Conti G , Pelosi P, et al; and Schettino G, Altobelli N, Kacmarek R.M. (as cited in Schallom et al., 2015), “Published rates for the incidence of facial pressure ulcers associated with noninvasive ventilation masks range from 10% to 31%”. (p. 350) This problem impacts healthcare because it not only increases the cost of care by thousands, but also increases the patient’s length of stay. As stated by Lyon (as cited in Cooper, K.L., 2013), a stage three or four ulcer can cost “between $5,000 and $50,000”. (p. 57) A pressure ulcer obtained in the hospital is no longer covered by the Center for Medicare and Medicaid Services (CMS), because they believe this is a truly preventable …show more content…
In critical care, the nasal/oral mask can be on for long periods of time which can lead to skin breakdown and a higher cost, monetarily and physically, for the patient. Forming the practice question is the first step and is also an important one. You can’t find proper evidence and come to a conclusion if your practice question is not well defined. Knowing that there is a risk with the noninvasive ventilation masks can help nursing understand the need to change and to find a means to do so. In this case, it would be alternating the nasal/oral and full face
Change Model Overview The Johns Hopkins Nursing Evidence-Based Practice Process “occurs in 3 phases and can be simply described as Practice question, Evidence, and Translation (PET)”. …show more content…
Also, many critical care patients have multiple comorbidities that increase the occurrence of skin breakdown and decreased healing. According to articles done by Conti G., Marino, P., Cagliati, A. et al; Atonelli M, Conti G , Pelosi P, et al; and Schettino G, Altobelli N, Kacmarek R.M. (as cited in Schallom et al., 2015), “Published rates for the incidence of facial pressure ulcers associated with noninvasive ventilation masks range from 10% to 31%”. (p. 350) This problem impacts healthcare because it not only increases the cost of care by thousands, but also increases the patient’s length of stay. As stated by Lyon (as cited in Cooper, K.L., 2013), a stage three or four ulcer can cost “between $5,000 and $50,000”. (p. 57) A pressure ulcer obtained in the hospital is no longer covered by the Center for Medicare and Medicaid Services (CMS), because they believe this is a truly preventable …show more content…
In critical care, the nasal/oral mask can be on for long periods of time which can lead to skin breakdown and a higher cost, monetarily and physically, for the patient. Forming the practice question is the first step and is also an important one. You can’t find proper evidence and come to a conclusion if your practice question is not well defined. Knowing that there is a risk with the noninvasive ventilation masks can help nursing understand the need to change and to find a means to do so. In this case, it would be alternating the nasal/oral and full face