Wound Care Case Study Examples
Wound Care Essay
This essay will focus on a chosen client and how, as a registered nurse, evidenced based practice was implemented to prevent the development of a pressure ulcer, as indicated by National Institute of Clinical Excellence NICE (2005) and European Pressure Ulcer Advisory Panel EPUAP (2009). Important and marked changes have taken place over the last 15years in the development of clinical practice guidance. As Van Zelm et al (2006) noted, the demand for evidence based practice, to determine the effectiveness of healthcare interventions, has seen a move away from consensus of opinion.
The author undertook online literature searches for journals held by Medline, Ovid, Cinahl and the Cochrane databases. …show more content…
This information was important as previous pressure ulcers, have been shown to increase the likelihood of developing a subsequent ulcer, as the skin is already compromised and only 80% the strength of the original skin (NICE, 2005) Whilst the pressure relieving mattress had been implemented, Zach was finding it extremely difficult to move around on it. The author noted that once Zach had his legs on the bed, he was unable to reposition himself and despite direction from two nurses found it almost impossible to move around, exhausting himself in the process. The author advised Zach to position himself, with his hip, in line with the pillows before he sat on the bed. This would mean that once on the bed, there would be no need to shuffle up, on his bottom, thus helping to prevent further damage. NICE (2003) also noted that clinical judgement would be necessary in patients who became more immobile on a pressure relieving mattresses, and in Zach’s case, education in, the prevention of pressure ulcers, played an important role. The RCN (2001) Philosophy of Care advised “health professions to respect and acknowledge the experiences that the patient has had, if they have suffered from pressure ulcers in the past, incorporating what the patient already knows, with new, up to date information” Zach felt that at “his age” a sore bottom was
This essay will focus on a chosen client and how, as a registered nurse, evidenced based practice was implemented to prevent the development of a pressure ulcer, as indicated by National Institute of Clinical Excellence NICE (2005) and European Pressure Ulcer Advisory Panel EPUAP (2009). Important and marked changes have taken place over the last 15years in the development of clinical practice guidance. As Van Zelm et al (2006) noted, the demand for evidence based practice, to determine the effectiveness of healthcare interventions, has seen a move away from consensus of opinion.
The author undertook online literature searches for journals held by Medline, Ovid, Cinahl and the Cochrane databases. …show more content…
This information was important as previous pressure ulcers, have been shown to increase the likelihood of developing a subsequent ulcer, as the skin is already compromised and only 80% the strength of the original skin (NICE, 2005) Whilst the pressure relieving mattress had been implemented, Zach was finding it extremely difficult to move around on it. The author noted that once Zach had his legs on the bed, he was unable to reposition himself and despite direction from two nurses found it almost impossible to move around, exhausting himself in the process. The author advised Zach to position himself, with his hip, in line with the pillows before he sat on the bed. This would mean that once on the bed, there would be no need to shuffle up, on his bottom, thus helping to prevent further damage. NICE (2003) also noted that clinical judgement would be necessary in patients who became more immobile on a pressure relieving mattresses, and in Zach’s case, education in, the prevention of pressure ulcers, played an important role. The RCN (2001) Philosophy of Care advised “health professions to respect and acknowledge the experiences that the patient has had, if they have suffered from pressure ulcers in the past, incorporating what the patient already knows, with new, up to date information” Zach felt that at “his age” a sore bottom was