A pressure ulcer is a type of lesion caused by unrelieved pressure, mostly on bony prominences. The combined pressure and friction breaks down the skin and underlying tissues. Pressure ulcers are commonly found on the lower portion of the body, with the heel and sacrum as the most frequent sites…
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Depending on the nature of the pressure ulcer, common treatments include relieving pressure, restoring circulation, and resolution or management of related disorders. However, prevention still remains as the most potent intervention which significantly reduces the chances of undergoing excruciating long-term therapy (Lippincott, Williams, & Wilkins 2009).
Effective prevention measures include risk identification, pressure reduction, nutritional assessment, bed rest monitoring, and preservation of skin integrity. In cases of existing pressure ulcers, treatment options include: pressure reduction either by repositioning the patient or by using devices such as beds, mattresses, overlays, and cushions; use of topical ointments; wound cleansing; debridement; and use of dressings to promote wound healing (Lippincott, Williams, & Wilkins 2009).
The proper assessment of pressure ulcers is crucial in the determining risk of developing pressure ulcers and provision of appropriate interventions. The Braden Scale is used to determine characteristics present in pressure ulcers. This tool evaluates a patient’s condition in terms of: (1) sensory perception; (2) moisture; (3) activity, (4) mobility, (5) nutrition, and (6) friction and shear (Prevention Plus LLC 2009). The Pressure Ulcer Staging System is a tool developed by the National Pressure Ulcer Advisory Panel and the Agency for Health Care Policy and Research to facilitate the assessment of pressure sore characteristics. ...
Allen (2011) emphasized the role of pain assessment and treatment as a crucial part of pressure ulcer prevention and management. However, the assessment of patient pain does present some challenges since the sensation of pain is an individual perception. Any indication of pain is considered a valid pain response and patients can experience pain in varying frequency and intensity. In addition, patients may associate pain with movement, infection, or during treatments such as dressing changes and debridement procedures. On the other hand, there may be isolated cases where patients do not report any pain. 1.1. Background of the Study Pain is never ending problem for most patients with pressure ulcers (Caplan 2009; Allen, 2011). Despite advanced improvement in pressure ulcer (PU) care, the condition continues to be a national and international health care problem, resulting in a decreased quality of life, both physically and emotionally, unnecessary suffering, and even death. Research over the past decade has largely focused on the assessment and healing of pressure ulcers, for example, the introduction of standardized risk assessment tools, which are used for the prevention, staging and management of PUs. Despite, all of these measures there is still a dearth of research in relation to the prevention and management of pressure ulcer pain. The impetus for this proposed study comes from the researcher’s personal motivation to search and examine recent evidence-based research addressing pressure ulcer pain, including the factors contributing to the pain, the psychological and social impact of continuous pressure ulcer pain, pain at dressing change and
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(Pressure Ulcer Pain Management Dissertation Example | Topics and Well Written Essays - 2500 Words)
“Pressure Ulcer Pain Management Dissertation Example | Topics and Well Written Essays - 2500 Words”, n.d. https://studentshare.org/anthropology/1390462-pressure-ulcer-pain-management.
Management of Pressure Ulcers among Chronic Care Patients
Pressure ulcers are one of the most common issues among chronic care adult patients. These pressure ulcers mostly arise from the limited mobility of the patient, owing to a variety of medical conditions including stroke, fractures, spinal injury, and similar physically debilitating diseases.
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The paper evaluates the role of nutritional diets for such patients who suffer from chronic wounds. The research takes into account the factors that either impede or foster wound healing during the various phases of wound management. The paper identifies the potential nutritional needs of the older population in U.K who are found to be extremely vulnerable towards chronic wounds.
The reader can easily identify the key phenomenon, which in this case is pain management in hospitalized patients with cancer. The reader can also identify the target group, which is under study, which in this article are hospitalized patients with cancer under pain management.
In effect, 23 primary trials were looked at. Only a few of these studies reported statistically better improvements in time to wound healing as well as volume and size of wound for the participants treated with TNP, as compared to those managed with conventional dressing.
On the other hand, pressure ulcer refers to an area of unrelieved pressure on a specific area, which results in ischemia, cell death and tissue necrosis (National Institute for Health and Care Excellence, 2013). There are several reasons pressure ulcer is the topic of choice for this paper.
National Institute for Health and Clinical Excellence (NICE) guidelines is a part of National Health Society (NHS) in England and Wales which sets the guidelines on how to prevent or treat pressure ulcers. Similarly, there are several other reference clinical guidelines in other states that help assess the risk of developing pressure ulcers, diagnosis, treatment, care and self-help or a combination of all these practices.
The study concluded that aggressive treatment used in Orsett Clinic showed a significant improvement in metabolic parameter results of the patients. Lowering of HbA1c, total cholesterol, blood pressure and grade ulcer level demonstrated a remarkable improvement among diabetic patients after discharge.
Pressure ulcers results from pressure with a combination of friction and shear effects on the areas discussed. When pressure is applied on the soft tissues of the body, it obstructs blood flow on the soft tissues. Shear effects then