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One such strategy is use of assessment tools for evaluation. In this essay, the role of assessment tools in the prevention and management of pressure ulcers effectively will be discussed through review of appropriate research articles for evidence-based information.
Pressure ulcers are a common source of distress in any health care setting. They contribute to morbidity and mortality and are a significant source of healthcare cost. It is often difficult to treat pressure ulcers because of lack of proper understanding of the complexities involved in the causes of breakdown of skin (Riordan and Voegeli, 2009). This research is intended to evaluate and ascertain the benefits of using assessment tools in the prevention and management of pressure ulcers and in total decrease the incidence and prevalence of pressure ulcers in any health care setting.
The article begins with the prevalence of the pressure ulcers in Europe and the impact they have on the patient, community and society. This is followed by the definition of pressure ulcer. According to the authors, pressure ulcers are "areas of localized damage to the skin and underlying tissue caused by exposure to pressure, shear or friction, or a combination of these." While most of the pressure ulcers affect only the skin, severe forms of ulcers involve other structures like muscle, bone and tendons. Pressure ulcers develop because of sustained high pressure in an area of the body, mostly over the prominences of bones. Due to the raised pressure, the capillaries supplying blood supply to a particular region get compressed resulting in ischemia of the tissue. Other than ischemia, thrombosis of the venous system and occlusion of the lymphatic vessels of the area also are affected because of pressure. All these eventually lead to increased permeability of the capillaries, interstitial edema and tissue death. The article provides an
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254). The “bony prominence” areas where pressure ulcers usually form are the sacrum, coccyx, hips and heels. Older people have a tendency to develop pressure ulcers because skin constitution changes as one gets older becoming thinner with less collagen and with diminished capability to protect itself from the bacteria and the environment.
Braden scale evaluates the level of risk for getting pressure ulcers and those discovered to have or at risk of developing the ulcers are given preventive care. According to Braden (2009), the Braden scale consists of six subscales/areas that can be completed in one minute.
According to the CMS, a patient who has a hospital acquired condition cannot be billed for any additional amounts nor can Medicare pay for such additional amounts, for any condition that has been acquired from the hospital (US HHS 2012). 2. Is the condition you selected always preventable?
Patients with limited mobility are provided with mattress overlays and replacement mattresses to reduce the chance of developing pressure ulcers.A study was conducted to determine the effectiveness of replacement mattresses and mattress overlay in preventing ulcers,affecting the healing process, and patient acceptability.
However, guidelines are meant to be modified or adapted depending on the situation. It is thus vital to consider the capabilities of both the caregiver and the setting to implement all the steps. Goals should be set, from which the success of the guideline is compared to.
Effectiveness of Risk Assessment in Preventing Pressure Ulcer. The research question for the study will be: Does increased risk assessment and early detection reduce the prevalence of pressure ulcers in healthcare institutions? The independent variable is risk assessment and detection of ulcers while the independent variable is prevalence of ulcers.
According to the paper the basis of home-based care is the expense experienced in hospitals and the high risk of infection that patients face as opposed to home based care. As a result, there is a large preference to treat the condition in a home setting to stay clear of the above negative impact of hospital settings. In hospitals, patients undergo plenty of trauma or pain based on the equipment and degradation of one’s quality of life by having to stay still and experiencing equipment and reduced functionality.
Since these occur commonly in high-risk populations including elderly individuals and individuals with physical impairments, the nursing care is of utmost importance to prevent these. However, not infrequently, care fails to achieve standards and quality, and as a result pressure ulcers set in, and they interfere with the patients' functional recovery and are often complicated by pain and infection, and are among dreaded contributors of increased length of stay in the hospital, further threatening the outcomes, such that pressure ulcers indicate poor quality of care, poor overall prognosis, and chances of premature mortality in some of these high-risk patients.
al Expert Wound Care Advisory Panel came up with this study as their means of coping with the implementation of the Inpatient Hospital Care Present on Admission (POA) Indicators/Hospital-Acquired Conditions (HAC) Policy of the Centers for Medicare and Medicaid Services (CMS) by