Pressure Ulcer Prevention Using Skin Bundle - Research Paper Example

Comments (0) Cite this document
Running Head: PRESSURE ULCER PREVENTION PRESSURE ULCER PREVENTION USING SKIN BUNDLE By Name Introduction Pressure ulcer, also known as bed sore, is a skin lesion that usually forms in the body of a patient who has been bedridden for a long time. It is officially defined by the National Pressure Ulcer Advisory Panel as a “localized injury to the skin or underlying tissue usually over a bony prominence, as a result of pressure, or pressure in combination with shear and/or friction” (cited Baranoski & Ayello 2008, p…
Download full paperFile format: .doc, available for editing
GRAB THE BEST PAPER92.5% of users find it useful
Pressure Ulcer Prevention Using Skin Bundle
Read TextPreview

Extract of sample "Pressure Ulcer Prevention Using Skin Bundle"

Download file to see previous pages Once the skin succumbs to bacteria or sustains injuries from friction and shear, healing takes longer because reduced flow of blood brings nutrients and removes wastes more slowly. Ischemia due to unrelieved pressure is usually observed in the elderly, malnourished patients, patients reduced to immobility because of their medical condition, fecal incontinence, and patients under less than conscious condition (Mauk 2009, p. 501). Pressure Ulcers: Incidence, Prevalence and Prevention In 2004, the National Home Survey reported that for every 10 residents in nursing homes all over the United States, 11% have succumbed to pressure ulcers with stage 2 pressure ulcer as the most common (see Fig. 2). Both whites and non-whites had equal percentage with the males edging the females at 13% and 10%, respectively (Park-Lee & Caffrey 2009). In 2007, the Centers for Medicare and Medicaid Services reported some 257,412 preventable pressure ulcers as secondary diagnoses at cost averaging at $43,180 for every stay in the hospital. This compelled Medicare to give up shouldering pressure ulcer costs so as to encourage its prevention (Mauk 2009, p. 501). The Institute for Healthcare Improvement has recommended a set of simple interventions collectively known as ‘bundle’ for pressure ulcers prevention in 2003. Hospitals are encouraged to develop their own “bundle” in approaching pressure ulcer prevention (Paciella 2009, p. 43). The SKIN bundle, which is an acronym for Surface, Keep Moving, Incontinence and Nutrition, was developed by the Ascension Health facilities in 2004. In the succeeding pages a sample of change in practice program is outlined for a fictitious hospital ward called HTMC for the prevention of pressure ulcer using the SKIN bundle. Change in Practice for Pressure Ulcer Prevention Name of Ward (fictitious): East Wing 13 Holy Trinity Medical Center (HTMC) Demographics: 24-bed unit, 10 private and 14 semi-private; Staff is composed of ARNP, RNs, patient care technicians, nutritionists, therapists, and others Scope of Service: Patients in the ward are admitted for the following conditions: strokes and seizures, multiple sclerosis and other diseases that make them prone to develop pressure ulcers. A. ASSESSMENT In the first quarter of 2010, the East Wing 13 of the HTMC had reported 27% incidence of pressure ulcer cases compared to the National Database of Nursing Quality Indicators or NDNQI’s report of 3.8%, for Stage I-IV and 2.7%, for Stage II-IV for the year 2010. This is not a good development, not only because the ward’s statistic paled in comparison with the NDNQI’s but also because the CMS has stopped shouldering costs for pressure ulcers that are acquired in the ACFs. B. LINK The US DHHS recommended several measures in the prevention and care of pressure ulcers. These recommendations can be used by the East Wing 13 to reduce the percentage of pressure ulcer incidence. They include the following: skin inspection of patients at least once daily; skin cleansing in accordance to the needs of each patient; skin care such as moisturizers for dry skin and less exposure to humidity and cold; moisture due to incontinence, perspiration, or wound ...Download file to see next pagesRead More
Cite this document
  • APA
  • MLA
(“Pressure Ulcer Prevention Using Skin Bundle Research Paper”, n.d.)
Retrieved from
(Pressure Ulcer Prevention Using Skin Bundle Research Paper)
“Pressure Ulcer Prevention Using Skin Bundle Research Paper”, n.d.
  • Cited: 0 times
Comments (0)
Click to create a comment or rate a document

CHECK THESE SAMPLES OF Pressure Ulcer Prevention Using Skin Bundle

Pressure Ulcer Pain Management

...(Lippincott, Williams, & Wilkins 2009). 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...
10 Pages(2500 words)Dissertation

Pressure Ulcer Prevalence: Nursing Priority and Success

... ulcers, and the Centers for Medicare and Medicaid Services (CMS) are denying payment for facility-acquired PUs effective October 1, 2008 by placing PUs in the “never-ever” event category. Multiple guidelines exist today to provide clinicians a starting point to begin their successful PU prevention journey towards “zero” facility-acquired prevalence. The National Pressure Ulcer Advisory Panel (NPUAP) and the European Pressure Ulcer Advisory Panel (EPUAP) combined forces to assist health care professionals in use of standardized best practice guidelines for PU prevention by creating International Pressure Ulcer Prevention and Treatment Guidelines (IPUPTG) in 2009. The IPUPTG defines a pressure ulcer as “localized injury to the skin... factors...
20 Pages(5000 words)Research Paper

Pressure ulcer prevention

... between 6 and 23; a higher score indicating lower risk of pressure ulcer and score <18 indicating risk of developing pressure ulcer. Skin conditions are the first indicators of risks of pressure ulcer. Signs of redness, coolness, etc. present at high risk areas like the occiput, sacrum, heel, trochanter, ischial area, coccyx or tuberosity are considered as changes in stage I of pressure ulcer (Lyder and Rijswijk, 2005). Stages (I to IV) of pressure ulcer are used to report the risks and prevalence to further guide the prevention therapy. Of the four stages, stages I and II and stageable and the risk factors or the subscales have low levels of severity. It is also noted that the subscales or risk factors can be assessed independently... ?Pressure Ulcer Prevention: Risk assessment tool/s used by nurses in preventing pressure ulcer in the hospital Pressure ulcer and strategies for assessment Pressure ulcers lead to morbidity and often mortality, and health care professionals need to follow specific guidelines to prevent and treat pressure ulcers. National Institute for Health and Clinical Excellence (NICE) guidelines is a part of National Health Society...
4 Pages(1000 words)Essay

Braden Scale for Predicting Pressure Ulcer Risk

... hospitals. The clinical guidelines for pressure ulcers that also incorporate the use of Braden scale were developed by the NHS National Institute for Health and Clinical Excellence (NICE), in 2001 (National Institute for Clinical Excellence, 2001). The recommendations are stated as a series of evaluate statements where each statement is accompanied by a number (1-3) in order to indicate the strength of grading the statement. They include identifying risk factors, people at risk, use of aids, seating positioning education and training, and skin inspection. In conclusion, the Braden scale is highly essential in preventing the risk of developing pressure ulcers in older people. The aim of this tool is to help health professionals... ? Braden...
4 Pages(1000 words)Research Paper

Diabetic Foot Ulcer Infection Prevention

...ulcers, to wit: “neuropathy, callus, deformity, elevated peak pressure, vascular disease, ill-fitting footwear and penetrating trauma” (Lavery, Peters, & Armstrong, 2008, p. 427). The outcome of foot-ulcers were likewise revealed to be influenced by other factors that included “extent of tissue loss, infection, peripheral arterial disease (PAD) and co-morbidity” (Schaper, Apelqvist, & Bakker, 2012, p. 1869). The role that education plays in preventing foot ulcers have been emphasized in a comprehensive study written by the European Wound Management Association (EWMA) (2010). Their report evaluated and compared diverse studies which focused on non-healing...
5 Pages(1250 words)Essay

Pressure Ulcers Prevention

...something to prevent these from happening. The nurse intends to examine the best evidence to provide the best possible care for Mr. John to answer the question what could be done to prevent pressure ulcers in him. Pressure UlcersPressure ulcers usually occur over bony prominences and are graded or staged to classify the degree of observed tissue damage. Common terms used for tissue destruction resulting from prolonged pressure are bedsore, decubitus ulcer, pressure sore, and pressure ulcer (Nixon, J. et...
22 Pages(5500 words)Essay

Pressure Ulcer Prevention In the Community

...Pressure Ulcer Prevention In the Community Introduction Local health communities should review their existing service provision for pressure ulcer risk assessment and prevention - including the use of pressure-relieving devices (beds, mattresses and overlays) for the prevention of pressure ulcers in primary and secondary care - as they develop their Local Delivery Plans. The review should consider the resources required to implement the recommendations, the people and processes involved, and the timeline over which full implementation is envisaged. It is in the interests of patients that the implementation timeline is as rapid as possible. This is important in the realm of health care, especially when the human aspect is involved... and...
12 Pages(3000 words)Essay

Nursing-Prevention of Pressure Ulcer

...on their own. Hygiene and skin condition, including nutritional balance, are significant factors in preventing pressure ulcers” (Romanelli et al, 2006). In today’s urban society, increased number of older adults with impaired mobility is leading to larger number of patients with pressure ulcers. Moreover, accident victims too may face the problem of these ulcers in the course of long treatment. Preventing pressure ulcers thus becomes one of the most important responsibilities of any nurse (Miller, 2008). In the workplace like a nursing home, pressure...
7 Pages(1750 words)Essay

Pressure ulcer (critical incident analysis) minimize patient’s irritation. Wet skin is susceptible to friction and tearing accidents increasing the risk of development of another pressure ulcer. It will also delay the process of wound healing thus; the skin was kept free from urine, perspiration or any wound drainage. Incontinence results to an increased PH around the skin area making it more susceptible to irritation. Thus, a toileting and incontinence program was developed for the patient to minimize episodes of incontinence. Diapers and absorbent pads were used and changed regularly to prevent skin irritation. Moreover, cotton linen was...
12 Pages(3000 words)Essay

Pressure Ulcer Prevention

...coordination among various clinical units, unequal access to existing source of information and disparity in staff knowledge. In addition, there are gaps between identified practices and real. There have never been prior efforts to advance pressure ulcer prevention or care within the organization. The organization does not have a certified wound care nurse and does not involve physicians in wound care. Furthermore, the information pertaining skin condition of the patient and risks are not properly documented and shared (Bennett G, 2004). Change evaluation After determining the pressure ulcer prevention practices and the...
6 Pages(1500 words)Research Paper
sponsored ads
We use cookies to create the best experience for you. Keep on browsing if you are OK with that, or find out how to manage cookies.

Let us find you another Research Paper on topic Pressure Ulcer Prevention Using Skin Bundle for FREE!

Contact Us