PREVENTION OF SEPSIS IN THE CLINICAL SETTING Name: Date Introduction Sepsis and septicemia are medical conditions that involve widespread infection and inflammation in a patient. Sepsis involves an inflammatory response of the whole body due to an infection in a part of the body that needs treatment so as to resolve the sepsis…
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Similar treatments are used for the cure of both sepsis and septicemia since both of them are normally associated with the presence of aggressive bacteria in the body system of a patient. This requires treatment using strong antibiotics to fight the infection. Patients may also be admitted in ICU for a while so as to monitor the treatment of the infection. Patients suffering from sepsis may experience multi-organ failure since the inflammation spreads and generates a cascading sequence of medical problems as the body tries to fight off the infection (Brozanski, 2003). Prevention of Sepsis There is a common term people in the medical field love to use and it goes, “Prevention is better than cure.” This is quite true since curing an infection is expensive both on the hospital and the patient. It requires a use of resources that would otherwise be used for other reasons. This therefore calls for infection control a discipline that targets the prevention of healthcare-related infections. There are a number of factors that may lead to the spread of infections in a clinical setting. The infections maybe from patient to patient, from staff to patient, from patient to staff, and from staff to staff (Dyson & Singer, January 2009). There are a number of ways of preventing sepsis, but the most common and effective way is by ensuring hand hygiene, and this is done by constant hand washing. Hand washing In the clinical setting, hand washing is commonly known as the primary weapon of fighting infections. The main reason for hand washing is to reduce microbial in the healthcare setting so as to reduce the risk of nosocomial infections. Hand hygiene may be a major problem in gigantic health facilities in which several patients are treated and in rapid succession. Infection control is meant to reduce the spread of infection and provide a safe environment for every patient (Riedeman, Guo, & Ward, 2003). This has become extremely necessary due to the emergence of antibiotic resistant organisms. Examples of antibiotic resistant microorganisms include methicilin-resistant Staphylococcus aureus (MRSA) and vancomycin-resistant Enterococci (VRE). It is vital to note that there is evidence that shows that removal of antibiotic resistant organisms (AROs) from the hands by washing with detergent or soap and water is less effective than by the use of an antiseptic agent. For that reason, an antiseptic agent must be used in high risk areas within the clinic, with high risk patients especially those suffering from immune-deficient diseas
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es includes, ventricular assist device, cardiovascular devices, urinary catheter and penile implants .Other causes blood infections includes use of unscreened blood products, and contact between patients. For central line associated bloodstream infections, they are actually associated with increased length of hospitalization (Guerin, 2010).
Most of the hospital-acquired physical problems, which complicate the patients’ stay in hospitals, arise due to falls, which cause injuries (Schwendimann et al., 2006). The environment of acute care has a main contribution to most of the patient falls. The main factors that affect the acute care are the reactions of the medication used.
'Nurses must master the skills of visionary and strategic thinking to have an impact on institutional and political forces that control health development. The emergence of the phenomenon of transformation is providing a rare opportunity for nursing. Transformation provides a scenario for a new way of interacting, a new way of problem solving, and a means to developing a shared vision among health professionals in various settings".
The successful resolution of sepsis requires not simply antibiotic/antibacterial therapy, but also a clinical awareness of inflammatory consequences, lapses in normal blood-pressure, and the urgency that comes from imminent organ damage through delay, or improper
According to the author of the text, the reason for MRSA being a high risk and high alert pathogen is that this strain of S. aureus is resistant to antibiotics, especially beta-lactam antibiotics such as oxacillin, amoxicillin, penicillin, and methicillin. Additionally, MRSA is responsible for causing severe problems such as pneumonia, bloodstream infections, and surgical site infections.
According to the paper orientation tour along with fall prevention education is vital in the process of long term care of patients. In the new environment of healthcare, it is difficult for medical practitioners and providers to depend completely on physiologic rationale, opinion based processes and clinical experiences. The importance of orientation tour along with fall prevention education is very essential to overcome the risks related to falls.
l as provide quality care to limited English proficient- LEP patients, the following language access plans options are available at Huntington hospital:
Telephone language interpreters: This resource provides access to interpreters in over 140 languages. The interpreters are
The pneumonia associated with ventilation is under observation to prevent it from further affecting the patients. Various strategies are in place to reduce the exposure of the bacteria and the time a patient stays on the mechanical ventilation. The bacteria spread very
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