Frequent Manual Repositioning and Incidence of Pressure Ulcers - Essay Example

Comments (0) Cite this document
Summary
The author of this essay "Frequent Manual Repositioning and Incidence of Pressure Ulcers" touches upon the problem of Pressure ulcers. It is mentioned that Pressure ulcer prevention is important for elderly and patients in the intensive care settings. …
Download full paperFile format: .doc, available for editing
GRAB THE BEST PAPER98.6% of users find it useful
Frequent Manual Repositioning and Incidence of Pressure Ulcers
Read TextPreview

Extract of sample "Frequent Manual Repositioning and Incidence of Pressure Ulcers"

Download file to see previous pages Longer hospital stays and costs, as well as the substantial pain and suffering on the part of the patient, can be reduced if the focus will be given to preventing pressure ulcers. Frantz, Tang & Titler (2004) stated in their article that the Agency for Healthcare Research and Quality (AHRQ) conducted a literature review in the summer of 1990 and found out that the incidence of pressure ulcers range from 2.7%to 29.5%, 9% of it occur in general population while 66% occur in high risk populations.Based on the results of the statistics, the population at relative high risks for pressure ulcers are more likely to have more incidences of the case.Thus, bedbound patients are at high risks for developing pressure ulcers. Learning the susceptibility of a population to develop pressure ulcers, a number of preventive measures including international and clinical guidelines for pressure ulcer prevention have been recommended; among of which include frequent repositioning of patients with limited mobility. Although repositioning is an accepted and a standard guideline for pressure ulcer prevention, there are limited evidence and studies that would support the effectiveness of repositioning in reducing the incidences of pressure ulcers (Rich et al., 2011, 11). In addition, studies suggest that repositioning should depend on the level of tissue injury or stages of pressure ulcers. Therefore, before accepting repositioning as a standard practice at a national level, guidelines about the appropriate assessment tool to use and the correct number and duration of turns in repositioning must be well-established to render effective and cost-reducing prevention as the Centers for Medicare and Medicaid Services no longer reimburses hospitals for treatment of hospital-acquired stage 3 and 4 pressure ulcers due to the reason that pressure ulcer can be prevented by using the current evidence-based practice guidelines (Cox, 2011, 365). Early studies about preventing pressure ulcers through repositioning correlate to the number of movements of elderly at night. Hampton (2009) stated that an elderly make 20-40 full turns with small position changes every 5–10 minutes at night (p. 65). This should be a number of movements an elderly should do in order to prevent pressure ulcers; however, the number of turns is not applicable to bedbound patients as it only applies to healthy adults. Then on, subsequent studies focus on the duration of pressure as the most important indicator of pressure ulcer susceptibility until repositioning every two hours develop and become a ritual practice. Repositioning the patient regularly is proven to reduce the incidences of pressure ulcer, however, turning every two hours can increase the risk of shearing and friction leading to damaged tissues (Hampton, 2009, 65). Thus, turning every two hours could not be effective in preventing pressure ulcer because increased friction is also a contributing factor for pressure ulcer development.  ...Download file to see next pagesRead More
Cite this document
  • APA
  • MLA
  • CHICAGO
(“Frequent Manual Repositioning and Incidence of Pressure Ulcers Essay”, n.d.)
Retrieved from https://studentshare.org/nursing/1445133-frequent-repositioning-may-not-always-be-effective
(Frequent Manual Repositioning and Incidence of Pressure Ulcers Essay)
https://studentshare.org/nursing/1445133-frequent-repositioning-may-not-always-be-effective.
“Frequent Manual Repositioning and Incidence of Pressure Ulcers Essay”, n.d. https://studentshare.org/nursing/1445133-frequent-repositioning-may-not-always-be-effective.
  • Cited: 0 times
Comments (0)
Click to create a comment or rate a document

CHECK THESE SAMPLES OF Frequent Manual Repositioning and Incidence of Pressure Ulcers

Health Sciences - Pressure Ulcers

...be an improvement following incorporation of the pressure ulcer prevention program Organizational learning – Frequent feedback provided to all employees on cases of pressure ulcer on the way that errors were being managed in the past Process reengineering – in the ICU, one healthcare professional (mainly nurse) would be involved in the process of Pressure ulcer prevention and be monitoring patients for the condition, conducting assessments and be performing repositioning and other required measures Evidence-based medicine – Documented cases show that repositioning of the patient on the...
6 Pages(1500 words)Term Paper

Treating and Preventing Pressure Ulcers

...Treating and Preventing Pressure Ulcers Abstract The essay aims to address a two-fold objective to wit: (1) to summarize the articles; and (2) to identify the different research elements such as design, methods, population, strengths, and limitations. Rapid Appraisal Moore, Z.E.H. & Cowman, S. (2010). Risk assessment tools for the prevention of pressure ulcers (Review). The Cochrane Collaboration, 12: 1-25. Moore & Cowman (2010) stated that the risk assessment tool is a routine part of assessing individual risk for developing pressure ulcer (p. 1). The study aimed to determine whether using structured, systematic...
4 Pages(1000 words)Article

Pressure Ulcers

...? Pressure Ulcers Pressure Ulcers From Nixon, J et al (2006) Pressure ulcers are damages to the skin and underlying tissue due to pressure, friction, shear or a combination of these factors. Support surfaces such as mattress overlays, replacement mattresses, pressure relieving beds, cushions, or repositioning patients manually are methods used to relieve pressure. 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. The study was carried out in eleven hospitals... hospital...
3 Pages(750 words)Research Paper

Pressure Ulcers: Home Based Nursing

...?The study on home based ulcer care aimed at exposing the concepts underlying the unique nature of pressure ulcers in the home setting. As such, the study was to prove the uniqueness of pressure ulcers to patients who received care at home and provide knowledge for effective nursing for clients suffering from pressure ulcers. It is due to the above named uniqueness of the condition under new circumstances that it had to be studied in order to reveal the concept underlying it. 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...
3 Pages(750 words)Research Paper

Pressure Ulcers Prevention

...arises since it is a finding that evidence-based pressure ulcer prevention and treatment guidelines are frequently ignored in nursing clinical practice, and the effects of implementation of such guidelines have not been adequately studied. The authors present literature evidence that many factors are involved in this discrepancy. The authors also present the background of the study from review of literature, and the basic findings are there is still high prevalence and incidence of pressure ulcers, prevention requires risk assessment and early preventive measures that follow evidence base. The existence of clinical practice guidelines...
22 Pages(5500 words)Essay

Causes of heel pressure ulcers

... walking without shoes. They conclude that both high foot pressures and neuropathy are independently associated with ulceration in a diverse diabetic population, with the latter having the greater magnitude of effect. In black and Hispanic diabetic patients especially, joint mobility and plantar pressures are less predictive of ulceration than in Caucasians. (Frykberg RG, 1998) Although heel ulcers are less frequent than forefoot ulcers, higher expenses and higher morbidity rates are associated with heel ulcers. The importance of understanding the risk factors for heel ulcerations stems from the lack of available treatments for heel ulcerations. Apelqvist et al. reported that the incidence of heel ulceration was 13 percent... intact...
11 Pages(2750 words)Essay

Pressure Ulcers Risk Management

..., Health Grades 2004) it is about 0.17% incidence rate. Out of this 13.13% of pressure ulcer cases resulted in death. 34,320 deaths due to pressure ulcer were attributable to patient safety. It also has a cost factor to it. In the year 200-2002 in US, $2,574.02 million were spent to treat pressure ulcers. At the same time $2.57 were spent to prevent pressure ulcer. (WD) Regulatory issues Regulatory agencies such as CMS, JCAHO & the State Departments of Health consider pressure ulcers to be preventable and so nosocomial pressure ulcers are the fault of the facility or agency in which they occur. Nursing Homes receive citations, fines and even criminal charges for these types of wounds. Patients sue facilities and nurses and win... , improving...
6 Pages(1500 words)Research Proposal

Pressure Ulcers

...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. Research article-1: Riordan, J., and Voegeli, D. (2009). Prevention and treatment of pressure ulcers. British Journal of Nursing, 18, S20- 27. Purpose of the article The article by Riordan and Voegeli discusses about the prevention and treatment of pressure...
6 Pages(1500 words)Research Paper

Pressure ulcers disease

...and, consequently, needs to be given extra care. Ethically, health facilities are more challenged to live up to their responsibilities by ensuring that patients receive maximum care once at the facility. These points notwithstanding, it can clearly be seen that the reimbursement for hospital-acquired pressure ulcers would put much pressure on hospitals to intensify care more than they would naturally have done (Grayson, 2008). From this perspective, hospitals should have a legal basis to ask for increased payment for general care, which would cover the extra care to be given to patients to avoid incidents of hospital-acquired pressure...
4 Pages(1000 words)Case Study

Are all pressure ulcers avoidable

...mattress on his double bed as a viable alternative for preventing pressure ulcers, the nurse should still provide holistic care to the patient by suggesting some other alternative ways to avoid pressure ulcers. For instance, the nurse should just educate the patient and his wife about the long-term health consequences of pressure ulcers followed by recommending the need for the patient to regularly shift his body position in bed every after 2 hours (Carpenito-Moyet, 2009, p. 72). Aside from teaching the couple about the importance of repositioning in bed, the nurse should also show empathy as it could help the couple...
5 Pages(1250 words)Essay
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 Essay on topic Frequent Manual Repositioning and Incidence of Pressure Ulcers for FREE!

Contact Us