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The panel came up with recommendation on preventive strategies such as patient education, clinician training, development of communication and terminology materials, implementation of toolkits and protocols. Behavioral aspects like adherence of the healthcare provider as well as the patient were also given recommendations.
The collaborative effort of the learned American healthcare professionals who have the resources and determination has transformed the impending challenge of the CMS policy to an opportunity for the improvement of the hospital system and its patients.
The Pressure Ulcer Collaborative project, coordinated by the New Jersey Hospital Association (NJHA), was conceptualized based on the negative effects of pressure ulcers such as pain and disfigurement on patients, the burden of care to the healthcare industry, and the state and federal reporting requirements – the U.S. Health and Human Services in particular calls for a 50% reduction in pressure ulcers among nursing home residents by 2010.
A comparative method to analyze data based on the guidelines developed by the NJHA Quality Institute Department and the Department of Continuing Care Services was used by the 150 organization who participated in the project.
After a 12-month period (October 2005 to October 2006), the incidence and prevalence of pressure ulcers among the participating organizations showed a 30% decrease. By May 2007, the end of the second year of the Pressure Ulcer Collaborative project, a 70% decrease was achieved.
The skin assessment, Braden assessment, and frequency of skin assessment requirements to meet the guideline criteria were not sufficient at the onset, thus the project was rolled out in all organizations who participated by April 2006 only.
The project was able to give the healthcare staff a more detailed and comprehensive focus on patient care improvement, access to guidelines and protocols, and commitment to consistency and standardization in
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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.
Specific examples of foods to avoid and to consume regularly have been provided along with their effects on the levels of cholesterol and blood pressure, thereby identifying their relationships with heart disease. A number of local and international groups that supported cardiovascular health were also included along with the programs and opportunities they provide for the public with regards to heart disease prevention and recovery.
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.
As the report highlights medical science or healthcare is one area in which technology helped us immensely. Many of the untreatable chronic diseases in the past are treatable at present because of the growth in medical science. Nursing is one profession in which the influence of technology can be witnessed clearly.
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.
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.
Ulcers are of various types that include duodenal and peptic ulcers. Additionally, related symptoms and diseases such as gastritis commonly appear together with an ulcer. Patients with these conditions are at significantly higher risk of developing “gastric cancer and mucosal-associated-lymphoid-type (MALT) lymphoma”.
o Polit and Hunger (1999; cited in Melnyk et al, 2000), "research utilization is the use of some portion of research in practice that is similar to the manner in which it was used in the original study.” Research has shown that following certain strategies to prevent and
According to the study conducted, resistance to change is stressful and disruptive to organizations when they want to implement change. However, this is unavoidable because employees are diverse and react differently to change. For this reason, managers, and agents of change have a crucial role in encouraging employees to accept change
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