Pressure ulcers also referred to as "bedsores" are localized skin injuries of underlying tissue occur on the bony prominences of specific regions in the body such as the coccyx, hips, heels and the sacrum (Reddy 2011, 6). Other sites where the sore occur include the ankles,…
Download file to see previous pages...
2006, 472). There are four stages of pressure ulcer occurrence from stage I to stage IV. Stage I involves an intact skin where an ulceration results that indicates a reactive hyperemia. Stage II involves partial skin loss of the dermis and epidermis while stage III entails full thickness skin loss with extension into the subcutaneous tissue. Stage IV entails a full thickness of tissue loss with extension in to adjacent muscles, bones, tendons and joint capsule (Lyder & Ayello 2005, 281).
Pressure ulcers develop in risk prone individuals i.e. those who are immobile especially the sick and elderly patients confined to wheelchairs. However, a number of factors influence the tolerance of the skin, the shear and pressure effect thus increases the risk of pressure ulcer development. These factors include protein calorie malnutrition, wetness of the skin as a result of incontinence or sweating and medical conditions limiting blood flow to the skin such as paralysis or neuropathy (Reddy et al. 2006, 977).They are preventable skin conditions, but their rate of occurrence continue to escalate yet at an increasing alarming rate. Between the period of 1995 and 2008 pressure ulcers incidence increased by 80 percent, and the rate is not expected to decline due to poor patient’s acre in the nursing homes and hospitals (Bennett et al. 2004, 230). About 2.5 million patients develop pressure ulcer each year in the United States, while more than a million patients remain affected annually (White-Chu et al. 2011, 245). The rate is expected to increase due to the increase of the population at risk i.e. the obese, elderly, diabetic patients (Bader, 2005, 25). Therefore, addressing and preventing the condition is of utmost importance to the public, as it will prevent patients from further harm and reduce the cost of care (Clay, 2008, 12). Pressure ulcers occurrence
...Download file to see next pagesRead More
Cite this document
(“Pressure ulcer (critical incident analysis) Essay”, n.d.)
Retrieved from https://studentshare.org/nursing/1667686-pressure-ulcer-critical-incident-analysis
He was dropped off in the emergency room by a building security guard after he apparently collapsed on the street. He did not have any wallet or identification with him, and when he regained consciousness a few minutes after admission, he was incoherent, and could not understand what was being asked of him.
After three days of admission, the patient developed a Grade 2 pressure ulcer at his sacral area. This student has chosen the case to discuss because pressure ulcers are a common problem for patients who have suffered orthopaedic affectations mostly because of their poor mobility during the confinement.
National Institute for Health and Clinical Excellence (NICE) guidelines is a part of National Health Society (NHS) in England and Wales which sets the guidelines on how to prevent or treat pressure ulcers. Similarly, there are several other reference clinical guidelines in other states that help assess the risk of developing pressure ulcers, diagnosis, treatment, care and self-help or a combination of all these practices.
The practice of nursing places the nurse and the patient in a condition wherein a person’s call for help is responded in the ethos of care and respect. The encounter becomes an opportunity for an authentic meeting to happen between persons during times of vulnerability. However, more than the chance to have an authentic meeting.
Whilst nursing her, I saw the condition of the inside of her mouth was extremely dehydrated. Her tongue looked like a bone-dry piece of leather and she had dysphagia. She had very small amounts of urine output and it's colouring was very dark, almost brown.
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.
It was therefore visualized that the National Health Service (NHS), in order to provide quality services to the patients would need information technology. Therefore, they set up The National Programme for IT in the NHS ("the Programme" or NPfIT). This system obviously puts patients at the centre of decision making through innovations in information and communication technology.
It was decided that an elective surgery will be done on her. Accordingly anterior cervical decompression and fusion at C4-C5 levels will be done. A detailed preoperative history revealed no history of allergy, no history of asthma, no previous surgeries, and she had never been subjected to any anesthetics.
ICU Consultant and a junior staff nurse to the parents. The family appeared to fully understand the news of brain stem death. The family belonged to the Roman Catholic faith. Organ donation was also mentioned to them but they were opposed to the idea of organ
So, there are various topics related to the work and placement of a nurse varying from department to department. However, there are some topics that have wider implications and serious challenges related
7 Pages(1750 words)Essay
GOT A TRICKY QUESTION? RECEIVE AN ANSWER FROM STUDENTS LIKE YOU!
Let us find you another Essay on topic Pressure ulcer (critical incident analysis) for FREE!