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For this coordination to be achieved, high-quality prevention requires operational practices and organizational culture that promote communication and teamwork, as well as personal expertise. Consequently, enhancement in pressure ulcer prevention requires a system that is aimed at making the required changes Therefore, the purpose of this paper is to identify some of the changes that are needed in the Pressure Ulcer Prevention Practices in Nursing (Sullivan, 2013).
Since pressure ulcer care is difficult, efforts to develop prevention strategies for pressure ulcer needs a system approach that will encompass organizational change (Kuhn, 2013). It becomes very difficult bring a change of any type within an organization especially when it involves several, simultaneous changes in communication, workflow, and decision-making as are required in preventing pressure ulcer. Inability to evaluate the readiness of the organization for the change at various levels may lead to unanticipated problems during the implementation. Change in Pressure Ulcer Prevention Practice assists the nurses and their organization to discover the readiness and come up with action steps to develop it if necessary.
Making changes to practice requires one first to understand the existing practices. With the view that pressure ulcer prevention has completely taken new dimension is a clear indication that there are more than one apparent performance teething troubles in this place. There are gaps of various forms, between present best practices and real work practices due to lack of proper 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.
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254). The “bony prominence” areas where pressure ulcers usually form are the sacrum, coccyx, hips and heels. Older people have a tendency to develop pressure ulcers because skin constitution changes as one gets older becoming thinner with less collagen and with diminished capability to protect itself from the bacteria and the environment.
One of such health problem is Pressure Ulcer. In conformity to the explanation by the Arkansas State University College of Education (2008), the theoretical framework of most of the sources discussed in this review “establishes a vantage point, a perspective, a set of lenses through which the researcher views the problem.” Generally, the deep tissue injury theory was used by researchers with the view that ulcers occur, starting from areas around the bone till they get to the epidermis – thus beginning from the deepest level.
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.
Braden scale evaluates the level of risk for getting pressure ulcers and those discovered to have or at risk of developing the ulcers are given preventive care. According to Braden (2009), the Braden scale consists of six subscales/areas that can be completed in one minute.
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.
Effectiveness of Risk Assessment in Preventing Pressure Ulcer. The research question for the study will be: Does increased risk assessment and early detection reduce the prevalence of pressure ulcers in healthcare institutions? The independent variable is risk assessment and detection of ulcers while the independent variable is prevalence of ulcers.
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
al Expert Wound Care Advisory Panel came up with this study as their means of coping with the implementation of the Inpatient Hospital Care Present on Admission (POA) Indicators/Hospital-Acquired Conditions (HAC) Policy of the Centers for Medicare and Medicaid Services (CMS) by
This begs the question why its nearly impossible to have a sustained pressure ulcer prevention in the geriatric patient. This research topic tends to settle down this question by determining the attitude and knowledge of nurses on geriatric
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