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Research proposal - Essay Example

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This research proposal is guided by the theory of self-care deficit that proposes that sometimes patients or their families have a bigger need for self-care than they can satisfy. As a result, self-care deficit develops, which is offered by a nurse. The nursing system, in this…
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Research proposal

Download file to see previous pages... In this research proposal, therefore, attentive oral hygiene is a significant part of VAP prevention approach; though there is a difference in the real practice for particular application technique, products utilized, and timing prevent development of VAP. The participants will be ICU adults receiving mechanical ventilation who are in need of regular oral care hygiene. The problem is that there are no definite recommendations in the guidelines about a specific solution to be utilized and the frequency of oral care. A research in an ICU suggest that performing oral care thrice a day with routine tooth brushing minimized the rate of pathogenic bacteria colonization in the oral cavity that resulted in a remarkable reduction in the prevalence of VAP (Ebbing, 2010). In recent studies, use of 2% chlorhexidine solution as the oral care hygiene technique in ventilated patients indicated a lower rate in oropharyngeal colonization with gram-negative bacilli and therefore, a reduction in the development of VAP (Ebbing, 2010).
The research topic is ‘what is the most efficient intervention to reduce ventilator associated pneumonia in adult ICU patients; use of antiseptic agent (chlorhexidine) or performing oral care (using toothbrushes or toothpaste)?’ The tooth brushing technique will involve the use of a soft toothbrush to clean the patient’s teeth to reduce plaque. Also, the patient’s gums and tongue will be brushed to stimulate the tissues (Urden, 2014). The use of antiseptic agent chlorhexidine will be performed after a duration of 6 hours, which is a recommendation for patients undergoing mechanical ventilation. In such a case, the patient’s teeth should be cleaned before using chlorhexidine to minimize staining. However, chlorhexidine can be made less active by toothpaste if used within a period of thirty minutes to two hours.
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