HOSPITAL ACQUIRED PRESSURE ULCERS CAN
BE PREVENTED
Introduction
There are some rules and eventualities which neither can be control nor easy to deal with. Alongside with our lives are tensions between two different poles of entities - a cause-effect relationship. That is why Aristotelian ethical doctrine suggests the need for moderation is the greatest good for man. However, even in various interactions we cannot avoid some circumstances in which affect our well-being. Natural illnesses are caused not only because of our carelessness or lack of sense of responsibility over our health, but also some factors which are external and uncontrollable causes us to feel sick and acquired illnesses to some extent.
Background of the Study
One of the most popular illness that can be found in hospitals is what we call pressured ulcer, some uses bed sores or scientifically known as decubitus ulcer. This illness is caused by the unrelieved pressure to the skin which cuts off the circulation to the area. This can be developed as an upshot of prolonged period of immobility. Moreover, literatures provide scientific explanation accounting the unrelieved pressure on the skin as critical and can be severe to some extent. It compresses tiny blood vessels which supply the skin with oxygen and nutrients. When skin is famished of nutrients and oxygen for too long, the tissue dies and a pressure ulcer forms. Hence, in the attempt to prevent this, nurses usually reposition patients every two hours when they also assess the skin for evidence of pressure damage. There are alternatives in which a patient suffered from ulcer can use as a device to alleviate the injury like sheep skin padding, air mattresses, silicone pads and specialized flotation mattresses.
Purpose
This research proposal aims to provide sufficient accounts and scientific information on the regulation, nursing education, assessment, planning interventions for the prevention of hospital acquired pressure ulcers. Moreover, these accounts will be significant in proving that pressure ulcers can be prevented in many ways and means.
Significant of the study
The need to evaluate and assess the accounts on pressure ulcers is significantly relevant owing to the fact that it can be a means to recreate new effective and efficient procedures and regulations to which it can highly minimize the cases.
Objectives
The use of scientific research information and other empirical research data will support these research objectives. In general, the objective of this study is to examine the preventive and regulatory measures along with assessment gathered from empirical and experiential observation of authorized agencies. This in particular will give us a lead to deepen our research for further effective measures contra pressure ulcers.
Discussion
The Centers for Medicare & Medicaid Services showed that the national predominance rate for bed sores in long-term care is approximately 8.9 %. With this rate in a long-term basis needs to be addressed and revised its body of regulations. CMS made this a priority over some issues due to the predominance and high number of citation by surveyors. The intent of the regulation is to “ensure that a resident does not develop pressure ulcers unless his or her clinical condition rendered the ulcer unavoidable (retrieved internet source August 1, 2008). Moreover, the regulation stresses that long-term care facilities “provide adequate care services to promote the prevention of pressure ulcer developments, healing and prevent progress of additional cases. On the other hand, the prevention measures must be individualized and monitored for their effectiveness. Risk assessment is a vital component responding to identifying resident risk factors. The treatment guidelines underline the focus on the importance of accurate assessment of pressure ulcers, mainly reinforcing residents to have a self-inquiry asking their selves the “why’ of the occurrence and its cause. In managing such injurious and vicious physical illness assessment, product implementation or prescription and skin care guidelines should be enforced by the clinicians or any medical authorities formally inclined to such expertise. Moreover, reporting of changes of condition is highly upheld. Any changes in condition must be reported to the assigned nurses who are held accountable. A formal system includes skin integrity checks occurring upon dressing, undressing and at scheduled bathing times of patients. Proper documentation of reports held in utmost importance.
References:
www.leedergroup.com. FTag 314 Pressure Ulcer. Retrieved August 01, 2008
Lyder, C (2004). Implications of Pressure Ulcers and Its Relation to Federal Tag 314. Annals of Long-Term Care, Volume 14, No. 4
A Systems Approach to Quality Improvement in Long-Term Care: Pressure Ulcer Prevention and Management. MassPRO: The Healthcare Quality Improvement Organization, 2003
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