Friday, May 1, 2020

An Abstract on Pressure Ulcer Samples †MyAssignmenthelp.com

Question: Discuss about the An Abstract on Pressure Ulcer. Answer: Pressure ulcer is a serious healthcare problem found among elders present in long-term care, acute care and home care settings. They are localized damages that occur to the skin or underlying tissue present over a bony surface (Gill, 2015). This damage occurs due to environmental factors such as, pressure along with shearing or friction. It is a major problem in UAE and the IPUP survey showed 100,623 patients in 2013 with pressure ulcer (Tariq, 2014). Sustained pressure leads to a complete or partial obstruction of blood capillaries, causing ischemia due to deprivation of oxygen and nutrients. Hypotension, diabetes mellitus, immobility, spinal cord injuries, malnutrition, and peripheral vascular disease are some of the intrinsic factors (Coleman et al., 2013). Impaired sensory perception alters consciousness that may reduce mobility. Certain political factors can affect the prevention of pressure ulcer such as, scarcity of pressure reducing equipment, lack of healthcare resources eco nomic crisis, war, homelessness, and limited food and transportation facilities in UAE. Physical limitations also lead to social isolation, which in turn can give rise to these bed sores. One of the prevention activities involves use of risk assessment scales to identify individuals at a risk of developing pressure sores. Such a scale presents an accurate record of the progress and risk status (Guy, 2012). Wound care nurses adopt an interdisciplinary approach to provide care for such patients. The major prevention strategies include repositioning the patient, using support surfaces to help them sit in a way that protects their skin (Gillespie et al., 2012). The skin is assessed, followed by cleansing of the wound and a dressing is applied to keep the area moist (Moore Cowman, 2012). Debridement is another approach that is followed to keep the wound free from any damaged or dead tissues (Chou et al., 2013). Thus, there is a need to revisit and identify the factors that prevent ulcer healing. Furthermore, a risk assessment format should be followed at all levels of healthcare system. References Chou, R., Dana, T., Bougatsos, C., Blazina, I., Starmer, A. J., Reitel, K., Buckley, D. (2013). Pressure ulcer risk assessment and prevention.Ann Intern Med,159, 28-38. Coleman, S., Gorecki, C., Nelson, E. A., Closs, S. J., Defloor, T., Halfens, R., ... Nixon, J. (2013). Patient risk factors for pressure ulcer development: systematic review.International journal of nursing studies,50(7), 974-1003. Gill, E. C. (2015). Reducing hospital acquired pressure ulcers in intensive care.BMJ quality improvement reports,4(1), u205599-w3015. Gillespie, B. M., Chaboyer, W. P., McInnes, E., Kent, B., Whitty, J. A., Thalib, L. (2012). Repositioning for pressure ulcer prevention in adults.Cochrane Database Syst Rev20144Cd009958. Guy, H. (2012). Pressure ulcer risk assessment.Nursing times,108(4), 16-18. Moore, Z., Cowman, S. (2012). Pressure ulcer prevalence and prevention practices in care of the older person in the Republic of Ireland.Journal of Clinical Nursing,21(3?4), 362-371. Tariq, G. (2014). Pressure ulcer prevalence and prevention in Sheikh Khalifa Medical City, Abu Dhabi.Wounds,1(1), 1-7.

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