Pressure Area Care On The Perioperative Environment

Evidence suggests that pressure ulcers greatly increase mortality rates in both hospitals and nursing homes (Thomas, 2001). Patients who develop a pressure ulcer within six weeks of admission to an acute-care facility are three times more likely to die than patients who do not develop pressure ulcers (Thomas, 2001). Moreover, patients who develop a pressure ulcer within three months of admission to a long-term care facility are associated with a 92% mortality rate compared with a 4% mortality rate for patients who do not develop them (Thomas, 2001). This evidence alone shows how significant this problem is to the overall health status of patients. In my personal nursing experience, I have heard many complaints voiced from patients and their family members concerning the development of new pressure ulcers. Patients and family members have expressed dissatisfaction because of the increased stress and prolonged hospital stay often associated with the treatment of pressure ulcers.

Outcome 1 understand the anatomy and physiology of the skin in relation to pressure area care

Nursing interventions play an important part in the reduction of pressure ulcers. A nurse can help to reduce the risk of pressure ulcers by promoting activity, carrying out skin inspections and assessments, and by using pressure relieving devices (Lynn, 2005). Some patients may fear being dropped when moved using equipment (Rogers, 1999), thus it is important for the Nurse to communicate with the patient, this way the Nurse can explain how the equipment works and the patient can express any concerns that they may have. It is important to remember that not all patients like lifting equipment and

Pressure ulcers are one of the most common problems health care facilities often face which causes pain and discomfort for the patient, cost effective to manage and impacts negatively on the hospital (Pieper, Langemo, & Cuddigan, 2009; Padula et al., 2011). The development of pressure ulcers occur when there is injury to the skin or tissue usually over bony prominences such as the coccyx, sacrum or heels from the increase of pressure and shear. This injury will compromise blood flow and result in ischemia due to lack of oxygen being delivered (Gyawali et al., 2011). Patients such as those who are critically ill or bed bounded are at high risk of developing pressure ulcers (O'Brien et

Pressure ulcers are a problem and can lead to poor patient outcomes as well as hospital fines. Evidence based studies have shown that “the average cost of care in an acute care hospital for a patient with a stage III or stage IV pressure ulcer reported by the Centers for Medicare & Medicaid Services (CMS) is $43,180” (Jackson, 2008). Pressure ulcers and other skin breakdowns are among the most significant adverse events causing distress for patients and their care givers and compromising patients’ recovery from illness or injury (Gardiner, 2008). It is the tasks of nurses to ensure prevention of these complications is part of the daily care regimen.

The CQC guidance about compliance Essential standards of quality and safety covers pressure care in-

Most patients who end up in intensive care unit are most of the time so unstable that any little movement will put them at risk for further complications which can lead to death. However, finding a way to prevent pressure ulcer in the most critical ills patients in the healthcare system is very crucial.

Today in clinical I experienced how to properly position a patient to prevent the risk of further damage, such as pressure ulcers.

Does Frequent Repositioning Result in Faster Recovery and Decreased Risk of Developing Pressure Ulcers in Bedridden Patients?

The INTACT trial showed a significant reduction in pressure ulcers (PU) incidence in the intervention group at the hospital (cluster) level, but this difference was not significant at the

ASSESS: Decrease the number of pressure ulcers developed by patients with spinal cord injury during stay in the hospital.

The use of the preoperative huddle prior to the patient entering the operating room suite improves safety, communication, cost, and the quality of care for the surgical patient by addressing issues and optimizing the patient before he/she is on the operative table and anesthetized. The use of sequential compression device (SCD) therapy on a patient having local sedation for a procedure with a 25-30 minutes duration was brought into question during the huddle process. It was felt by some team members that all patients should have SCDs if they are to have a surgical procedure. That is how it has always been done at this hospital. Other team members felt that this was a waste of hospital resources because it was not general anesthesia and it was

This paper is an academic critique of an article written by Kirkland-Walsh, Teleten, Wilson, and Raingruber (2015) titled: Pressure mapping comparison of four OR surfaces. The authors sought to examine the results found from testing four different patient care surfaces commonly found in operating room suites. My analysis methodically focuses on specific aspects of the article relating to the process and research methods along with their associated results. While I think that the study itself is valid, I personally question if the volunteer population adequately and accurately represents an average surgical patient population in terms of health and comorbidities.

During this weeks clinical rotation I was given the opportunity to observe how nurses provide care in the post anesthesia care unit also known as the PACU. The PACU is a place where patients go after receiving surgery and anesthesia. The PACU provides patients with intense observation and care until the patient is stable enough to be discharged home or to another unit in the hospital. Last semester my fellow classmates and I was able to follow patients from the Preoperative area into the intraoperative room. After observing preop and intraop it was nice to be able to observe how care is managed postoperatively. After visualized how invasive many of these surgeries are its nice to know there is a place where patients are cared for until they

Pressure injury, due to its high prevalence & probability, is nowadays seen as a patient safety issue internationally. As patient 's safety is paramount, a great importance is accorded to the issue. Even the performance of hospitals is benchmarked against the skin care quality, an attribute of quality care. This comparative essay outlines the evidence-based best practice recommendations to abate the risk of pressure injuries to patients in care. These recommendations, in essence, relate to the five research journal articles published recently.