The Extent of Evidence-Based Data for Proposed Interventions
In the prevalence of pressure ulcer among the elderly patients and patient with decreased mobility in the hospital and healthcare facilities the implementation or use of Braden Scale, applying mepilex silicon foam, to bony prominence area and repositioning patients have proven to be very effective in the prevention of pressure ulcers. As it helps to reduce the risk and complications that comes with pressure ulcers leading to sepsis and some other infections (Sving et al., 2020). The implementation of the above prevalence method will prevent the development of pressure ulcer and its complications, promote comfort and better quality of life as well as reducing hospital stay on patients. The will also save a lot of cost for the facilities and government for patient on medicare and Medicaid.
Developing pressure ulcers in the elderly may make it difficult to care for themselves. Lack of care on pressure ulcers can lead to chronic wounds, which heal more slowly. This exposes the wounds to the risk of infection, which can be toxic to the body and even fatal. If left unattended, they might lead to further issues such as blood poisoning. Many people over 60 years may be unable to take care of themselves thereby imposed with the problem of decrease mobility which often leads to pressure ulcers if certain prevalence method is not implemented.
Factors That Might Influence the Use of Proposed Interventions
Two criteria influencing the offered solutions are adjusting persuasions to increase quality and program adaptability. Furthermore, while the financial incentive for benefit had minimal impact on the intervention, stakeholders expected incentives to be focused on high-quality rebuilding at all times. Participants should also be flexible to change, as the world is always changing due to increased diversity and technological advancements.
The Barriers Related to the Proposed Interventions
The barriers related to the proposed intervention could be negligence on patients and family, nurses and other healthcare workers not to adhere to treatment regimen by refusing to implement the prevalence method introduced above. Ways to overcome this barrier is through adequate teaching by engaging educational sections for family and healthcare workers. The teaching will start by telling them how it works and the need to implement it and the benefits of doing it, and also the implications that it brings upon on the parties involved if not done, it expose patients to the risk developing pressure ulcers leading to complex wound infections, and the patient to complications like bone and blood infections and later sepsis (Taylor et al., 2021). Since pressure wounds occur mostly at joints and from tissue tears, they are sometimes deep and may take time to heal, especially if they keep recurring because the patient may keep the same posture that contributes to the pressure wounds, especially if they are in a long-term care facility. Braden scale, use of mepilex foam to protect the bony prominence areas and repositioning patients in this population is always recommended.
Required Resources
Implementation guide, AHRQ Pressure Ulcer Tool kit, Fact Sheet for hospital nursing home staff members, fact sheet for consumers, pressure ulcer teaching guide, pressure ulcer collaborative skin and wound handoff tool, and pressure ulcer admitted vs acquired tracking tool are all needed for the capstone project.
Implementation Activities
For some patients, the intervention would entail implementing the use of Braden Scale, applying mepilex foam to bony prominence areas of at risk patients, repositioning patients. whereas, for others, no prevalence method would be used (Taylor et al., 2021). If the group consists of 60 at risk patients, 30 will be subjected to implement this prevalence methods above, while the other 30 patients will be subjected to use no prevalence method. This is to compare the effectiveness of the implementation or use of Braden Scale, applying mepilex silicon foam, to bony prominence area and repositioning on patients to prevent pressure ulcer, with to patients that did not use any prevalence method for same condition and length of time.
Monitoring, Tracking, and Ongoing Review
This capstone project is significant to healthcare institutions because it highlights some issues older adults face, such as higher healthcare bills and longer hospital stays. It’s also significant for healthcare institutions since it emphasizes the need to implement certain prevalence method to help prevent the development of pressure ulcer among the elderly and decreased mobility patients in the hospital and healthcare system (Minteer et al., 2020). The focus of the intervention is to implement a prevalence method which mechanism of action is very therapeutic in preventing pressure ulcer development.
Performance of tasks required for implementation
Dealing with pressure ulcers in the elderly is a significant challenge. Various interventions are available, and some are being implemented while others are not (Saleh et al., 2019). Pressure ulcer prevalence through the use of Braden Scale, Mepilex silicon foam, and repositioning patients. has been considered effective in preventing the development of pressure ulcers. Healthcare providers and hospital organizations must work as a team to ensure the effective implementation of this intervention.
Strategies That Facilitate the Implementation of the Proposed Intervention
It is finding ways to reduce the time required for an older person to heal from pressure wounds, common in a shorter period. Doing so aids in reducing the risk of infection and the complications that come with it, like sepsis and bone infections leading to the need for amputations (Saleh et al., 2019). The nurse is also responsible for assessing for any signs of pressure ulcers and providing care to prevent them from developing by implementing the use of Braden Scale, Mepilex silicon foam, and repositioning patients. This has proven overtime to be the most EBP on the prevalence of pressure ulcers among the elderly and patients with decreased mobility.
Timeline
The timeline is for two weeks.
Expected Outcomes to Be Achieved by My Project
The data will be used to examine the data to examine the percentage of in-hospital and healthcare facilities problems and cost caused by pressure ulcers among the elderly and decreased mobility patients and the need for the prevalence of pressure ulcers through the use of Braden Scale, Mepilex silicon foam, and repositioning patients within this population in the sample group, length of stay, and patients at risk that are not included in the sample group. The study’s outcome will reveal that implementation of the Braden Scale, Mepilex silicon foam, and repositioning patients among the sample population shows a tremendous improvement in the prevalence of pressure ulcers issues and development than patients outside the sample population with no prevalence method. In this case, a big change can be anticipated in the number of reported pressure ulcer incidents and complications resulting from infections due to pressure ulcers, which reduces the number of deadly complications like sepsis in older patients due to pressure ulcers complications. This will help in the reduction of pressure wound mortality.
Conclusion
In the prevalence of pressure ulcer among the elderly patients and patient with decreased mobility in the hospital and healthcare facilities as a sample population that the implementation or use of Braden Scale, applying mepilex silicon foam, to bony prominence area and repositioning patients have proven to be very effective in the prevention of pressure ulcers on at risk patients within the sample population compare to the same at risk patient outside the sample population that no prevalence method was used. This is because decreased mobility impairs circulation leading to development of pressure ulcers which in turn leads to some complications and expose the patients to infection and problems such as sepsis, bone and blood infections.
References
Saleh, M. Y., Papanikolaou, P., Nassar, O. S., Shahin, A., & Anthony, D. (2019). Nurses’ knowledge and practice of pressure ulcer prevention and treatment: an observational study. Journal of tissue viability, 28(4), 210-217.
Sving, E., Fredriksson, L., Mamhidir, A. G., Högman, M., & Gunningberg, L. (2020). A multifaceted intervention for evidence-based pressure ulcer prevention: a 3-year follow-up. JBI Evidence Implementation, 18(4), 391-400.
Taylor, C., Mulligan, K., & McGraw, C. (2021). Barriers and enablers to implementing evidenceâ€based practice in pressure ulcer prevention and management in an integrated community care setting: A qualitative study informed by the theoretical domains framework. Health & Social Care in the Community, 29(3), 766-779.
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