Prevalence Of Pressure Ulcer
United State University
The Prevalence of Pressure Ulcer Among The Elderly And Decreased Mobility Patients in The Hospitals And Healthcare Facilities.
Hospital-acquired pressure ulcers remain to be amongst the continuous and persistent healthcare issues that are affecting the delivery of quality healthcare services. Pressure ulcers or pressure sores or bedsores refer to the injuries of the skin and the underlying tissues that are mainly caused by the prolonged pressure on the skin. According to the National Health Service, these conditions are common in individuals who are bedridden or are sitting on wheelchairs and chairs for an extended period. The disease occurs on the body parts that are commonly exposed to the pressure for example the spine, hips, elbows, and heels. The issue of pressure ulcers is a major public health concern since it consumes large sums of money to address the problem (Grey et al., 2016). On average, a client is being charged $ 37,800 for extreme cases of pressure ulcers.
This study aims to implement certain method to prevent pressure ulcers among the elderly above 60 years and decreased mobility patients in the hospital and healthcare facilities through the use of Braden scale, applying mepilex foam dressing to bony prominence areas, and repositioning. Patients especially elderly adults are experiencing lengthy hospital stays and this is exposing them to the high risk of pressure ulcers. According to Rondinelli et al (2018), several factors are linked to pressure ulcers. These multi-factorial factors involve hormonal changes, impairment of blood perfusion, inflammation, degenerative changes, and reduction in the effectiveness of immunity. The majority of elderly patients suffer from frailty and other chronic diseases that reduce their ability to engage in daily activities (ADLs) and even experiences limited movements. This increases their level of exposure to hospital-acquired pressure injury (HAPI). This is a health concern that requires the development of effective evidence-based interventions to help in the creation of awareness concerning therapy and preventive approaches such as the application of the Braden Scale to help in detecting the risks of adult patients. It is also important to design approaches that are helpful in the protection of the bony regions using pads and repositioning of the patients after every 2 hours (Lyder & Ayello, 2018).
Many healthcare facilities have attempted to design effective evidence-based interventions but the issue of healthcare-acquired pressure ulcers continued to persist. Despite the increased efforts to implement evidence-based procedures to guide the nurses in reducing the pressure ulcers issue within the acute care facilities, the number of reported cases of pressure ulcers continues to be a major issue (Grey et al., 2016). The majority of healthcare facilities are facing huge issues associated with hospital-acquired pressure ulcers. This leads to increased medication costs for both the country, the institutions, and patients. This, therefore, is an indication of the need to ensure that there are effective interventions approaches to assist in the reduction of the huge problems encountered in an attempt to reduce the incidences of pressure ulcers. Some of the evidence-based interventions that have been proposed include the Braden Scale, the repositioning of the patients, and the use of the mepilex dressing on the bony regions of the body (Lyder & Ayello, 2018).
Grey, J. E., Harding, K. G., & Enoch, S. (2016). Pressure ulcers. BMJ, 332(7539), 472-475.
impact of nurse staffing on pressure ulcer incidence.Â Journal of nursing management.
Lyder, C. H., & Ayello, E. A. (2018). Pressure ulcers: a patient safety issue. In-patient safety and quality: An evidence-based handbook for nurses. Agency for Healthcare Research and Quality (US).
Rondinelli, J., Zuniga, S., Kipnis, P., Kawar, L.N., Liu, V., Escobar, G.J. (2018). Hospital-Acquired Pressure Injury Risk-Adjusted Comparisons in an Integrated Healthcare Delivery System. Nurs Res., 67(1), 16-25. doi:10.1097/NNR.0000000000000258
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