Prevention pressure ulcers (NRS-441V)
Continuation of assignment 00029187. Same writer is needed to complete this order. pls follow all instructions carefully. Details: Prepare for the capstone project by listening to the audio interview, "Capstone." Preview and utilize "Topic 1 Checklist." This resource will assist you in organizing your work and will provide additional information regarding the assignment. Consider the clinical environment in which you are currently working or have recently worked. Collaborate with a leader or educator in the clinical environment to identify a problem, issue, or educational deficit upon which to build a proposal for change. In a paper of no more than 800 words, describe the nature of the problem, issue, or educational deficit. Include the following in your discussion: The setting and/or context in which the problem, issue, or educational deficit can be observed. Detailed description of the problem, issue, or educational deficit. Impact of the problem, issue, or educational deficit on the work environment, the quality of care provided by staff, and patient outcomes. Gravity of the problem, issue, or educational deficit and its significance to nursing. Proposed solution to address the problem, issue, or educational deficit. Prepare for the capstone project by listening to the audio interview, "Capstone: Planning Your Project" located at http://lc(dot)gcumedia(dot)com/zwebassets/courseMaterialPages/nrs441v_capstone.php Review "Topic 1: Checklist." This resource will assist you in organizing your work and will provide additional information regarding the assignment. Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. 2 NRS 441v.11R.Module1_Checklist.doc This assignment is a continuation for 5weeks and only one writer is required to complete this assignment. Consider a clinical environment in which you are currently working or have recently worked. Identify a problem, issue, or educational deficit upon which to build a proposal for change. In a paper of no more than 825 words, describe the nature of the problem, issue, or educational deficit. Include the following in your discussion: 1. The setting and/or context in which the problem, issue, or educational deficit can be observed. 2. Detailed description of the problem, issue, or educational deficit. 3. Impact of the problem, issue, or educational deficit on the work environment, the quality of care provided by staff, and patient outcomes. 4. Gravity of the problem, issue, or educational deficit and its significance to nursing. 5. Proposed solution to address the problem, issue, or educational deficit. Prepare for the capstone project by listening to the audio interview, "Capstone: Planning Your Project" located at http://lc(dot)gcumedia(dot)com/zwebassets/courseMaterialPages/nrs441v_capstone.php. Review "Module 1: Checklist." This resource will assist you in organizing your work and will provide additional information regarding the assignment. Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
Prevention pressure ulcers
Name: Suneeta Sharma
Grand Canyon University: NRS-441V
Instructor: Deb Thorson
Date: 08/21/2014
Introduction
Pressure ulcer is one of the leading preventable conditions, and 60,000 patients die from the condition as a secondary diagnosis in the US (Antonetti, 2012). Additionally, patients with pressure ulcers are three times more likely to stay longer in hospitals in comparisons to other chronic diseases. Nursing interventions focus on dealing with the leading contributors of pressure ulcers including nutrition, moisture, pressure and friction/ shear. However, educating patients and nurses has the potential to drastically reduce the prevalence of pressure ulcers, especially when there is tailored education in line with patients needs. This paper highlights on a prevention pressure ulcers capstone project, it also touches on details about the setting, description of the problem, impact of the problem and proposed solution to reduce cases of pressure ulcers
Setting/ context
The setting of the prevention pressure ulcers can be observed in hospitals for patients in long-term care. Bedridden patients in long term facilities, those with impaired mobility and who have recently undergone surgery are at a high risk of pressure ulcers (Thomas, 2001). Hence, there is a need for effective skin care procedures in hospitals to prevent pressure ulcers, besides using repositioning on good quality mattresses. The values of nurses on skin care could be a determining factor in prevention of pressure ulcers in hospitals. In such instances where there are high incidences of pressure ulcers, careful attention is necessary to reduce such incidences (Thomas, 2001).
Detailed description of the problem/ issue or education deficit
Pressure ulcers typically occur when there is skin breakdown upon application of pressure, and the bed sores of pressure and friction around bony prominences. The pressure ulcers may occur in a short period of time because of great force being exerted or it may occur over a longer period of time whereby there is impaired circulation. In such cases, when there is inadequate circulation there are risks of tissue necrosis and ischemic lesions which may in turn cause infection. Knowledge on risk factors helps to reduce incidences of pressure ulcers, with lack of time and knowledge on preventive measures being barriers to prevention and management of pressure ulcers (Strand & Lindgren, 2010).
Impact of the problem
Nursing determines the quality of care, and since patients with pressure ulcers require more attention, the condition has a negative impact on nursing staff. Essentially, nurses require spending more time managing pressure ulcers and at times other areas receive less attention. However, since nursing staff cannot adequately improve practice, this has a direct impact on nursing safety and also affects the health care delivery system (Donna, 2013). With increased attention on the management and prevention of pressure ulcers, there is a high likelihood that there will be positive patient outcome. Training and educating nurses to focus on skin inspection, nutrition, hydration and repositioning is critical to improve the patients’ health (Donna, 2013). The quality of care required should increasingly focus on skin care as this affects the work environment with assigned nurses taking care of pressure ulcer patients. The cost ...