Reducing Pressure Injury Assignment Paper

Reducing Pressure Injury Assignment Paper

Briefing Note: Reducing pressure injury by turning patients Q 2 hours

  1. Issue / Problem / Area for Change 

Pressure injuries are wounds to the skin and the surrounding tissue that occur as a consequence of sustained tension being applied to the skin. Heels, ankles, hips, and the tailbone are common places for them to appear. This brief note aims to answer the question: Does turning patients every two hours help reduce pressure injuries? Reducing Pressure Injury Assignment Paper

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  1. Background

It is estimated that 12.8% of the world’s population suffers from pressure injuries (Etafa et al., 2018). Pressure injuries persist despite efforts to prevent or treat them. Damage to the skin and/or the tissues immediately next to the injury site is the typical outcome of a pressure injury. In the United States, pressure injuries cost between $9.1 and $11.6 billion annually, while care for one patient with a pressure ulcer might cost anything from $19,900 to $151,700 (Padula & Delarmente, 2019)Reducing Pressure Injury Assignment Paper. Patients, healthcare providers, and healthcare systems have all suffered financially and emotionally as a result of this problem.

  1. Current Status 

At this time, various different approaches and tactics for the prevention of pressure ulcers have been detailed. These include risk identification and management strategy, the utilization of support surfaces, patient awareness and education, diet, and routine side shifts. When a patient is hospitalized, they may be placed in or choose to assume a number of different positions, including bed head elevation, supine position, standing or walking, and different degrees of tilt. A 30-degree tilt offers greater results in reducing PI than the conventional approaches. Researchers have shown that when medical staff members collaborate, the number of patients who get pressure injuries drops significantly.

  1. Key Considerations / Notes 

PI patients are constantly tormented by excruciating pain. In order to test for PI, a combination of a quantitative screening approach and clinical decision-making is required. However, data supporting the use of quantitative risk parameters to categorize individuals is few. The likelihood of PI happening may be reduced with the use of the rigorous PI preventive regimen. An intensive pressure ulcer prevention program was studied to see how well it worked in a long-term care hospital. Changing the world for the better by preventing PI by finding and removing the underlying cause is possible. The outcomes of implementing the SOLUTIONS program in two inpatient rehabilitation facilities were the subject of additional research. In this program, the Braden Scale was used to identify potential risk factors for pressure ulcers, enabling the prioritization of measures aimed at reducing those risks (Boyko et al., 2018)Reducing Pressure Injury Assignment Paper.

Looking for erythematic alterations and skin bleeding ulcers is crucial while repositioning a patient every two hours. The utilization of soft surfaces, a protein-rich diet, and consistent ulcer treatment have all been shown to be effective in clinical studies.

Among the most helpful preventative measures is to lighten the weight through mechanical means. When patients are not able to move about or change their posture, they are at risk of developing pressure injuries. Assisting patients in lightening their mechanical strain is a crucial part of the nursing staff’ duties.

  1. Recommendations / Actions 

Possibilities for improvement include expanding access to care providers with expertise in geriatric care and pain control and providing more education for medical personnel (Etafa et al., 2018)Reducing Pressure Injury Assignment Paper. Because constant repositioning disrupts the patient’s normal sleep schedule, I suggest stopping the practice of turning the patient 24/7. It is practical, economical, and helpful to implement a strategy for managing one’s sleep and reducing daytime drowsiness.

  1. Conclusion / Summary of Key Points 

Pressure ulcers are common, costly, and detrimental to one’s psychological and physical well-being. Pressure injuries develop when the skin of an individual is subjected to extreme pressure for an extended length of time. They are treatable with the use of appropriate management strategies, assessments, and turning.

  1. References

Boyko, T. V., Longaker, M. T., & Yang, G. P. (2018). Review of the current management of pressure ulcers. Advances in Wound Care, 7(2), 57-67. https://doi.org/10.1089/wound.2016.0697

Etafa, W., Argaw, Z., Gemechu, E., & Melese, B. (2018). Nurses’ attitude and perceived barriers to pressure ulcer prevention. BMC Nursing, 17(1). https://doi.org/10.1186/s12912-018-0282-2

Padula, W. V., & Delarmente, B. A. (2019). The national cost of hospital‐acquired pressure injuries in the United States. International Wound Journal, 16(3), 634-640. https://doi.org/10.1111/iwj.13071 Reducing Pressure Injury Assignment Paper

Wound Management for Health Professionals Level 1 | HPPD257

Briefing Note Assignment Template

Reducing pressure injury by turning patients Q 2 hours

  1. Issue / Problem / Area for Change
    1. Explain in one or two lines what the problem is, and why this issue is a concern
    2. Set out, in the form of a question, what the rest of the briefing note is about
  1. Background

Give a brief summary of the history of the topic and other background information the reader needs in order to understand the changes you are proposing later in the Briefing Note. (Do not include information you will discuss in the “Current Status” section.)

  1. Describe how the situation arose and evolved
  2. Previous decisions / problems that led to the current situation
  3. Current Status
    1. Describe only the current situation, who is involved, what is happening now.
    2. What is currently being done on the topic? Reducing Pressure Injury Assignment Paper
  1. Key Considerations / Notes

The subsections included in this summary include important facts, considerations, and developments – everything that needs to be considered now. This section should be as unbiased as possible. The goal of this section is to provide the reader with the information needed to make an informed decision.

  1. Research evidence (literature search): provide 2 research articles that support the change you are proposing, showing improved health outcomes
  2. Colloquial evidence (environmental scan)
  • Expert consultation evidence (practice / research)
  1. Recommendations / Actions

Describe what changes to practice you are proposing. Make a recommendation statement that is clear and direct and is substantiated by the evidence you have presented and include:

  1. Impact on organization
  2. Supports needed
  • Budget implications
  1. Potential to impact workloads / roles / teams
  2. Implementation plan / what will happen next?

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  1. Conclusion / Summary of Key Points
    1. Summarize the take-home message for your reader (do not introduce new information)
  1. References
    1. List your references using any citation style (but be consistent in the one you choose) Reducing Pressure Injury Assignment Paper