Friday, June 14, 2019
Nurses Role in preventing pressure Ulcers Dissertation
Nurses Role in preventing insisting Ulcers - Dissertation ExampleFirst, squeeze ulcers (PRUs) are rather common medical conditions that commit affected the patients for ages with ever increasing morbidity and mortality rates. For these reasons, pressure ulcers and their effects have prompted nurses to work tirelessly to address their detection, prevention, treatment and management (National plant for wellness and Care Excellence, 2013). Most importantly, that PRUs have metamorphosed into a national healthcare issue underscores the importance of its prevention to the nursing. The early(a) reason this topic was chosen for this paper is that notwithstanding the tremendous efforts and strides made in other fields such as medicine, nursing care, surgery, and self-care education, pressure ulcers remain among the chief ca usances of morbidity and mortality for different types of illnesses (National Institute for Health and Care Excellence, 2013). The situation is particularly dire for people with prolonged immobility, weakened sensation and advanced age. This topic was also favoured by the need to competently and effectively prevent and manage PRUs and the need for more research in the area of pressure ulcers with regards to their prevention, characterization and treatment. Unfortunately, more needs to be done with regards to care for patients to prevent and treat pressure ulcer in hospitals. To this effect, the numerous guidelines available to professionals should be accessed and implemented. Generally, these guidelines pinpoint the various strategies of preventing and treating pressure ulcers. Among these areas are those of skin care and protection, positioning, drop of pressure-relieving devices and nutrition (National signpost Clearinghouse, 2006). Agreeably, keeping the skin clean, dry and moisturized is the first and an important preventive step. Other guidelines emphasise the avoidance of the massaging of bony prominences. Dry lubricants and/or other protective dressings such as transparent films and hydrocolloids are also recommended for use since they help avoid skin injury from friction during patient transferring and turning (National Guideline Clearinghouse, 2006). In addition, the use of skin protectants or incontinence skin barriers is recommended by experts (Allsop, 1995). Another skin-related intervention that comes highly recommended is the use of absorbent under-pads and undergarments to wick moisture external from the skin. The recommendations with regards to positioning and pressure-relieving devices include elevation of the head of the bed to about 30 degrees, the use of a 30-degree lateral lying position, use of trapeze bars to help with mobility, use of pillows or wedges to lessen pressure and the cushioning of high-risk areas such as the elbows, heels and sacrum (McInnes & Cullum, 2011). Others are emphasis on the need to avoid dragging or move patients and the use of lift sheets/equipment to reposition or tra nsfer patients. According to the NICE, 2013, about half a million UK citizens develop at least one pressure ulcer yearly while the NHS reports that about one in twenty people admitted to hospitals with a sudden illness will develop a pressure ulcer. According to most media reports, pressure ulcers not only inflict severe harm to patients but also cost the NHS billions of pounds each year to treat (Manfred, 2005). Nevertheless, the legal age of pressure ulcer cases could be prevented via rather
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