Reflection on pressure sore care
Older critically ill patients who had two oral supplements plus the standard hospital diet had lower risk of pressure ulcers compared to those who received only the standard hospital diet. Given that the cost of treatment has been estimated as 2.
Lateral turns should not exceed 30 degrees. Nutrition Controversy remains on how best to do nutritional assessment for patients at risk for developing pressure ulcers.
Studymode nursing reflection on pressure sores
E-mail: moc. Thus, the use of comprehensive prevention programs can significantly reduce the incidence of pressure ulcers in long-term care. We have seen many teams and organisations holding events in their communities to raise awareness of the issue and promote good practice. The appropriate interval for routine reassessment remains unclear. The following section supplements this document. In one prospective study, high-risk patients who were undernourished on admission to the hospital were twice as likely to develop pressure ulcers as adequately nourished patients 17 percent and 9 percent, respectively. Some physiological intrinsic and nonphysiological extrinsic risk factors that may place adults at risk for pressure ulcer development include diabetes mellitus, peripheral vascular disease, cerebral vascular accident, sepsis, and hypotension. The implementation of a pressure ulcer prevention protocol showed mixed results. The literature is unclear about protein-calorie malnutrition and its association with pressure ulcer development. Gunningberg and colleagues 52 investigated the incidence of pressure ulcers in and among patients with hip fractures and found significant reductions in incidence rates 55 percent in to 29 percent in The possibility for this was an eminent infection Timmons,
To reflect on my learning action, I am going to apply Gibbs Reflective Cycle to highlight the need for nurses to provide holistic care. I will apply the Gibbs model to the chosen skill throughout the essay to allow for critical thought.
Nursing reflection examples gibbs
Moody highlights the importance of a systematic thorough wound review as a vital aspect in wound management. A Cochrane review of published randomized clinical trials found three studies addressing cleansing of pressure ulcers, but this systematic review produced no good trial evidence to support any particular wound cleansing solution or technique for pressure ulcers. One study examined the efficacy of an intensive pressure ulcer prevention protocol to decrease the incidence of ulcers in a bed long-term care facility. If you reduce pressure on one body part, this will result in increased pressure elsewhere on the body. The lifestyle of a person who has suffered a pressure ulcer is changed forever, their ability to lead a pain-free, risk-free life in the future, affected. Ayello, Ph. However, capillary blood pressure may be less than 32 mm Hg in critically ill patients due to hemodynamic instability and comorbid conditions; thus, even lower applied pressures may be sufficient to induce ulceration in this group of patients. The appropriate interval for routine reassessment remains unclear. The edges looked necrosed with sloughy tissue and foul smelling. He had an unstable gait worsened by the wound pain and had history of frequent falls. The document identified specific indices e.
He had an unstable gait worsened by the wound pain and had history of frequent falls. Experts believe that weekly assessments and staging of pressure ulcers will lead to earlier detection of wound infections as well as being a good parameter for gauging of wound healing.
However, despite the emphasis given to pressure ulcer prevention as a high priority for the NHS, there is little good quality research to inform practice.
Since neural and endothelial control of blood flow is impaired during an illness state, the patient may be more susceptible to ischemic organ damage e. Courtney H.
Wound management reflective practice
Etiology Pressure ulcers develop when capillaries supplying the skin and subcutaneous tissues are compressed enough to impede perfusion, leading ultimately to tissue necrosis. Urine incontinence married with above problems meant ken did not have a settled mind hence occasionally got agitated. Pressure ulcers can develop within 2 to 6 hours. Experts believe that weekly assessments and staging of pressure ulcers will lead to earlier detection of wound infections as well as being a good parameter for gauging of wound healing. Pressure ulcers occurred in 65 percent of the severely undernourished residents, while no pressure ulcers developed in the mild-to-moderately undernourished or well-nourished residents. The Braden Scale is designed for use with adults and consists of 6 subscales: sensory perception, moisture, activity, mobility, nutrition, and friction and shear. Cleansing Once the pressure ulcer develops, the ulcer should be cleaned with a nontoxic solution. Moreover, by performing frequent skin assessments, nurses will be able to identify skin breakdown at an early stage, leading to early interventions. Skin care should focus on minimizing exposure of moisture on the skin. It has been estimated that the cost of treating pressure ulcers is 2. A methodological overview of chronic wound trials published between and found randomised controlled trials RCTs in wound care were often poorly reported and contained many design flaws, meaning their findings may not be reliable. Older critically ill patients who had two oral supplements plus the standard hospital diet had lower risk of pressure ulcers compared to those who received only the standard hospital diet. Examining Nursing Practice Course. Actions to be taken.
based on 94 review