Download or read book An Evidence Based Approach on the Effect of Nursing Care in Preventing Pressure Ulcers in the Elderly Than in the Middle Aged Adults written by Mollyamma Rajan and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Pressure ulcer is an issue seen commonly in the elderly and middle aged adults. The evidence based journals show that the pressure ulcer occurrence is more in the physically challenged or in the elderly population who are confined to bed. Pressure ulcers have been a commonly seen category in the whole healthcare. This includes hospitals, clinics, long-term care facilities and also in homes where they live by themselves. The journals describes that this has become a chronic issue with no apparent reason and remains for a lifetime. It also mentions that there have been many occurrences of death from the complications from pressure ulcers. This includes sepsis and osteomyelitis (Jaul, 2010). The evidences in the research shows the effects of appropriate nursing care that helps in preventing pressure ulcers. Along with that the research explains and describes the occurrence of pressure ulcers, the high risk group, and reasons behind the need to prevention of pressure ulcers.

Download or read book Patient Safety and Quality written by Ronda Hughes and published by Department of Health and Human Services. This book was released on 2008 with total page 592 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Nurses play a vital role in improving the safety and quality of patient car -- not only in the hospital or ambulatory treatment facility, but also of community-based care and the care performed by family members. Nurses need know what proven techniques and interventions they can use to enhance patient outcomes. To address this need, the Agency for Healthcare Research and Quality (AHRQ), with additional funding from the Robert Wood Johnson Foundation, has prepared this comprehensive, 1,400-page, handbook for nurses on patient safety and quality -- Patient Safety and Quality: An Evidence-Based Handbook for Nurses. (AHRQ Publication No. 08-0043)." - online AHRQ blurb, http://www.ahrq.gov/qual/nurseshdbk/

Download or read book Fragility Fracture Nursing written by Karen Hertz and published by Springer. This book was released on 2018-06-15 with total page 169 pages. Available in PDF, EPUB and Kindle. Book excerpt: This open access book aims to provide a comprehensive but practical overview of the knowledge required for the assessment and management of the older adult with or at risk of fragility fracture. It considers this from the perspectives of all of the settings in which this group of patients receive nursing care. Globally, a fragility fracture is estimated to occur every 3 seconds. This amounts to 25 000 fractures per day or 9 million per year. The financial costs are reported to be: 32 billion EUR per year in Europe and 20 billon USD in the United States. As the population of China ages, the cost of hip fracture care there is likely to reach 1.25 billion USD by 2020 and 265 billion by 2050 (International Osteoporosis Foundation 2016). Consequently, the need for nursing for patients with fragility fracture across the world is immense. Fragility fracture is one of the foremost challenges for health care providers, and the impact of each one of those expected 9 million hip fractures is significant pain, disability, reduced quality of life, loss of independence and decreased life expectancy. There is a need for coordinated, multi-disciplinary models of care for secondary fracture prevention based on the increasing evidence that such models make a difference. There is also a need to promote and facilitate high quality, evidence-based effective care to those who suffer a fragility fracture with a focus on the best outcomes for recovery, rehabilitation and secondary prevention of further fracture. The care community has to understand better the experience of fragility fracture from the perspective of the patient so that direct improvements in care can be based on the perspectives of the users. This book supports these needs by providing a comprehensive approach to nursing practice in fragility fracture care.

Download or read book Prevention and Treatment of Pressure Ulcers injuries written by and published by . This book was released on 2019 with total page 43 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Prevention and Treatment of Pressure Ulcers written by National Pressure Ulcer Advisory Panel (U.S.) and published by . This book was released on 2014-09-30 with total page 308 pages. Available in PDF, EPUB and Kindle. Book excerpt: This Clinical Practice Guideline presents recommendations and summarizes the supporting evidence for pressure ulcer prevention and treatment. The first edition was developed as a four year collaboration between the National Pressure Ulcer Advisory Panel (NPUAP) and the European Pressure Ulcer Advisory Panel (EPUAP). In this second edition of the guideline, the Pan Pacific Pressure Injury Alliance (PPPIA) has joined the NPUAP and EPUAP. This edition of the guideline has been developed over a two year period to provide an updated review of the research literature, extend the scope of the guideline and produce recommendations that reflect the most recent evidence. It provides a detailed analysis and discussion of available research, critical evaluation of the assumptions and knowledge in the field, recommendations for clinical practice, a description of the methodology used to develop the guideline and acknowledgements of the 113 experts formally involved in the development process.

Download or read book Evidence Based Clinical Guidelines for Pressure Ulcer Prevention in Elderly Patients written by Siu-Ling Wong and published by . This book was released on 2017-01-26 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: This dissertation, "Evidence-based Clinical Guidelines for Pressure Ulcer Prevention in Elderly Patients" by Siu-ling, Wong, 黃少玲, was obtained from The University of Hong Kong (Pokfulam, Hong Kong) and is being sold pursuant to Creative Commons: Attribution 3.0 Hong Kong License. The content of this dissertation has not been altered in any way. We have altered the formatting in order to facilitate the ease of printing and reading of the dissertation. All rights not granted by the above license are retained by the author. Abstract: Older adults are particularly vulnerable to the development of pressure ulcers (PUs) as a result of skin changes and reduced mobility (Knox, Anderson & Anderson, 1994; Russell et al., 2003). This is associated with diminished quality of life, longer hospitalisations and increased morbidity and mortality (Margolis et al., 2002).In view of the high incidence of PUs (grade 1-4) occurring in elderly patients in acute care, a systematic review of related studies was conducted in August 2011. The optimal frequency and methods of repositioning are described in the literature. With well-designed implementation and evaluation plans, the proposed repositioning guidelines are likely to reduce the incidence of PUs (grade 1-4), while in turn lessening the healthcare burden and preserving patients' quality of life. Pilot testing, a trial run to test the feasibility of the innovation, will be carried out in the proposed medical ward, and training provided to all staff before the intervention. To proceed with the change, the intervention must be cost-effective and beneficial to all stakeholders. Outcome evaluation determines the number of goals achieved by the innovation and to what degree, and is very important (Melnyk & Fineout-Overholt, 2005).The PU incidence (grade 1-4) is expected to be different after the implementation of the innovation. DOI: 10.5353/th_b4833933 Subjects: Bedsores - Prevention Evidence-based nursing

Download or read book Implementation of an Evidence Based Practice to Prevent Pressure Ulcers written by Antje Dangel and published by GRIN Verlag. This book was released on 2015-07-29 with total page 15 pages. Available in PDF, EPUB and Kindle. Book excerpt: Project Report from the year 2014 in the subject Nursing Science - Miscellaneous, grade: 98%, University of South Florida, course: NUR 4169, language: English, abstract: Pressure ulcers, caused by prolonged immobility, are increasing among hospital patients. They can cause patient discomfort and infection, may increase treatment time, length of hospital admission, medical bills, and can potentially cause death (AHRQ, 2009). Current guidelines recommended by the AHRQ aid nursing staff in pressure ulcer prevention; however, the combination of specialty skin products, silicone dressings, and a 4-hour turning schedule may prevent pressure ulcers entirely.

Download or read book EVIDENCE BASED GUIDELINES FOR written by 黃美婷 and published by Open Dissertation Press. This book was released on 2017-01-26 with total page 86 pages. Available in PDF, EPUB and Kindle. Book excerpt: This dissertation, "Evidence-based Guidelines for the Prevention of Pressure Ulcers Using Pressure-relieving Support Surface for Bedbound Elderly" by 黃美婷, Mei-ting, Wong, was obtained from The University of Hong Kong (Pokfulam, Hong Kong) and is being sold pursuant to Creative Commons: Attribution 3.0 Hong Kong License. The content of this dissertation has not been altered in any way. We have altered the formatting in order to facilitate the ease of printing and reading of the dissertation. All rights not granted by the above license are retained by the author. Abstract: Background Pressure ulcer prevention has been an important and a common health care problem in every health care setting. Pressure ulcers are the clinical situation that can be avoided. To prevent pressure ulcer, the main strategy is to reduce either the pressure contact time, or magnitude of pressure, between a patient and his or her support surface. Pressure-relieving support surfaces are shown to be effective in preventing the development of pressure ulcer with strong evidence support. In Hong Kong, the low compliance of the ward staff to apply pressure-relieving support surfaces for at risk patients is compared with other countries. Therefore, a feasible evidence-based guideline of using pressure-relieving support surfaces to prevent pressure ulcers stands out from the multi-interventions pressure ulcer prevention guideline to maximize its effectiveness in this clinical issue. Purpose Reviewing the needs in modifying the current clinical practice and guidelines in local setting, the aim of the dissertation is to develop evidence-based guidelines for prevention of pressure ulcers using pressure‐relieving support surface for bedbound elderly. The findings are used to develop recommendations for nursing guideline to prevent pressure ulcers through the utilization of pressure‐relieving support surface in Hong Kong public hospital setting. Methods Four electronic databases published from 1937 to 2012 were searched. All the studies extracted were randomised controlled trials while focusing on using pressure-relieving support surfaces to prevent pressure ulcers of adult patients. The quality of each study was assessed by a methodology checklist, the Scottish Intercollegiate Guideline Network in order to justify the level of evidence of the studies' internal validity. Conclusion From the evidence, the clearest conclusion that can be drawn is that a range of pressure‐relieving mattresses and overlays in the prevention of pressure ulcers can outperform the standard hospital mattress. It can be applied to any health care settings. The reviewed studies have shown that pressure‐relieving mattresses are effective on at risk patients, especially they are in advanced age with low mobility. Therefore, this evidence-based guidelines will serve in the medical rehabilitation wards to reduce the number of elderly from developing pressure ulcer after using the pressure‐relieving supporting surfaces. DOI: 10.5353/th_b5088472 Subjects: Bedsores - Prevention

Download or read book Prevention of Pressure Ulcers in a Health Care Setting written by Ramatu Swarray and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Pressure Ulcer is a growing problem in the non ambulatory health care settings affecting the young, adult, and the elderly. The growing problems caused by pressure ulcers are devastating to the patient and can result to pain, anguish, severe infection which can sometimes lead to death. Nurses experience the severity when there is an outbreak or formation of pressure ulcer which results to a situation where extra time is spent on the patients for assessment, treatment, documentation and continuous evaluation of various interventions. The facility or organization where pressure ulcer prevails suffers not only financial loss, but it also puts its image on the radar compromising the facility's credibility in the eyes of the community, or nation as whole. When all these important consequences are put in a nut shell, it is but imperative that health care industry step up, be proactive, vigilant to map out through efforts of multidisciplinary team, strategies that can minimize the ill effects pressure ulcers have on patients in particular. A well coordinated and integrated plan of care should be implemented to provide safe nursing care that would not only bring comfort and hope to the patients, but would also improve nurses' morale and the image of the facility. The aim of this proposal is to reduce the rate of pressure ulcer in our health care setting, by implementing two key nursing interventions: the use of air-relieve pressure mattress and every two hours peri care to residents who are considered prone to pressure ulcers based on certain risk assessment factors determined by nursing staff. Other various measures of preventing pressure ulcers which includes repositioning, nutrition, skin care management, and effective documentation are included as part of staff education and training. A multidisciplinary approach is used to plan, disseminate and evaluate the proposal through meaningful contributions made by stakeholders.

Download or read book Interdisciplinary Nutritional Management and Care for Older Adults written by Ólöf G. Geirsdóttir and published by Springer Nature. This book was released on 2021 with total page 274 pages. Available in PDF, EPUB and Kindle. Book excerpt: Intro -- Foreword -- Acknowledgements -- Contents -- Part I: Nutritional Care in Geriatrics -- 1: Overview of Nutrition Care in Geriatrics and Orthogeriatrics -- 1.1 Defining Malnutrition -- 1.2 Nutrition Care in Older Adults: A Complex and Necessary Challenge -- 1.3 Malnutrition: A Truly Wicked Problem -- 1.4 Building the Rationale for Integrated Nutrition Care -- 1.5 Managing the Wicked Nutrition Problems with a SIMPLE Approach (or Other Tailored Models) -- 1.5.1 Keep It SIMPLE When Appropriate -- 1.5.2 A SIMPLE Case Example -- 1.5.2.1 S-Screen for Malnutrition -- 1.5.2.2 I-Interdisciplinary Assessment -- 1.5.2.3 M-Make the Diagnosis (es) -- 1.5.2.4 P-Plan with the Older Adult -- 1.5.2.5 L-Implement Interventions -- 1.5.2.6 E-Evaluate Ongoing Care Requirements -- 1.6 Bringing It All Together: Integrated Nutrition Care Across the Four Pillars of (Ortho) Geriatric Care -- 1.7 Summary: Finishing Off with a List of New Questions -- References -- Recommended Reading -- 2: Nutritional Requirements in Geriatrics -- 2.1 Nutritional Recommendations for Older Adults, Geriatric and Orthogeriatric Patients -- 2.2 Nutritional Recommendations for Older Adults -- 2.2.1 Energy Requirement and Recommended Intake -- 2.2.2 Protein Requirement and Recommended Intake -- 2.2.3 Micronutrients and Dietary Fibers -- 2.3 Nutritional Risk Factors in Older Adults -- 2.4 Estimating Intake in Older Adults -- 2.5 Nutritional Status of Older Adults, Geriatric and Orthogeriatric Patients -- 2.6 Summary -- References -- Recommended Reading -- 3: Nutritional Assessment, Diagnosis, and Treatment in Geriatrics -- 3.1 The Nutrition Care Process -- 3.2 Nutritional Screening/Risk Detection -- 3.3 Nutritional Assessment and Diagnosis -- 3.3.1 Nutrition Impact Symptoms -- 3.3.2 Nutritional Diagnosis -- 3.3.3 Etiologic Criteria.

Download or read book Nursing Care of Older Adults written by Meridean Maas and published by . This book was released on 2001 with total page 868 pages. Available in PDF, EPUB and Kindle. Book excerpt: Nursing Care of Older Adultsis designed to help nurses recognise signs and symptoms, aid diagnoses, select pertinent outcomes to monitor and evaluate the older adults status, and prescribe correct interventions. The book is organised into 11 units by functional health patterns and will include the use of standardised nursing diagnoses, nursing sensitive outcomes and interventions to assist nurses with assessment, diagnostic reasoning and evaluation of outcomes effectiveness. The book will also assist nurses to identify critical gaps and future research needs. This will help to support nursing practice and illustrate why the use and documentation of nursesdecisions and actions is essential in the development of evidence based practice, and to influence health policy decisions that benefit older adults. Each unit begins with an overview and a chapter on normal ageing to provide the basis for understanding the pathological parameters for each diagnosis Common problems are presented in each chapter in a consistent format Case studies of common problems are integrated throughout to illustrate the assessment data and diagnostic and treatment reasoning

Download or read book Nursing for Wellness in Older Adults written by Carol A. Miller and published by Lippincott Williams & Wilkins. This book was released on 2009 with total page 666 pages. Available in PDF, EPUB and Kindle. Book excerpt: Now in its Fifth Edition, this text provides a comprehensive and wellness-oriented approach to the theory and practice of gerontologic nursing. Organized around the author's unique "functional consequences theory" of gerontologic nursing, the book explores "normal" age-related changes and risk factors that often interfere with optimal health and functioning, to effectively identify and teach health-promotion interventions. The author provides research-based background information and a variety of practical assessment and intervention strategies for use in every clinical setting. Highlights of this edition include expanded coverage of evidence-based practice, more first-person stories, new chapters, and clinical tools such as assessment tools recommended by the Hartford Institute of Geriatric Nursing.

Download or read book Pressure Ulcer Preventions in Adults in Acute Care Settings written by Tabitha Cobos and published by . This book was released on 2013 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Pressure ulcers are a problem in health care settings and it has a negative impact in health care while delivering patient care. Preventing pressure ulcers is important in increasing or maintaining quality of life, improve patient outcomes, and decrease costs. There are measures implemented in the plan of care for patients at risk for pressure ulcers. The Braden Score scale is an assessment tool used to identify patients at risk for pressure ulcers and initiates preventative measures. The Braden Score scale is performed with every admission to the hospital and then documented in daily nursing assessments. The contributing factors for developing pressure ulcers are age, immobility, incontinence, inadequate nutrition, dehydration, multiple co-morbidities, circulatory illnesses, and pressure from devices. In a research study (McInerney, J., 2008), measures such as documenting in electronic medical records in nurses notes, Braden Score scale assessment, performing pressure relief measures, a wound ostomy nurse, and having an interdisciplinary team to decide on protocols decreased the prevalence of pressure ulcers and decreased hospital costs. A strategic plan was implemented to educate nursing staff on preventing pressure ulcers and monitor prevalence of pressure ulcers in an acute care hospital in West Texas. The Pressure Ulcer Prevention (PUP) team and supervisor of team, Nola Dailing, RN, BSN, will create a power point presentation for the nursing staff on identifying patients' at risk using the Braden Score scale, preventative measures, and providing handouts for patients and families, and conducting surveys to provide feedback on presentation. The clinical managers will keep track of all the nursing staff on their unit on taking the education online quarterly. The presentation will be mandatory every 3 months up to 18 months and then evaluate the incidence of pressure ulcers in the hospital. The goal of the study is to improve or maintain quality of life in patient care, improve patient outcomes, save lives, and decrease hospital costs. Reinforcing preventative measures on pressure ulcers to nursing staff will create more competent and efficient nurses to improve patient outcomes. Documentation is important for nurses to address skin problems and implement measures to improve skin. This will help track the progress of the skin problem and implement other measures to prevent further breakdown. Conducting pressure ulcer prevalence and incidence studies on a quarterly basis is an excellent tool for gathering data, identifying trends, and monitoring patient outcomes and staff compliance. ("Jenkins, M., O'Neal, E.", 2010). Educating nursing staff and patients is a way to improve quality of life and decrease prevalence of pressure ulcers.

Download or read book Pressure Ulcers in Adults written by and published by . This book was released on 1992 with total page 22 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Pressure Ulcer Risk Assessment and Prevention Comparative Effectiveness written by U. S. Department of Health and Human Services and published by CreateSpace. This book was released on 2013-06-29 with total page 362 pages. Available in PDF, EPUB and Kindle. Book excerpt: Pressure ulcers are defined by the National Pressure Ulcer Advisory Panel (NPUAP) as “localized injury to the skin and/or underlying tissue usually over a bony prominence, as a result of pressure, or pressure in combination with shear and/or friction.” A number of risk factors are associated with increased risk of pressure ulcer development, including older age, black race, lower body weight, physical or cognitive impairment, poor nutritional status, incontinence, and specific medical comorbidities that affect circulation such as diabetes or peripheral vascular disease. Pressure ulcers are often associated with pain and can contribute to decreased function or lead to complications such as infection. In some cases, pressure ulcers may be difficult to successfully treat despite surgical and other invasive treatments. In the inpatient setting, pressure ulcers are associated with increased length of hospitalization and delayed return to function. In addition, the presence of pressure ulcers is associated with poorer general prognosis and may contribute to mortality risk. Recommended prevention strategies for pressure ulcers generally involve use of risk assessment tools to identify people at higher risk for developing ulcers in conjunction with interventions for preventing ulcers. A variety of diverse interventions are available for the prevention of pressure ulcers. Categories of preventive interventions include support surfaces (including mattresses, integrated bed systems, overlays, and cushions), repositioning, skin care (including lotions, dressings, and management of incontinence), and nutritional support. Each of these broad categories encompasses a variety of interventions. The purpose of this report is to review the comparative clinical utility and diagnostic accuracy of risk-assessment instruments for evaluating risk of pressure ulcers and to evaluate the benefits and harms of preventive interventions for pressure ulcers in different settings and patient populations. The following Key Questions are the focus of this report: KQ1. For adults in various settings, is the use of any risk-assessment tool effective in reducing the incidence or severity of pressure ulcers compared with other risk-assessment tools, clinical judgment alone, and/or usual care? KQ1a. Do the effectiveness and comparative effectiveness of risk-assessment tools differ according to setting? KeQ1b. Do the effectiveness and comparative effectiveness of risk-assessment tools differ according to patient characteristics and other known risk factors for pressure ulcers, such as nutritional status or incontinence? KQ2. How do various risk-assessment tools compare with one another in their ability to predict the incidence of pressure ulcers? KQ2a. Does the predictive validity of various risk-assessment tools differ according to setting? KQ2b. Does the predictive validity of various risk-assessment tools differ according to patient characteristics? KQ3. In patients at increased risk of developing pressure ulcers, what are the effectiveness and comparative effectiveness of preventive interventions in reducing the incidence or severity of pressure ulcers? KQ3a. Do the effectiveness and comparative effectiveness of preventive interventions differ according to risk level as determined by different risk-assessment methods and/or by particular risk factors? KQ3b. Do the effectiveness and comparative effectiveness of preventive interventions differ according to setting? KQ3c. Do the effectiveness and comparative effectiveness of preventive interventions differ according to patient characteristics? KQ4. What are the harms of interventions for the prevention of pressure ulcers? KQ4a. Do the harms of preventive interventions differ according to the type of intervention? KQ4b. Do the harms of preventive interventions differ according to setting? KQ4c. Do the harms of preventive interventions differ according to patient characteristics?

Download or read book The Behaviour Change Wheel written by Susan Michie and published by . This book was released on 2014-05 with total page 329 pages. Available in PDF, EPUB and Kindle. Book excerpt: Designing Interventions' brings together theory-based tools developed in behavioural science to understand and change behaviour to form a step-by-step intervention design manual. This book is for anyone with an interest in changing behaviour regardless of whether they have a background in behavioural science.

Download or read book Evidence Based Geriatric Nursing Protocols for Best Practice written by Marie Boltz, PhD, RN, GNP-BC, FGSA, FAAN and published by Springer Publishing Company. This book was released on 2016-03-28 with total page 751 pages. Available in PDF, EPUB and Kindle. Book excerpt: This new edition of one of the premier references for geriatric nurses in hospital, long-term, and community settings delivers current guidelines, real-life case studies, and evidence-based protocols developed by master educators and practitioners. With a focus on improving quality of care, cost-effectiveness, and outcome, the fifth edition is updated to provide the most current information about care of common clinical conditions and issues in older patients. Several new expert contributors present current guidelines about hip fractures, frailty, perioperative and postoperative care, palliative care, and senior-friendly emergency departments. Additionally, chapters have been reorganized to enhance logical flow of content and easy information retrieval. Protocols, systematically tested by more than 300 participating NICHE (Nurses Improving Care for Health system Elders) hospitals‚ are organized in a consistent format and include an overview, evidence-based assessment and intervention strategies, and an illustrative case study with discussion. Additionally, protocols are embedded within chapter text, providing the context and detailed evidence for each. Chapter objectives, annotated references,and evidence ratings for each protocol are provided along with resources for additional study. New to the Fifth Edition: Reorganized to enhance logical flow of information and ease of use Updated and revised Includes new contributions from expert educators and practitioners Provides new chapters on perioperative and postoperative care, general surgical care, care of hip fracture, palliative care, and the senior-friendly emergency department Key Features: Includes PowerPoints and a test bank for instructors Delivers evidence-based, current guidelines and protocols for care of common clinical conditions in the older person Illustrates the application of clinical protocols to real-life practice through case studies and discussion Edited by nationally known geriatric leaders who are endorsed by the Hartford Institute for Geriatric Nursing and NICHE Written for nursing students, nurse leaders, and practitioners at all levels, including those in specialty roles