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 Evidence based Clinical Guidelines for Pressure Ulcer Prevention in Elderly Patients written by 黃少玲 and published by . This book was released on 2012 with total page 98 pages. Available in PDF, EPUB and Kindle. Book excerpt:

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 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 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 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 Treatment of Pressure Ulcers written by Nancy Bergstrom and published by DIANE Publishing. This book was released on 1997-03 with total page 164 pages. Available in PDF, EPUB and Kindle. Book excerpt: Offers a comprehensive program for treating adults with pressure ulcers. Intended for clinicians who examine and treat individuals in all health care settings. This guideline was developed by a panel of experts and is based on the best available scientific evidence and clinical expertise. The recommended treatment program focuses on assessment of the patient and the pressure ulcer: tissue load management; ulcer care; management of bacterial colonization and infection; operative repair in selected patients with Stage III and IV pressure ulcers, and education and quality improvement.

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 Pressure Ulcers in the Aging Population written by David R. Thomas, MD and published by Springer Science & Business Media. This book was released on 2013-11-22 with total page 239 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medical practitioners receive little, if any, formal training in the prevention, assessment and management of pressure ulcers and other chronic wounds. Pressure Ulcers in the Aging Population: A Guide for Clinicians is a resource primarily aimed at physicians interested in the fundamentals of wound care. This book is written for geriatricians, internists, general practitioners, residents and fellows who treat older patients and unlike other texts on the market addresses the specific issues of wound prevention and managment in older individuals. Pressure Ulcers in the Aging Population: A Guide for Clinicians emphasizes prevention, proper documentation and the team care process which are often overlooked in standard texts. Chapters are written by experts in their fields and include such evolving topics as deep tissue injury and the newer support surface technologies.

Download or read book Pressure Ulcer Prevention Toolkit written by Joint Commission Resources, Inc and published by . This book was released on 2012 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Despite increased attention to the pressure ulcer problem and evidence that indicates many pressure ulcers can be avoided with proper care, pressure ulcers very common in various health care settings around the world. In response to this global health care issue, the Pressure Ulcer Prevention Toolkit and accompanying CD of tools provides practical and effective tips, strategies, forms, and illustrations for preventing and mitigating pressure ulcers. Read about theoretical and practical information needed to immediately incorporate improvements to your organization's pressure ulcer prevention initiatives or develop a new program based on the following: * Care Challenges and Prevention: Users will be able to make an informed decision and apply safer care based on informative evidence-based guidelines and recommendations for the prevention and treatment of pressure ulcers * National Patient Safety Goal and Accreditation Standards: Staff will learn how to become compliant with The Joint Commission's National Patient Safety Goal related to pressure ulcer care and Joint Commission International standards and requirements * Assessment and Reassessment: Staff will become knowledgeable on care protocols to improve assessment and reassessment methods for pressure ulcers * Sustaining Improvements: Users can create, benchmark, compare, and implement policies and procedures developed by organizations from around the world * Educational Tools: Use the accompanying CD to develop an educational training tool for staff to immediately and effectively incorporate improvements to your organization's pressure ulcer prevention activities

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 Pressure Ulcers written by JoAnn Maklebust and published by Lippincott Williams & Wilkins. This book was released on 2001-01-01 with total page 346 pages. Available in PDF, EPUB and Kindle. Book excerpt: In this thoroughly updated edition, readers learn the full scope of the pressure ulcer problem to deliver quality care and educate patients and their families more expertly. Content includes skin anatomy and physiology, pressure ulcer etiology and pathophysiology, wound healing, assessment, prevention, treatment, care planning, policy and procedure development, continuum of care, patient education, continuous quality improvement, anticipating trends, and appendices, including the Norton scale, Gosnell scale, Braden scale, Bates-Jensen pressure ulcer status tool, pressure ulcer flow chart, surgical wound flow chart, peri-wound flow chart, debridement flow chart, dressings chart, admission database, pressure ulcer plan of care, and more.

Download or read book Advances in Patient Safety written by Kerm Henriksen and published by . This book was released on 2005 with total page 526 pages. Available in PDF, EPUB and Kindle. Book excerpt: v. 1. Research findings -- v. 2. Concepts and methodology -- v. 3. Implementation issues -- v. 4. Programs, tools and products.

Download or read book Pressure Ulcer Prevention for Hospitalized Adult Patients written by and published by . This book was released on 2014 with total page 110 pages. Available in PDF, EPUB and Kindle. Book excerpt:

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 Evidence based Pressure Ulcer Education and Prevention Guidelines written by Jordana Kearns and published by . This book was released on 2013 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Evidence-based pressure ulcer prevention guidelines for the at-risk adult patient have been previously developed and encouraged by organizations of authority. Never less, non-adherence to prescribed guidelines are often reported, and data obtained from National Nursing-Sensitive Indicators shows that at-risk patients continue to develop hospital acquired pressure ulcers (HAPU) at an unacceptable rate. The Aims of this Capstone project are to initiate a pressure ulcer education and prevention program in a medium-sized, community health care organization, and to change the attitudes and knowledge base of nurses by providing nursing staff with evidence-based knowledge, education, and skills regarding pressure ulcer development and prevention. This project consists of educating nurses on pressure ulcer pathophysiology and the importance of using early evidence-based pressure ulcer prevention education and techniques. Implementation of this project requires approval from key stakeholders. Applying Kurt Lewin's theory of change first requires the recognition that change needs to occur (Cresia and Friburg, 2011). Implementation consists of scheduled staff in-services, monthly meetings, and use of multi-technique pressure ulcer prevention products, risk-assessment, and screening forms. Data collection of pressure ulcer prevalence, for three months prior to implementation and for 3 months post-implementation, will be collected to evaluate the effectiveness of the program. Evaluation of the program will also consist of an evaluation of nursing staff's pre and post-implementation pressure ulcer prevention knowledge and skill. Dissemination of evidence to key stakeholders, health care organizations and to the greater nursing community will occur with the aim to increase knowledge of evidence-based pressure ulcer prevention techniques that will contribute to improved patient outcomes. This project will demonstrate how pressure ulcer prevalence rates, in the hospital-setting can be decreased through the consistent and knowledgeable use of evidence-based pressure ulcer prevention guidelines. PICOT Question: For the at-risk adult hospitalized patient (P), will the implementation of early, evidence-based pressure ulcer prevention interventions by nurses, who are educated in skills and knowledge regarding pressure ulcer development and prevention (I), as compared to those not educated, nor using early evidence-based pressure ulcer prevention interventions (C), decrease the probability of hospital acquired pressure ulcer development (O), in a three-month period (T).