Download or read book Oral Care Practices for Prevention of Ventilator associated Pneumonia written by Bonnie Turman and published by . This book was released on 2008 with total page 79 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book A Review of Documented Oral Care Practices in an Intensive Care Unit written by Linda S. Goss and published by ProQuest. This book was released on 2008 with total page 31 pages. Available in PDF, EPUB and Kindle. Book excerpt: Prevention of ventilator associated pneumonia (VAP) includes routine oral care of the mechanically ventilated patient. Oral care is recognized as an essential component of patient care and nursing documentation provides evidence of this process. This study examined the frequency of oral care in ventilated and non ventilated patients. A retrospective chart review of patients admitted to an intensive care unit (ICU) between July 1, 2007 and December 31st 2007 was conducted. Data were analyzed using logistic regression to determine which variables if any were related to the likelihood of the patient receiving oral care. Frequency of oral care documentation was found to be done at an average of every 2.91 to 3.44 hours with a range of 1-8 hours suggesting inconsistencies in practice. This study also found that the nursing critical care flow sheet did not provide an opportunity for detailed documentation of oral care.
Download or read book Oral Hygiene with Chlorhexidine to Reduce Ventilator Associated Pneumonia written by Lisa Critchosin and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Ventilator associated pneumonia (VAP) is a nosocomial infection acquired by those patients who are mechanically ventilated for longer than 24 hours. Adherence to ventilator bundle use has proven to decrease the incidence of VAP. However, the specifics for a ventilator bundle are non-existent with only vague recommendations from the Center for Disease Control and Prevention. The oral care component of a ventilator bundle was researched to attempt to determine best oral care practices for reduction of VAP. Research evidence supports oral care twice a day with 1% chlorhexidine for significant reduction in VAP, along with a reduction of ventilator days, hospital stay, and hospital costs. This proposal includes research based evidence for implementation of this oral care practice into the intensive care unit for mechanically ventilated individuals. Key words: ventilator associated pneumonia, ventilator assisted pneumonia, oral care, chlorhexidine, ventilator bundle, intensive care unit.
Download or read book Comprehensive Oral Care to Prevent Ventilator Associated Pneumonia written by Mejo Vayalil and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Effective oral care is an important part of nursing care in mechanically ventilated patients in the Intensive Care Unit (ICU) (Shi and others, 2013). According to studies, Ventilator Associated Pneumonia (VAP) is one of the leading causes of death in ICUs and it occurs in 9% to 28% of patients treated with mechanical ventilation, and the percentage of mortality rates of this problem are from 24% to 50%' (Berry and others, 2007). There are many studies done to find out about the onset of VAP in mechanically ventilated patients. According to one of the studies, 'Ventilator-associated pneumonia (VAP) occurs within 24 hours of intubation and mechanical ventilation' (Stonecypher, 2010). Due to the assistive-breathing devices and the medications used to keep the mechanically ventilated patients sedated, normal defense mechanisms change, and they become more vulnerable to respiratory infection such as VAP (Pear, 2007). By implementing evidence based oral care into clinical practice, staff members can reduce the cases of VAP and also can improve the quality of care in ICUs. The purpose of this proposal is to implement a comprehensive oral care protocol in critically ill patients such as mechanically ventilated patients in ICU to reduce or prevent the incidences of VAP. Through this proposal the author will also talk about the consequences of inadequate oral care in ventilated patients. The nursing theory, which supports the writer's proposal, is Florence Nightingales environmental theory. A healthy environment is essential for the faster and better healing and recovery according to the Nightingale theory. Evidence based practices and 15 articles containing information about the importance of comprehensive oral care will also supports the author's proposal of reducing or preventing the cases of VAP in ICUs.
Download or read book Professional Research Project written by Julie George and published by . This book was released on 2013 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Ventilator-associated pneumonia is a serious hospital-acquired infection with reported incidence rate of 12.2% and mortality rate of 29.3%(Chao and others, 2009).Strict implementation of oral care protocol can prevent VAP to greater extent. With the help of 15 evidence-based articles on prevention of VAP, the writer implemented a comprehensive oral care protocol in critical care unit of white memorial medical center where 80% of the patients were on mechanical ventilator. Regardless of whether the experiences and skills of the hospital's staff are known or not, oral care practices within the hospital were practiced. As an emphasis on the relevance and significance of this study, the implementation of oral care to counter VAP was aimed to fight back stress to both the patient and his/her family, reduction of the duration a patient takes under ventilation, and elimination of cumulative costs associated with the prolonged admissions. The author was able to complete the project on VAP with the support from the resource personnel, such as the infection control, research nurses, and pharmacists, physicians, and staff members of the MICU. Various tools like power point presentations were used to educate the nursing staff about the significance of oral care. To determine the efficiency of the proposed solution implemented, the members used evaluation tools in the form of patient chart auditing and feedback from the nurses. The findings of the study are assessed by the nursing research committee and quality control department and necessary changes being made in the existing policy. A new protocol for the oral hygiene was also implemented in ICU.
Download or read book Effect of Oral Care for the Prevention of Ventilator Associated Pneumonia written by Minni Kannampuzha and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Ventilator associated pneumonia and its detrimental effects on patient, family and health care settings are a big concern for the current healthcare system. Ventilator associated pneumonia (VAP) is one of the most common hospital acquired infections among patients in the ICU, with an estimated incidence of 10 and– 20% in some institutions (CDC, 2012). VAP continues to be substantially associated with patient morbidity and mortality and also increases utilization of healthcare resources, longer hospital stays and higher health care costs (Sandrock and Daly, 2012). Numerous studies demonstrated a significant reduction of incidences of VAP following the introduction of a practice change in oral care (Cutler and Sluman, 2014). This paper will discuss methods of developing the use of ventilator care bundle with oral care, the importance of multidisciplinary approach like involving respiratory therapists to provide oral care to improve the compliance of oral care in mechanically ventilated intensive care unit patients (ICU), implementation of change as well as outcome of ventilator care bundles with oral care for the prevention of VAP in mechanically ventilated ICU patients. VAP has great significance to nursing because nursing staff are able to implement interventions that can prevent infection, thereby relieving the financial burdens on patients and organizations.
Download or read book Implementation of an Oral Care Protocol to Decrease Incidence of Ventilator associated Pneumonia written by Brittanie Cordova and published by . This book was released on 2015 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Based on documented studies, ventilator-associated pneumonia (VAP) is a leading nosocomial infection in critical care settings. In a critically ill patient, the development of VAP significantly increases their risk of mortality, length of hospital stay, and decelerates the speed of recovery. Research has shown a substantial correlation between poor oral hygiene in mechanically ventilated (MV) patients and the development of VAP. The implementation of an oral hygiene protocol and/or order-set increases nurse adherence to performing these interventions, improves quality of oral care practices, and ultimately reduces the incidence of VAP. The successful implementation of an oral care protocol requires thorough preparation. Components of implantation will include gathering of evidence, literature review, stakeholder presentation, involvement and education of intended staff, actual implementation, evaluation plan, and dissemination of evidence. The effective implementation of an oral care protocol in intensive care units for MV patients will decrease the incidence of VAP, reduce hospital stays, and decrease costs.
Download or read book Oral Care in the Prevention of Ventilator associated Pneumonia written by Rebecca Higney and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Ventilator associated pneumonia is a highly susceptible infection that is occurring among critically ill patients who are mechanically ventilated, this can occur in adults as well as children. Ventilator associated pneumonia infection rates are as high as 28% in mechanically ventilated patients. Research shows that providing oral care on a frequent basis with the use of an antiseptic solution such as Chlorhexidine, will reduce the rate of ventilator associated pneumonia among vented patients as well as decrease mortality rates and decrease the length of a patient's hospital stay. Current policies for oral care already exist but this proposal will include an implementation plan for making sure staff is properly educated and are incorporating the appropriate oral care policies and techniques for mechanically ventilated patients. Ventilator associated pneumonia is impacting healthcare profoundly and will begin to affect hospital reimbursement rates. Prevention of this infection needs to be a team effort involving everyone who comes into contact with vented patients, however nurses will be on the from lines of prevention. Ventilator associated pneumonia in an infection that can be prevented.
Download or read book Ventilator Associated Pneumonia and Oral Care written by Mary Kelly McCullough and published by . This book was released on 2005 with total page 26 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Centers for Disease Control and Prevention (CDC) and the Health care Infection Control Practices Advisory Committee (HICPAC) have developed recommendations that outline an oral care protocol. These protocols are acceptable for use among individuals in either acute care settings or long-term-care facilities that are at high risk for ventilator associated pneumonia (VAP). This paper will discuss the implementation of an oral care protocol on evidence based research and best practice guidelines. This protocol was implemented in the Surgical Intensive Care Unit (SICU) at the Veterans Administration (VA) of the Tennessee Valley Health Care System (TVHS). The aim of this intervention was to decrease the rate of Ventilator Associated Pneumonia to three of below and maintain compliance with the protocol. The protocol required the use of a tooth brush instead of an oral swab and suctioning above the endotracheal tube cuff. The result of the change in practice showed a decrease in VAP to below three and compliance rate of greater than 80%.
Download or read book Oral Care Intervention to Prevent Ventilator Associated Pneumonia written by Bincy Kappen and published by . This book was released on 2013 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Ventilator-associated pneumonia (VAP) is a common complication and linked to high mortality and morbidity among mechanically ventilated patients in the United States (Zurmehly, 2013). It is the second most common hospital-acquired infection that carries a 40% - 80% mortality rate (Fields, 2008). The Southwest Medical Center (SMC) is a 406-bed hospital located in Oklahoma City, Oklahoma. The VAP rate for the last six months during the year 2008 was reported as 4.3, 4.7, 0.0, 4.1, 3.9, and 0.0 respectively (Oklahoma Hospital Report, 2009). Each episode of VAP incidence can cost an average $40,000 more in healthcare expenses (Zurmehly, 2013). The proposed intervention for oral hygiene in intubated ventilated adult patients is tooth brushing three times a day and 0.12% chlorhexidine application twice a day. This mechanical and pharmacological intervention is to promote oral hygiene and thereby reduce the colonization of oropharynx and dental plaque by bacteria (Feider, Mitchell, and Bridges, 2010). The variables measured here are ventilator-associated pneumonia (VAP) rates, ventilator days, length of stay of patients in intensive care unit (ICU), length of stay of patients in hospital, frequency of tooth brushing, frequency of chlorhexidine application, oral care evaluation score, acute physiology and chronic health evaluation score, mortality rates of ventilated patients, and patient demographics. The infection-control department will keep track of the data collected during intervention and pre-intervention period. Unit directors and infection-control department will work together to evaluate the implementation process. Different strategies were used to disseminate the evidence within the organization and to the outside healthcare community.
Download or read book Prevention of Ventilator associated Pneumonia written by Robyn Prather and published by . This book was released on 2013 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Ventilator-Associated pneumonia (VAP) is defined as a Hospital Acquired Infection (HAI) that develops in patients who have been ventilated for more than 48 hours and who were not diagnosed with a pneumonia when intubated. VAP is associated with increased mortality, morbidity, lengths of stay, and increased cost of care. It is the leading cause of death of all hospital acquired infections carrying a mortality rate of 46%. VAP also plays a role in 30% of additional deaths of these critically ill patients due to hospital system failures that could have been avoided. Studies have shown that by implementing evidence based best practices called the VAP bundle on all ventilated patients the incidence of VAP may be decreased up to 45% (safer healthcare now, 2012). While oral care is a component of the VAP bundle, more study is needed regarding best practices for this care component. Current research indicates that a high level of compliance to a scheduled oral care regiment using an antimicrobial solution of 0.12% Chlorhexidine results in the greatest reduction in oral bio-burden (Bopp, Darby, Loftin, and Broscious, 2006). The objective of this study is to test this intervention in reducing bacterial load in the oral cavity and to support the intervention through increased staff compliance to the proposed oral care regimen. Data will be gathered and analyzed to better identify causative factors to VAP, and to monitor compliance to the proposed oral care protocol. The target group for intervention will be all adult patients admitted to the Intensive Care Unit (ICU). The target group for compliance will be all clinical staff in the ICU. The project will take place over a one year period and will include education, training, the oral care protocol, data collection, and reporting results to both clinicians and stakeholders. Expected results are increased staff compliance greater than 90% and a reduction in VAP of 50% at the end of the study.
Download or read book Impact of Oral Care on the Prevention of VAP written by Ashley Mize and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Ventilator Associated Pneumonia (VAP) proves to be a problem among patient's in the Intensive Care Unit (ICU). The incidence of VAP demonstrates a direct relationship with negative patient outcomes, such as; increased morbidity and mortality, increased length of stay in hospital, and increase financial burden for health care facility. In utilizing evidence based practice, it has been proven that healthcare workers can assist in the reduction of these negative outcomes. A simple and low cost intervention such as proper oral care within a ventilator bundle has been proven effective in the attempt to decrease the incidence of VAP. The purpose of this paper is to propose the use of standard oral care within the ventilator bundle as a resolution to the increased incidence of VAP. The proposal will first describe VAP as essentially being the problem at hand. It will then propose a resolution to the problem. An implementation plan will be discussed giving detail about who the stakeholders will be and how and when the proposed change will take place. Evaluation of the plan is the next step and an essential part to the proposal. This will evaluate whether the proposal is effective. Once effectiveness has been determined the evidence must be disseminated. A discussion will take place on tools and processes used in the process of presenting the information to the stakeholders. It is essential to have all parts of the proposal discussed above in order to obtain positive outcomes from the plan. Obtaining the approval and compliance of a multidisciplinary team is essential to successful implementation of a new policy or procedure.
Download or read book Ventilator Associated Pneumonia written by Carolyn Mullins and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Ventilator-Associated pneumonia is known to be one of the most common complications for critically ill patients on mechanical ventilation. Developing a new oral care protocol is necessary to reduce or eliminate the development of this complication. Preventing or eliminating the development of ventilator-associated pneumonia will reduce hospital length of stay, decrease hospital cost, and decrease mortality rates which are caused by this illness. Research has been conducted on the use of chlorhexidine in routine oral care practice, which has shown to be effective in reducing or eliminating the development of ventilator-associated pneumonia. Chlorhexidine has been identified as an easy and inexpensive method in providing oral care with few adverse effects. Developing an appropriate implementation plan, while following the institutions policy and procedure, will provide and show the solution to addressing this complication. One barrier in implementing a change in oral care practice may be the nurses providing the care. Nurses view oral care on critically ill patients as a comfort measure and possibly compliancy can become an issue. Providing the education necessary to nursing staff is essential for the oral care practice to be successful. The aim of this proposal is to show key stakeholders the necessity for change and to implement a new oral care protocol. The proposal will have a written implementation plan explaining how this will be accomplished and an evaluation plan to obtain information in reference to the effectiveness of the proposal.
Download or read book Selective Decontamination of the Digestive Tract SDD written by Hans Rommes and published by Springer Nature. This book was released on 2021-03-08 with total page 304 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book explains the basic concepts of Selective Decontamination of the Digestive tract (SDD) to help those involved in treating critically ill patients to improve outcomes and the quality of care. SDD has led to major changes in our understanding, the treatment and prevention of infections in critically ill patients over the past 40 years. It is the most studied intervention in intensive care medicine and is the subject of 73 randomized controlled trials, including over 15000 patients and 15 meta-analyses. SDD reduces morbidity and mortality, is cost-effective and safe as SDD does not increase antimicrobial resistance. Correct application of the SDD strategy enables ICU teams to control infections – even in ICUs with endemic antibiotic resistant microorganisms such as methicillin resistant S. aureus (MRSA). Describing the concept and application of SDD, and presenting case studies and microbiological flow charts, this practical guide will appeal to intensivists, critical care practitioners, junior doctors, microbiologists and ICU-nurses as well as infection control specialists and pharmacists.
Download or read book The Impact of Specialized Nurses Education on Oral Care to Patient on Mechanically Ventilation in Adult Intensive Care Unit written by Joyce Dabiri and published by . This book was released on 2015 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: This study is a comprehensive literature review and clinical observation of current practices and policies and the proposed method of different oral hygiene in reducing the incidence of ventilation- associated Pneumonia. This condition (VAP) is a huge concern in the intensive care units as a result of infection which occur few days after intubation with endotracheal tube. It can be very challenging taking care of these type of patients due to the multifaceted health issues, particularly if their respiratory system is already compromised. Oral hygiene is considered to be an important intervention, in combination with other strategies, for the prevention of ventilator-associated pneumonia. Data suggest that the simple reduction of risk through better oral hygiene can lead to fewer incidence of Ventilator-Association Pneumonia. In addition to brushing, providing oral moisturizer to oral mucosa and lips every 2 to 4 hours is often a component of the oral care protocol. Implementation of an oral care protocol, ongoing nurse education, and evaluation were important in reducing the incidence of VAP. The use of teamwork tools and strategies to ensure this consistency can have a tremendous impact on closing the gap, improving patient outcomes, shorter length of stay in the intensive Care Unit and reduction of health care cost.
Download or read book Oral Hygiene with Chlorhexidine on the Prevention of Ventilator Associated Pneumonia written by Suma Lonth and published by . This book was released on 2013 with total page 22 pages. Available in PDF, EPUB and Kindle. Book excerpt: Pneumonia is the second most common nosocomial infection, and it is the leading cause of death among nosocomial infections (Augustyn, 2007, p. 2). Ventilator Associated Pneumonia (VAP) can develop for patients who are intubated for a period longer than 48 hours. Ventilator Associated Pneumonia (VAP) is the number one hospital acquired infection among mechanically intubated patients. Based on the research studies and evidence based practice oral hygiene with chlorhexidine has a positive impact on preventing VAP. Strict adherence to Ventilator Care Bundle (VCB) significantly reduces the occurrence of VAP and this will result in better patient outcome with decreased length of hospital stay and healthcare costs.
Download or read book Preventing VAP by Proper Oral Care written by Abraham Jose and published by . This book was released on 2013 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Hospitals spend huge amount of money in treating many hospital acquired infections. This is a global issue. This problem is actually an extra burden for every tax payers in particular. One of the most common hospital acquired infections is ventilator associated pneumonia. If it is not diagnosed and treated in its early stage, it can cause a huge damage to patients. Based on understanding the seriousness of this problem, a lot of researches have been done to prevent and to minimize the incidence of Ventilator associated pneumonia. One of the best evidence-based research finding to tackle this grave problem is the implementation of mandatory oral care with the use of chlorhexadine in every inpatient setting. By implementing this proposed plan with evidence based practice could bring tremendous change in healthcare. It is rather a cost effective proposal and which reduce death rates of patients in inpatient setting.
