As seen in the case study above prevention should always be the focus in managing pressure ulcers, and should be commenced upon initial assessment, ensuring a complete medical and nursing history is taken, followed by a skin examination and completion of risk assessments. The Francis report (2010) investigated the inadequate care in an acute hospital, within his report he made recommendations on the importance of the fundamental aspects of care, including pressure ulcer prevention as a key element of maintaining patient safety (Francis, 2010). The ‘Stop the Pressure’ campaign was originally launched in Midlands and East region in 2011 to raise awareness of the risk factors and early warning signs of pressure ulcers with amongst healthcare professionals. It aimed to use an engagement programme, a SKIN care bundle for patient facing clinical staff, a pressure ulcer collaborative and a communications campaign. Research in the Midlands and East Region showed that 47% of pressure ulcers were occurring in non-acute setting, so community led …show more content…
One such risk assessment is the PURPOSE T risk assessment; a pressure ulcer risk assessment framework intended to identify adults at risk of pressure ulcer development and makes a distinction between primary prevention and secondary prevention. It was released in 2012 by the clinical research unit at the University of Leeds, based on Systematic Review evidence and PURPOSE Pain Cohort Study. It was developed alongside international inter-disciplinary experts in the Pressure ulcers and undertaken in partnership with service users themselves. Future implications for this assessment involve patient safety and the adaptation of PURPOSE T for patient and carer
Better (2007), by Atul Gawande begins with the story of Dr.Gawande as a surgeon in his final year in medical school. The first struck me because of the patient’s story. It was an elderly patient who nearly died from septic shock had it not been for a senior resident who checked on the patient twice each time making a life altering intervention to prevent the patient with pneumonia from going septic shock from resistant, fulminant pneumonia. Dr.Gawande discusses the importance of handwashing. In my own practice, this is something that I can incorporate in my own practice.
The NPSG and the Joint Commission survey have a positive relationship with each other. Implementing and achieving the NPSG would in turn lead to a possible good survey results due to the facility implementing steps to make the care that the patient is receiving safe. There can be serious consequences for a facility is the facility is not meeting the patient safety goals. Multiple tools are out there to help the facility assess the readiness for the Joint Commission survey. There are multiple actions that this author could put in place to make sure the organization is ready for the survey and to make sure the organization passes the survey.
Each year, the goals are analyzed and if necessary, updated. The 2016 National Patient Safety Goals aim to: 1) Improve the accuracy of patient and resident identification; 2) Improve the effective communication of caregivers; 3) Improve the safety of medication use; 4) Improve the safety of clinical alarm systems; 5) Reduce the risk of health care associated infections; 6) Organize identification of safety risks evident in patient populations; and 7) Set universal protocol for preventing wrong site/procedure/person surgeries (TJC, 2016). These safety goals are mandated so that medical errors are reduced and patients are given the best quality care possible. Some of the steps nurses can take in association with these goals include: using at least two patient identifiers to ensure correct patient treatment and reduce patient misidentification; making timely reports of critical test and diagnostic results; maintaining accurate patient medication information, and labeling all medications and containers removed from original containers; quickly responding to medical equipment alarms, and maintaining their upkeep; following hand hygiene guidelines, and using evidence-based practices to prevent infections due to multi drug-resistant organisms, surgical sites, or indwelling catheters; identifying patients at risk for suicide; and ensuring that sites are correctly marked for surgery through marking the procedure site and undergoing a verification process (Cherry & Jacobs,
A decubitus ulcer is a sore developed by pressure from lying in one position for too long. Typically described as an open wound on skin and is also called a pressure sore or bed sore. Decubitus ulcers often occur on the skin covering bony areas, like on the hips, back, ankles, and the buttocks. Long periods of time in a bed, wheelchair, or to those who can’t move certain body parts without help are also a huge cause for ulcers. They are also most likely to happen to those with fragile skin.
Risk is a part of daily life, but our attitudes and approaches to risk vary depending on a range of factors such as context, time, situation, previous experience, etc. To assess different situation, we will use different approach as well as if we are considering risk that we are taking in personal life or risks that service user are taking in theirs. The risk assessment process is not about creating huge amounts of paperwork; it is about identifying and taking sensible and proportionate measures to control the risks. The provision of care and support should be tailored to meet the needs of the individual and should encourage them to do what they can for themselves.
In the outpatient setting, the Healthcare Effectiveness Data and Information Set (HEDIS), is used as the tool to measure performance on important evidenced-based dimensions of care and service. These dimensions of care include diabetes, prevention and screening for cancer, cardiovascular care, immunizations and smoking cessation. The rates of health care associated occurrences for Ventilator Associated Pneumonia; Central Line Associated Bacteremia and Methicillin-resistant Staphylococcus aureus are also tracked and reported with improvements made. In the area of patient safety measures ICU risk adjusted length of stay, Insulin Induced Hypoglycemia and Health Acquired Pressure Ulcers are measured. The VHA also monitors rates of hospitalization for Ambulatory Care Sensitive Conditions (ACSCs), such as pneumonia and heart failure in order to track the effectiveness of primary care.
Patient safety experts have demonstrated that “patient safety increases when teamwork and collaboration skills are taught and empowered; when teamwork and collaboration are not present, medical errors will result” (Creasia & Friberg, 201, p. 348). As a nurse, it is imperative to collaborate with other interdisciplinary members in health care and also strive to research and implement evidence-based practices. Evidence-based practice is necessary to “ensure the highest quality of cost-effective care and the best patient outcomes” (Fineout-Overholt, 2011, para. 16). With a collaborative and innovative attitude on safe health care practices, an increase in patient safety and effectiveness of care will
I am able to offer patients information, resources, and helpful advice based on my experiences and the experiences of others in order to assist them in making well-informed healthcare decisions. I inform them of their condition, available options for treatment, and available support services so they are empowered to take an active role in their own care and recovery. I contribute to their overall understanding and give them the resources they need to advocate for themselves by supplying them with this peer-based knowledge. As a peer advocate, I also help to open up channels of communication between patients and medical staff. In order to make sure that their voices are heard and respected, I assist patients in expressing their worries, inquiries, and preferences.
The patients are on our hands and its important to treat them as we would like to be treated. They are counting on us.
Discuss how the pressure ulcer PSI can guide the care of the patient within the healthcare environment. Debate how the pressure ulcer PSI is used to improve evidence-based
This information is used to appropriately implement prevention and treatment for patients. The second outcome integrates analysis of information gathered by healthcare personnel to identify trends and inconsistencies within the healthcare population. Through this the origin of problems can be ascertained, and preventive measures can be instituted. Subsequently prevention will decrease incidences and ultimately the cost to
Effective practise plays a crucial role in preventing further incidents and enhancing the quality of care in healthcare settings. By implementing evidence-based guidelines, standardised protocols, and continuous quality improvement initiatives, healthcare organisations can reduce the risk of errors, adverse events, and suboptimal outcomes. The following points describe how effective practise can achieve these objectives: Implementing Evidence-Based Practice: By incorporating the latest research findings and evidence-based guidelines into clinical practise, healthcare professionals can ensure that their care is based on the most up-to-date and effective approaches. Evidence-based practice helps reduce variations in care, promote consistency, and improve patient outcomes .
Nursing interventions revolved around patient education as Mr. L lives in the community, he needed to receive the appropriate information. The teaching information came from the Centers of Disease Control and Prevention guidelines on neutropenia and risk of infection (2015). The patient taught about the importance of hand hygiene, to avoid overcrowded areas and people with respiratory infections, and he was instructed to wash raw fruits and vegetables thoroughly before consumption (Neutropenia and Risk for Infection: What You Need to Know, 2015). The patient was taught signs as symptoms of infection such as: fever, chills and sweats, new cough, and shortness of breath (Neutropenia and Risk for Infection: What You Need to Know, 2015). The patient
Since then, guidelines had been developed and implemented widely in healthcare service as it had been proven to be an effective method in achieving safe and high quality care. Guidelines are now been developed by international and in national levels by government bodies and expert clinicians and this guidelines is applicable for various clinical setting. On top of this global approach, healthcare providers are now developing guidelines as well as adapting present top level guidelines for their own clinical settings. Guideline had been written to assist healthcare providers in making effective and efficient clinical decision making leading to better clinical outcomes. Usually guidelines are developed based consensus among experts, however, there is a limitation to this as it can lead to a defective conclusions (Newhouse,
As you can see, tending to these Four Levels of Healing will help you not only “attain” a cure for your patients, but also help you pay “attention” to their whole scope of needs to attain true health in and out of your office. Stress, Health and Your Patients Stress has become such a common issue for most of our patients that it is almost a “disease” unto itself. In a myriad of ways, in a variety of situations, we face stress on an almost daily basis: at school, at work, in our relationships, in traffic, in lines at stores, over money, career and finances and dozens of more things; stress is almost as common as time itself. What’s important to understand about stress is that while it’s an emotional issue, it also affects us in a variety