Pressure Ulcers: A Case Study
A major focus of many hospitals, national organizations, and insurers is preventing pressure ulcers. a. Describe the pathophysiology of pressure ulcer formation. Pressure ulcers are “ischemic ulcers resulting from unrelieved pressure, shearing forces, friction, and moisture. The most significant cause is pressure that consistently interrupts arterial and venous blood flow to and from the skin or deeper tissue”(McCance & Huether, 2014, p. 1625). Prolonged compression can lead to muscle ischemia and necrosis. The main factors contributing to pressure ulcers are: - Pressure: Soft tissues are compressed between bony prominences and contact surfaces, microvascular occlusion with tissue ischemia and hypoxia occurs; if compression is not relieved, …show more content…
Appropriate patient and family education Patient and family education is imperative in order to avoid recurrent and new ulceration. Position changes should be frequent to avoid stress on the skin and minimize pressure on vulnerable areas. The following approaches can prevent pressure ulcers: - Wheelchair patients: Shift the body weight frequently and lift the body up if possible. Use a cushion (gel, foam, air) to ensure proper position. - Bed confined patients: Reposition frequently, using devices if indicated and allow caregivers to assist with bed linens to reduce friction and shearing. Use specialized mattress and cushioning to protect bony areas and elevate the head of the bed (no more than 30 degrees) to prevent shearing. - Clean and protected affected skin and manage incontinence promptly. Inspect skin daily for early signs pressure sores. - Eat a healthy diet and drink enough fluids to keep skin hydrated. Quit smoking. - Limited mobility is a key factor in causing pressure sores therefore, daily exercise can improve blood flow, build vital muscle tissue, stimulate appetite, and strengthen the body. (Mayo Clinic Staff, 2014, p. 9). The goal is to prevent formation of pressure ulcers by elimination any possible causes and correcting systemic
Case Study: Wound Cases
151 Words | 1 PagesELATED CASES: None. SUPPORT DOCUMENTS: None. On 12/15/2015, Christie Hardie contacted Pasco Sheriff`s Office by telephone to report a Petit Theft. Ms. Hardie advised between 1700 and 1730 hours on 12/14/2015, an unknown suspect stole her white and black Hello Kitty wallet, with contents out of her open purse that was sitting in the child seat section of a shopping cart.
Vacp Bundle Case Study
501 Words | 3 PagesRisk for Infection Next, by implementing the VAP bundle, it did help to prevent further decline. All aspects of the bundle should be continued; the Heparin, sequential compression devices, oral care, Pepcid, and all other bundle activities. Having the head of the bed up was essential to prevent VAP, but it did end up making her body move to the foot of the bed. Pillows were used to help keep her further up and off the side of the bed.
Decubitus Ulcer Research Paper
677 Words | 3 PagesA 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.
Muscular System Outline
747 Words | 3 PagesThis makes the muscle heal much faster than if it were just left alone. This is important because it enables people to get back to their daily activities or sports
MVA Research Papers
1510 Words | 7 PagesIn thoracic compression it causes organ contusion or rupture to the intathoracic such
Roundworm Personal Hygiene
814 Words | 4 PagesThe nurses usually advise the patients to have good personal hygiene which mostly helps in the prevention of the occurrence of roundworms in the body. Personal hygiene entails washing the hands regularly and avoiding getting into contact with
Stress Incontinence Case Study
596 Words | 3 PagesThe patient can try to do Kegel exercises to help strengthen the pelvic muscles in mild cases. The primary treatment is surgery and the procedure is called a urethral bladder sling. 2. Urinary tract infection: UTI is one of the most common infections of primary care. UTIs can occur at all ages.
Systematic Prevention
146 Words | 1 Pages“Systematic prevention programs have been shown to decrease hospital-acquired pressure ulcers by 34% to 50%” (ICSI, 2003). It is critical to identify all the risk factoEarly detection of risk status is critical because timely interventions can be designed to address specific risk factors. When the patients first get admitted to the hospital, an admission risk assessment is usually performed. In the assessment, nurses consider patient’s age, medical history, medications and prior history of pressure ulcers. These factors play an important part in providing the nurses with initial information about the patient.
Football Safety Essay
725 Words | 3 PagesThe way to prevent these is by stretching a lot, but you stretching it loosens your muscles, bringing lesse chance of pull. Also, there are lots of treatments you can get and substances that kill some of these injuries. Most likely if you are injured, they give you something to you so that it can kill that pain. Injuries are always going to happen but there are many ways you can protect
Skin Breakdown Summary
455 Words | 2 PagesAckerman, C. L. (2011). ‘Not On My Watch:’ Treating and Preventing Pressure Ulcers. MEDSURG Nursing, 20(2), 86-93 8p. With the implementation of the Medicare Guidelines of pay for Performance Initiative, skin breakdown was identified as a very preventable problem. According to a study that was done at the University of Pittsburgh Medical Center, nurses said that skin care is sometimes too time consuming, which can take away time that they have to care for other patients.
Pressure Ulcer Prevention
1521 Words | 7 PagesOne 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
Wound Care Case Study Ulcers
474 Words | 2 PagesOnce the team meets together they will set up a plan for the pressure ulcers of the building; this will all take place in the facility. They will decide what forms to use for measurement and documentation, proposed treatment options and positioning devices that will be needed. “Try to establish a specific team, where each week the same members see the patients so that progress can be monitored most effectively and seamlessly” ( Vinayagasundaram, Halpin & Sullivan 2009). Once all teams are agreeable the study will begin to take place. The wound care nurse will need to complete weekly wound measurements the same day each week, preferable on Tuesday.
Pressure Ulcer Case Study
969 Words | 4 PagesTheir role is to review the complex of the pressure ulcer and to ensure that the correct dressing has been applied. They also ensure that the patient and the nurses that care for them have an accurate knowledge about the wounds to which they need to care for. (Samuriwo, 2012)
Nursing Interventions
1995 Words | 8 PagesStephen Sprigle and Sharon Soneblum, also, report in their article Assessing evidence supporting redistribution of pressure for pressure ulcer prevention: A review that impaired skin integrity results in the development of pressure ulcers, also commonly referred to as bed sores. Pressure ulcers are caused by pressure characterized by magnitude and duration exerted onto the tissues. Sprigle goes on to indicate that, as evidenced by research of Callum et al, outcomes of constant low pressure support produce better results than standard mattresses found in the majority of hospitals. These devices work by decreasing the magnitude of sites with the greatest potential for ulcer formation, bony prominences (2011).
Personal Hygiene Nvq
670 Words | 3 PagesGood personal hygiene is important in many ways as it promotes our appearance and good health. Maintaining personal hygiene is necessary for many reasons; these can be personal, social, for health reasons, psychological or simply as a way of life. Essentially, keeping a good standard of hygiene helps to prevent the development and spread of infections, illnesses and bad odours. Good personal hygiene makes a service user feel more comfortable since they are clean, and it increases the services user’s feelings of well-being. Poor personal hygiene will only make the service user feel self-conscious about their body, and maybe even feeling down and depressed.
More about Pressure Ulcers: A Case Study
Case Study: Wound Cases
151 Words | 1 PagesVacp Bundle Case Study
501 Words | 3 PagesDecubitus Ulcer Research Paper
677 Words | 3 PagesMuscular System Outline
747 Words | 3 PagesMVA Research Papers
1510 Words | 7 PagesRoundworm Personal Hygiene
814 Words | 4 PagesStress Incontinence Case Study
596 Words | 3 PagesSystematic Prevention
146 Words | 1 PagesFootball Safety Essay
725 Words | 3 PagesSkin Breakdown Summary
455 Words | 2 PagesPressure Ulcer Prevention
1521 Words | 7 PagesWound Care Case Study Ulcers
474 Words | 2 PagesPressure Ulcer Case Study
969 Words | 4 PagesNursing Interventions
1995 Words | 8 PagesPersonal Hygiene Nvq
670 Words | 3 Pages