Monday, April 8, 2013

Prevention and care of pressure ulcers - evidence based paper

Prevention and Care of Pressure UlcersPressure ulcerations are a commonly seen difficulty among elderly hospitalized patients. Despite new findings about the causes and approaches to treatment, the incidence of these wounds is windlessness increasing. Scott, Gibran, Engrav, Mack and Rivara (2006) revealed that during the thirteen years of their study, the incidence of mechanical press ulcer development has more than doubled. As our elderly population blends big(p)er in number, and older in age, this problem is expected to escalate. It is of great importance for the patients as well as for the institutions to find the outmatch practice guidelines to control the occurrence of preventable wounds. Many hospitals curb strict legal profession measures with good effects, and others are more strong on treating the problem after it occurs, without paying much direction to legal profession. In XY hospital, patients at peril of exposure do not lift up the necessary preventive care, and many patients? existing wounds often become infected, and instead of healing, they deteriorate. This paper will review the research regarding the beat out prevention methods, as well as the best grounds based treatment of pressure ulcers, followed by suggestions how to implement those findings in XY hospital.

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PICO questionIn elderly and immobile patients, what are the most effective prevention and treatment methods to reduce the occurrence and complications of pressure ulcers, compared to no prevention and standard wet-to-dry dressings?Summary and application of research articlesEffective management of pressure ulcers begins with a comprehensive assessment of the patient, with careful consideration of the risk factors. Hess (2004) reported that the Braden Scale is the most commonly used risk assessment tool. Also, it is important to regularly inspect the skin of the patients tack to be at risk. Such inspection should focus particularly on the areas around bony prominences. Bethell (2005) argues that once stage oneness pressure ulcer...

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