Pressure Ulcers

Pressure Ulcers

Pressure Ulcers are categorized to be the major activities during and before the hospitalization. The types of Pressure Ulcers acquired from the hospital environment are known to cause adverse effects on the healthcare facilities as well as the revenue to healthcare. Besides, patients who placed in intensive care units are on a very high probability of getting infected with this type of Ulcers (Allman, 2016).

The patients under the Intensive care units are prone to several factors that contribute to the infection of Pressure Ulcers. Various series of studies and research that have been conducted there before have shown that there is much need to reduce the factors that cause the disorder in the healthcare services and more so in intensive care units.

The development of a service care panel is the best knowledge that has been invented to help improve the situation by reducing the causes of Pressure Ulcers in the units. However, the success of such an innovation wholly depends on the evidence-based activities to enhance the measurement of resources, study keenly the results as well as the optimal benefits in the methodology to both the health practitioners and the patients.

Problem statement

According to Nero (2015), Pressure Ulcers are to be the astronomical events in the hospitalization process. For the highest percentage, the ICUs contain the highest chance of patients developing the condition. Due to the more significant portion of acute in the ICUs, nurses often tend to ignore the value of considering the treatment and management of Pressure Ulcers as well as skincare protection. However, when these conditions are not taken care of at the earlier stages, they can cause detrimental in the patients’ health conditions and the level of satisfaction to the health care facilities. In the past few years, the significant stakeholders in the health sector that is (CMS) and (NQF) have introduced a policy that states that the condition should e treated or managed at the early stage because such treatment is costly and may not e reimbursed (Allman, 2016). Therefore, the management and treatment of Pressure Ulcers should not only be conducted to increase the level of patients’ satisfaction but also to reduce further financial costs in the process.

Defining the problem

Skin is the largest organ that is commonly known to contain zero solid; it often lacks enough attention compared to the heart and liver. Patients placed in intensive care units, also known as critical units, are on a higher chance of being infected with Pressure Ulcers; this may be due to instability in the hemodynamic. Hemodynamic instability may be caused by a large amount of Pressure in the organs. Although most of the skincare approaches do not reduce the risk of getting pressure ulcers, there are some of the strategies that can e used to prevent or even manage the condition (Allman, 2016). For example, turnings and repositioning are some of the commonly used measurement ways to control and prevent the situation as well as the state of hemodynamic instability. It is also good to note that during the prevention models, some of the diseases that may arise; for example, during turnings process pneumonia may come up due to lifting the upper part of the bed to more than 30 degrees, the coccyx may also be raised causing pressure ulcers.

Effect of the problem

Pain, increase in the hospital stays a period, physical disabilities, and at long last death are some of the few impacts of pressure ulcers. Moreover, the condition may cause the development of HAPU, which may hinder the total welfare of the patient health-wise (Allman, 2016). An increase in the overall patients infected with pressure ulcers from the hospital environment or any other institution may reduce the total attendance and patients satisfaction.

The extent of the problem

A study conducted by the Agency of research concerning the rate of pressure ulcers is approximated at least $9.1 and is used for the management and treatment of the condition in every case of pressure ulcers being reported. Although the condition is not 100% guaranteed treatment, on early recognition, the disease may be treated on a minimum average cost per unit patient tested with the situation.

PICO Question; is it possible that implementing a skincare panel in the critical care units decreases the rate of infection pressure ulcers in severely sick patients?

The solution to the Question; Developing a skincare panel in the healthcare services might provide the answer to the challenge of HAPUs. The proposal recommends increasing an increased number of two nurses who are trained and certified.

The nurses should be positioned in intensive care units so that they can perform some of the vital tasks to the patient’s skin. However, before employment, the nurses should undergo a series of training and studies to make sure that the staff is applying the most updated approaches in the management and treatment of pressure ulcers. Skincare specialists should also provide meaningful advice on the best skincare methods that the patients may use to ensure that those with higher risks of skincare problems should be treated at an early stage.

Besides, registered staff should also take responsibility for ensuring proper skincare is maintained by the patients as well as helping is selecting the best evidence-based activities. The strategies applied should be cost-effective due to the application of innovations in modern technology.

Theory in the project

Constructivism is a significant theory that contemplates that individuals make their specific ideas from past experiences and understanding of nature. The argument on evidence-based learning concerning modification of impoverished schemes through combining new experiences with data to produce innovative skills and activities. Constructivism enables the learners to ring their ideas together and covey their wisdom to provide a comprehensive summary and inferences from the general understanding. From the theory, the proposal has included that increasing the number of nurses and staff in intensive care units may help to reduce the rate of pressure ulcers in hospitalized patients. The theory is also vital in the skincare panel, as discussed below.

The skincare panel

Scholars have identified so many factors that contribute to the infection of pressure ulcers to the patients in the intensive care unit. Besides, there is no evidence to prevent the contamination of all types of conditions. Therefore, there is much need to carry out a comprehensive project on the skincare analysis to identify and discuss the factors contributing to the increase in the condition and measures that may be put to place to ensure the rate of pressure ulcers reduced. Therefore, the study analyzed approaches that help to manage the conditions which are based on the evidenced research carried out in the past. However, due to the critical nature of the patients in the ICUs, most of the nurses are not in a position to apply the methods that are vital in the management of pressure ulcers. Scholars, therefore, argue that an increase in the number of staff who are experienced and trained on the control of the condition to the patients in the ICUs is of much help to the patients as well as the medical practitioners. Nevertheless, research has shown that the process is hindered so many problems for example; less number of trained and qualified staffs to handle the condition, lack of enough skills and understanding in the field of pressure ulcers reduce the rate of proper treatment and management approaches as well as increase in the number of sick patients in intensive care units. Therefore, the researchers advise the application of the skincare team to manage the pressure ulcers in intensive care units.

Approval together with obtaining support

The development of skincare panels in every hospital needs so many institutions to join hands. The primary step in the project is analyzing the dormant and the active members before even going a step ahead in implementing the plan. Frequent discussions with the active members such as the nurses, patients, and the healthcare management panel enhance knowledge on the challenges connected to the project as well as the benefits that they may enjoy mutually. Because the project involves the intensive care unit, then the managing director of this unit must approve the study before it is presented to a higher administrative level for further analysis concerning the benefits that they may enjoy once the project is regarded successful.

Factors contributing to practice change

There are so many factors contributing to the increase in the rate of pressure ulcers, particularly to the patients in intensive care units in the healthcare facilities. Frequent use of vasoactive agents is one of the major factors attributing to the development of the condition, lack of enough nutrition, which is mainly caused by the hospital environment. Health care practitioners, such as the nurses and hospital staff, need to address the challenge of life-limiting conditions frequently. However, there is still a more significant problem due to a minimal number of nurses and skincare staff, and therefore the condition may even worsen in intensive care units. Nevertheless, it is still possible to curb the situation and also to reduce the rate of infection of pressure ulcers in the ICUs only if the required measures are instilled.

Factors to consider when selecting a proper solution

A report that was submitted by the Agency of research concerning the quality of healthcare services being provided to the patients showed that in 2008, a total of $20,000 was used to manage pressure ulcers and this was a notable increase in the spent money compared to previous years (Jensen, 2017). However, due to the high costs incurred in the treatment and management of the condition, CMC, which is a more prominent player in the process, is not in a position to raise the amount is not yet reimbursed by the Agency. Nevertheless, pressure ulcers have remained to be the critical negative factor contributing to poor results and patients satisfaction irrespective of the many agencies that are involved in controlling and treating the condition. Most of the researches that have been conducted in the past has shown that some of the factors causing pressure ulcers are curable and even preventive at some point. In regard, the writer believes that the development of a skincare panel is a significant landmark that can be applied to prevent, and as a result, managing the condition in intensive care units in the hospitals.

Empirical evidence for the solution proposed

The evidence is based on the fact that most of the common factors that contribute to pressure ulcers in the ICUs can be prevented. For example, the use of improper turning is a vital approach to address the problem of this type of ulcers in the ICUs (Jensen, 2017). The procedure states that the condition is worsened by the fact that lack of adequate skills, knowledge, and understanding concerning the condition as well as a small number of technical staff and nurses in the hospitals. A study that was conducted indicated that an increase in the name of nurses by two in each and every hospital reduced the incidence of the condition. Employing a trained skincare team is also a beneficial activity in reducing the rate of pressure ulcers in intensive care units.

Conclusion

Implementation of the skincare panel approach project needs a further increase in the required skills and resources. Execution of the project in intensive care units requires the employment of experienced human resources or through offering technical knowhow to the existing staff in the hospitals. Training the current human resource ensures that every team knows their roles and responsibilities (Jensen, 2017). Besides, providing enough financial support to the health sector is vital since the trained human resource requires maintenance, which is at a done at a cost. After the whole project is placed, the quality assurance stakeholders are invited to access the benefits beneath the project to the patients and health management at large. The ministry of education also has a part to play since it ensures that the training keeps moving on even to the fresh graduates from the learning institutions.