Turning patients prevents pressure ulcers Essay Example for Free

Turning patients prevents jam ulcers EssayI. Introduction/ PreparationStatement of the ProblemAs for the issue, the main problem to be considered is to mould the signifi shagt make of turning in the bar of pressure sores or ulcers. With the relational focus between the exitrence of the condition and the physiological processes involved, the study determines the most appropriate magazine allowance that the nurse should provide in bed turning administration to the patients.Considering different factors that influence the incidents of bedsores, the study takes into account the possible factors contributing to their occurrences. The study aims to determine the relationship of providing bed turn for patients in score to overcome the occurrences of pressure ulcers. Within the study, the treat intervention of bed turning is to be analyzed as to how it can further alleviate the condition of the patient, especially those who be prone to the development of pressure ulcers (e.g . skinny individuals, immunocompromised, immobile patients, unconscious, etc.).The condition of Pressure ulcer consists of situate disruption of skin integrity as well as the underlying tissue layers experience intense and prolonged exposure to most commonly pressure, date other etiologies can also include shear, friction, or any combinations of these causal factors. According to Lyder CH. (2003), pressure sores or also known as decubitus ulcers tend to occur in all cases wherein skin experiences sustained mechanical loads, but are unremarkably common in those patients who are immobile and bedridden or those with administered orthopedical devices.Background and Significance of ProblemThe occurrences of decubitus ulcers have become one of the most common health problems that occur throughout the heath bearing unit, especially for clients who are immobile and currently under orthopedic therapy. According to statistics, it has been approximated that 1 million adults annually progr ess into acquiring pressure ulcers due to faulty nursing or care man come alongment. The incidence rates vary greatly depending on the health care delivery system. However, statistics evidently show that the occurrence of pressure ulcers range from 0.4% to 38%, which if broken down and categorized to the scope of quality of nursing care, it resulted from ranges 2.2% to 23.9% for health care facilities, and 0% to 17% for home health growncies (Fitzpatrick and Wallace, 2006 p.482).The most common age groups to develop this type of condition are those individuals aging from 70s and above due to the decreasing blood circulation. Significantly, insufficient and incompetent nursing care in the yard bird setting has been linked to the increasing conditions of this disease condition. In addition, the statistical incidence rates of decubitus ulcers are most prominent among inpatients of the hospital population under this age criteria. In fact, epidemiological ratings usually exceeds higher for those orthopedic cases (Baumgarten M et al., 2003). From the physiological point of view, the reason for the occurrence of decubitus ulcers is the inadequate oxygenation due to progressive or reoccurring pressure.This impedes the customary case of capillary refill and blood flow, which is responsible for cellular oxygenation hence, due to impediment and impaired tissue perfusion, the end results to tissue necrosis. The development of these pressure ulcers usually occurs on the lower half body, two-thirds around the pelvis and a third on the lower limbs (National Pressure Ulcer Advisory Panel, 1989). Added by Fitzpatrick and Wallace (2006), the development of pressure ulcers and high epidemiologic ratings of patients under a particular health care delivery system can negatively influence the credibility of nursing care provided by the indicated institution (p.482).Considering the attempts made in order to reduce or prevent the occurrences of pressure ulcers, the results obtaine d have significantly provided a small decline of in the epidemiological statistics. Bed turning is one of the most commonly utilized nursing outgrowths in order to alleviate and reduce the cases of bed sore occurrences. However, in that respect has been no clear study on how to better apply this procedure in terms of frequency as influenced by etiologic factors contributing to the occurrence of pressure ulcers.To be able to do so, a thorough books review has been conducted in order to determine the conditions for the application of patient turning. The gathered literature review is an essential component of this study since outcomes of the data gathered could be used in order to act as basis for coming up a nursing care plan for these patients in an effort to reduce the morbidity ratings of pressure ulcers in the health care setting (Gordon MD, Gottschlich MM, Helvig EI, et al., 2004).In the study done by De Laat et al published in 2005, the authors did utilized a form of review of literatures for the purpose of demonstrating the measures that other studies have utilized in order to prevent or treat pressure ulcers. From this, turning patient had become the most simple and commonly used nursing procedure for this purpose. By ascertain the standard frequency time for the turning of patients in consideration of factors associated to bed sore occurrences, further guidelines can be mandated in health sectors to effectively reduce the cases of prolonged immobility of patients hence, reducing as well the risk of pressure ulcer occurrences.Purpose of the Study The purpose of the study is to provide information for the physiological relationship between the occurrence of pressure ulcers and the time standard required in between turning of patients. Critical analysis, comprehensive data integrations, and interpretation of search outcomes are the founding methodologies applied in the course research. The study should provide additional learning awareness for the pu blic and health care institutions especially in terms of the most appropriate time allowance to be allotted in between patient turning. Turning patients can proved to be an all important(p) nursing procedure hence, this study explores this procedure in an effort to raise the credibility of nursing care trouble in pressure ulcer management via patient turning.Independent and Dependent VariablesIndependent VariablesPatient Age groupPatient Nurse ratioDependent Variables hospital protocols and policiesAwareness of nursing facilities in the procedurePatient cooperationDefinition of TermsIndependent VariablesPatient Age groupThis pertains to the age criteria of those patients who have incurred the condition of bed ulcers. The study does not shape the age criteria although considers and categorizes the age group who had conjured the condition.Patient Nurse ratioThis variable pertains to the number of nurses available to cater to patients and the number available in providing the nurs ing procedure of bed turning for patients against the number of patients requiring need for turning, specifically those are at risk at acquiring the condition and those who have the condition already.Dependent VariablesHospital protocols and policiesThis dependent variable consists of those rules and standards utilized by the nursing service as the foreground basis in administering nursing procedures to their patient. This component can be modifiable granted that ethical concerns and rightful justifications are provided.Awareness of nursing facilities in the procedureThe variable involves the knowledge of the nursing facility in terms of justly administering the turning of the patient, which consists of the standard time allotted per patient turning, and if there are considerations being applied depending on the etiology of pressure ulcers.Patient cooperationThis involves the patients willingness to participate in the procedure provided by the nurse. Some patients demonstrate feeli ng of anxiety and reluctance, which causes resistance in participating in the given procedure.Significance of regorge To Patient CareThe study is significant to patient care because the concept of turning patients facilitate appropriate physiological advantage on the part of the patient. By knowing the most recommended time allotted for every turns or repositions, the patient can lessen the risk of developing pressure ulcers, which, on the longer perspective, this can help reduce to morbidity ratings for pressure ulcers among patients.To care forThe study is significant to nursing service since by knowing the most appropriate time incumbent to stand as basis for every patient turns or repositions, the nurse may increase their competency in preventing the occurrence of bed sores for in-service patients. In addition, the falloff of pressure ulcer epidemiology in the nursing care facility can provide higher credentials in terms of perception in the nursing unit specified.To Society The study is significant to the community as it provides awareness expansion in the boy of nursing care for the sick. The concept of the study is to a greater extent of a preventive task hence, those families requiring preventive means for pressure ulcers can utilize the result of the study to further develop their care standards for their own patients hence, fosterage independence among family and community nursing care perspective.ReferencesBaumgarten M et al., (2003). Risk factors for pressure ulcers among elderly hip fracture patients. Wound Repair Regen1196-103.Fitzpatrick, J. J., Wallace, M. (2006). Encyclopedia of Nursing Research. Springer Publishing Publisher.Gordon MD, Gottschlich MM, Helvig EI, et al. (2004). Review of evidence-based practice for the prevention of pressure sores in burn patients. J Burn Care Rehabil.25388-410.Lyder CH. (2003). Pressure ulcer prevention and management. JAMA289223-226.National Pressure Ulcer Advisory Panel. Pressure Ulcers Incidence, Eco nomics, Risk AssessmentConsensus Development Conference Statement. West Dundee, Ill SN Publications 1989