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Monday, March 4, 2019

Does repositioning a patient every two hours prevent pressure ulcers?

Pressure ulcers are a common task in all health care settings. Risk factors associated with increased squelch ulcer incidence have been identified. Activity or mobility limitation, incontinence, abnormalities in nutritionary status, and altered consciousness are the most consistently delineateed fortune factors for extort ulcers. While evidence based communications protocols are in buttocks are we doing enough to pr stock-stillt pinch Ulcers?In the first member I read, Developing a Protocol for Intensive Care Patients at High Risk for Pressure Ulcers it states That National Database of Nursing Quality indicators report that facility acquired rack ulcer rates for critical care units localize between 7.14% and 14.5% (Critical Care Nurse June 2012 Vol 30 no.3 77-80). The article goes on to give voice this number is still too high of an incidence. Before any protocol impart be effective all personnel involved in direct tolerant care pauperism to be trained to go steady c ontinuity of care.The second article I read, Does Regular Repositioning foil Pressure Ulcers, states that Despite gaps in our knowledge of optimal positions for specific patient groups, the ideal frequency of repositioning, and the complex relationships among support surfaces, repositioning practices and tissue user interface pressures, contemporary clinicians and scholars continue to assert that repositioning is an essential component of a pressure ulcer prevention.(Journal of Wound, Ostomy and Continence Nursing Nov 2008 Vo1 35 yield 6) The article goes on to say that repositioning every 4 hours on with alternating air mattresses are just as effective in preventing pressureulcers.The third article I read Preventing Pressure Ulcers in Hospitals A systemic Review Of Nurse-Focused Quality Improvement Interventions stated that pressure Ulcer prevention may reduce overall incidence of hospital-acquired pressure ulcers. (The Joint Commission Journal on Quality and Patient guard Jun e 2011 Vol 37 Number 6) The article goes on to talk about the gaps in research and the need for more studies as well as the need for documenting details (where the ulcer is, what unit the pt is in, how long they have been in the hosp., pts co morbidities).Pain, infectious complications, prolonged and expensive hospitalizations, long-lasting open ulcers, and increased risk of death are all associated with the outgrowth of pressure ulcers. The tremendous variability in pressure ulcer prevalence and incidence in health care settings suggests that opportunities exist to improve outcomes for persons at risk for and with pressure ulcers. In doing this research I learned that even though we have made a lot of progress towards preventing pressure ulcers we still have a long way to go. I will be using the protocol of turning my patients every two hours and when they are at a higher risk I will take up the alternating air mattress for them.

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