The given article primarily focuses on studying the most effective hospital-acquired pressure ulcer (HAPU) prevention strategies among adult patients in intensive care units (ICU). The setting revolves around hospitals and other healthcare facilities, where patients are required to stay for prolonged periods of time. The study was conducted on other works of literature and research articles within the topic, where the authors reviewed comparative and quasi-experimental studies as well as randomized control trials (Tayyib & Coyer, 2016). The analysis was primarily done on things because no actual person was assessed, but rather other researches. The systematic review’s results were based on 25 studies, which were published between 2000 to 2015. The type of article is objective because it merely systematically analyzes other pieces of scientific literature.
The conclusion is that a silicon foam dressing is the most effective and plausible strategy for decreasing HAPU emergence rate. In addition, other prevention approaches, such as repositioning, nutrition, or skin-care regimen, were not strongly supported by evidence in regards to their usefulness. The practical implementation is that hospitals with ICUs need to primarily focus on ulcer prevention strategies, which utilize silicon foam dressing. Pressure ulcer prevention can include a number of interventions such as nutrition, skin care, pressure-redistribution mattresses, and repositioning. Topical agents are creams or ointments that are applied directly to the skin, while dressing is a therapeutic or protective agent applied to a wound to accelerate healing. Multi-layer silicone foam dressings can be used. It is a dressing coated with soft silicone as an adhesive or wound contact layer. In addition, friction is a causative factor in the development of early-stage superficial pressure ulcers, while pressure and displacement are responsible for the development of deeper HAPUs.
Reference
Tayyib, N., & Coyer, F. (2016). Effectiveness of pressure ulcer prevention strategies for adult patients in intensive care units: A systematic review. Worldviews on Evidence-Based Nursing, 13(6), 432-444.