Introduction
Pressure ulcers are the medical conditions of the surface tissues, resulting from the continued weight exertion on the area because of sitting or lying positions. This problem is frequently faced in hospital conditions where the patients are immobilized and subject to the development of the mentioned condition (Baernholdt et al., 2020). This change proposal addresses the issue of pressure ulcers in patients under hospital care and discusses the solutions and their effects. In the patients in the hospital environment, how effective are measures like microclimate control and documentation changes compared to the absence of intervention in the prevention of pressure ulcers during treatment and recovery time?
Evidence-Based Solution
Preventative care of pressure ulcers is studied for a long and is still the subject of research interest. The first step in the identification of the necessity of assistance and precaution is an adequate assessment. Improving the nursing documentation can facilitate the completion of crucial measures for the care of patients with risk factors (Li, 2016). Hence, the thorough work and discussion of the documentation strategies improvement can help make the situation with the hospital-acquired pressure ulcers better.
Nursing Intervention
There are studied effects of the nursing intervention with the aims of the prevention of pressure ulcers for patient management. The ignorance of the problem does not positively affect the solution of the issue or show no impact as the number of cases of the discussed condition continues to rise steadily (Baernholdt et al., 2020). In contrast, preventative care interventions provide constant improvement in the dynamics of the development of pressure ulcers in hospital conditions (Baernholdt et al., 2020). Hence, the intervention significantly decreases the instances of pressure ulcers among the patients, which means that the named measures can be effective in implementation for hospital conditions.
Patient Care
Patient management and the assessment of their environment and physical state are necessary actions for pressure ulcer care. The physiology of the skin structures suggests that the hospital wards’ environmental conditions affect the development of the disorder (Baernholdt et al., 2020). For instance, there exist correlations for the humidity and pressure values that are optimal for prevention. The attention and adequate assessment from the nurses show the positive dynamics of improvement (Li, 2016). Hence, there are some changes to be implemented in the patient care guidelines to solve the problem.
Health Care Agency
Generally, health care agencies follow the evidence-based practices accepted by governmental structures. The health care agencies should fully support the changes in nursing care for the prevention of pressure ulcers. However, it should be noted that some health care institutions cannot afford climate control for the preventative measures of pressure ulcers (Baernholdt et al., 2020). In such cases, all other preventative guidelines can be accented upon to ensure a possible positive result.
Nursing Practice
Moreover, the attention of the medical professionals to the condition of the patients can also significantly affect the improvement of the situation. The usage of the medicines which affect smoothly to the patients’ skin, for instance, products with feasible pH values has shown to be effective in the prevention of pressure ulcers (Li, 2016). Furthermore, the nurses should have attention to detail and stop the procedure requiring rubbing the skin if there are adverse effects as a consequence (Li, 2016). As a result, there is an elevated need for nursing assistance and prevention measures for the prophylaxis of the discussed skin disorder.
Conclusion
To conclude, there are changes to be implemented for the management of pressure ulcers in hospital conditions. The preventative measures include microclimate controlling, improvement of work conditions for nurses, and changes in nursing documentation. There is evidence for the positive effect of such actions. However, they were not implemented together in the hospital environment. The PICOT question of the change proposal inquires the extent of the changes upon the implementation of the named strategies in a year.
References
Baernholdt, M., Guofen, Y., Hinton, I. D., Cramer, E., & Dunton, N. (2020). Effect of preventive care interventions on pressure ulcer rates in a national sample of rural and urban nursing units: Longitudinal associations over 4 years. International Journal of Nursing Studies, 105, 5-20.
Li, D. (2016). The relationship among pressure ulcer risk factors, incidence and nursing documentation in hospital‐acquired pressure ulcer patients in intensive care units. Journal of Clinical Nursing, 25(15-16), 2336-2347.