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¶ … Practice Issue Evidence-Based Practice (EBP) Project in courses DNP program, asked
The practice issue I have chosen to explore is whether or not q2 hourly turning and positioning actually decreases the incidence of pressure ulcers in the elderly bed bound population in nursing homes. The conception that turning does help to relieve the pressure associated with these types of ulcers has been longstanding. Specifically, there is clinical evidence to indicate the fact that "Unrelieved pressure is a well-known clinical risk factor for ulcer development" (Salcido, 2004, p. 156). As such, the turning of patients at least every two hours has been carried on for quite some time in the nursing population, although there are some salient points of concern that need to be addressed with this issue.
One of the major things that individuals need to be aware of who take on such a practice is the fact that the actual turning and repositioning of patients is performed by two types of workers. Licensed nurses are expected to perform this duty, but they typically do so with the help of "unlicensed assistive personnel" (Leeds, 2004). The fact that there is a tandem effort involved in carrying out this procedure...
There are a number of patients who are overweight and who are heavy. Turning them -- especially at regular intervals -- can significantly harm individuals who are chosen for doing this task. A 2012 survey of 173 wound care nurses revealed that "74% of nurses said themselves or a co-worker has been injured due to repositioning of a patient" (WOCN, 2012).
In addition to helping to care for the individuals who have been charged with carrying out repositioning and turning nurses, it is important to realize that there are a number of specific tools that they can use to assist them in this process. Such tools include quantitative measurements such as the Braden Scale assessment which is a form of predicting pressure sore risk for patients. There is also valuable equipment that can assist to relive the sort of pressure that can cause ulcers. Such equipment includes mattresses, padding and specialized beds that are designed to provide comfort for individuals with wounds. This equipment can provide a valuable form of intervention that assist patients, and which works in conjunction with the traditional…
References
Leeds, L. (2004). Importance of turning q2. www.denvernursingstar.com. Retrieved from http://denvernursingstar.com/specials/newsletter_view.asp?newsid=310&catid=85&active=0&mode=current&count=0
Salcido, R. (2004). Patient turning schedules, why and how often? Advances in Skin & Wound Care: The Journal for Prevention and Healing. 17(4), 156.
Wound, Ostomy & Continence Nurses Society. (2012). Patient turning and repositioning: current methods & challenges, a WOCN perspective. www.sageproducts.com. Retrieved from http://www.sageproducts.com/documents/pdf/education/studies_articles/sacral/WOCN%20White%20Paper_Aug2012.pdf
EBP Evidence-based practice model EBP project issue: Obesity "The prevalence of obesity (BMI > 30) has been increasing; currently; at least 27% of the adult population is obese" (McTigue 2003: vii). Despite being one of the most pervasive health problems in modernity, there is relatively little information on obesity available in the annals of evidence-based medicine. This may be due to the fact that obesity is such a complex and multifactorial disease, without
Evidence Base Practiced Reseach Evidence Base Practiced Research Evidence-based practice is considered to be a combination of the best practice gotten from patient care data, research study, and expert opinion so as to identify dissimilar approaches of improvement in providing high quality care that reflects things such as needs, values, interest and selections of the patient. Skills and Knowledge gained in the procedure of evidence-based practice assist health care workers to bring
EBP Project: Will Every Two Hour Turning and Positioning Decrease Pressure Ulcers in the Eldery Bed Bound Population in Nursing Homes? Practicum: Clinical rotations with preceptor; serving patients with acute, chronic and new medical issues. One of the things I have discovered during my recent experiences with both academic and clinical education and an EBP project is that there are numerous and effective ways of learning, presenting, and communicating. Each method, however,
EBP NEW MODELS FOR EVIDENCE-BASED PRACTICE a professional goal DNP-prepared nurses produce evidence-based models care develop evidence-based guidelines. As continue develop DNP Project Premise engage EBP Project, aim mind. Evidence-based practice As a nurse practitioner who works in a diverse range of settings spanning from hospitals to nursing homes to clinics, evidence-based practice is part of my daily routine. Virtually all of the facilities at which I work prioritize evidence-based practice given that
Still, the concept of guided imagery tends to stray far from traditional methods of pain management. Pharmaceuticals have long been a major method of treatment for pain, but have resulted in major backlashes in regards to patients becoming addicted, especially in long-term and chronic cases of pain. If guided imagery could be a successful method, it may reduce pain or increase pain tolerance, without the threat of chemical dependence. There
. Even when the child in a home where DV occurs is not physically harmed, most of the time, these children know about the violence. As a result, they may experience emotional and behavior problems (The Domestic Violence…, N.d.). A victim of DV needs to be reminded: She is not alone. She is not at fault. Help is available. In The physician's guide to domestic violence, P.R. Salber and E. Taliaferro (N.d.). about stress