NTRODUCTION Pressure ulcer is a major health problem worldwide (1)….
Question Answered step-by-step NTRODUCTION Pressure ulcer is a major health problem worldwide (1)…. NTRODUCTION Pressure ulcer is a major health problem worldwide (1). According to the National Pressure Counseling Panel (2), it is defined as a localized wound on the skin and / or underlying tissue on a bone spur as a result of pressure or shear. Warning signs of pressure ulcers are: unusual changes in skin color or texture, swelling, pus-like draining, tender areas (1). Pressure ulcers or pressure sores are a condition that reduces the quality of life of patients and increases the length of hospital stay and the cost of health care. The prognosis of its with infection and complications leads to an increase in mortality (3). Nowadays, knowledge management, changing health care preferences of the society and cost-effective care policies have made evidence-based practices compulsory (4). The role of evidence-based initiatives is important in the prevention of pressure ulcers. Risk assessment, skin care, nutrition, position changing, education are in the content of essential practices, these applications comprise the basis of nursing careEtiology of Pressure Ulcers Pressure is the most important factor in the etiology of the pressure ulcers. The factors such as the degree of pressure and the duration of pressure, the resistance of the tissue, the presence of friction and tear, advanced age, nutritional deficiency, the presence of chronic illness, humidity, smoking/alcohol consumption, stress are among the factors causing pressure ulcers (1). Three primary contributing factors for ulcers are: a) Pressure b) Friction c) ShearPrevention of Pressure Ulcers Risk Assessment: A reliable and effective first step in the planning of the prevention of pressure ulcers is to use risk identification scales to determine the risk of pressure ulcer for individuals. Risk factors include: Immobility, lack of sensory perception (Spinal cord injuries, neurological disorders etc.), poor nutrition and hydration, medical conditions affecting blood flow (such as diabetes and vascular disease).Skin Care: The first thing to do when encountering a pressure ulcer is to assess the wound. It is essential that the skin is clean and dry. The sites of body that are moistened by sweat and body fluids and the sites of body with wrinkles should be washed with mild soap or pH 5.5 cleansers and rinsed with warm water. Then topical wound care should be provided. Nutrition: Pressure ulcers reduce the quality of life of an individual, cause rapid mortality in some patients and an important cost for healthcare organizations. Position Changing: Position changing should be adjusted depending on the body region where the ulcer is developed. The patient should be positioned to prevent the contact of the ulcer area to the surface of the bed. Training: The training of health care professionals is considered as an integral part of the prevention of pressure ulcers. The aim of the training is to reduce the frequency of pressure ulcers by changing behaviour pattern. CONCLUSION: In the prevention of pressure ulcer formation, it is very important that the patient’s risk situation is assessed and the appropriate scale used. In accordance with the results of the assessment, providing skin care, positioning, ensuring and maintaining nutrition and training of healthcare professionals are key points Discuss how it might influence nursing practice. What changes to practice would be recommended based on the article? Health Science Science Nursing NURSING BS 350 Share QuestionEmailCopy link Comments (0)
