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  • Essay / Pressure Ulcer Case Study - 1605

    With the notable increase in chronic illness, trauma, and an increasing number of people aging, nurses must be able to provide pressure ulcer care and prevention. Immobility, advanced age, incontinence, prolonged pressure or friction, inadequate nutrition, dehydration, anemia, hypoxemia, multiple comorbidities, sensory deficit, thin skin, bony prominences prominent, circulatory abnormalities, pain and smoking are important risk factors. Barriers to implementing preventive measures are lack of staff, lack of pressure relief devices (e.g. foam or air mattresses), excessive workload and lack of patient cooperation. The Centers for Medicare and Medicaid Services has classified pressure ulcers as preventable hospital-acquired conditions and has stopped reimbursing for hospital-acquired conditions. In the United States, the cost of individual pressure ulcer care includes skin cleanser, moisturizer, dressings, wound debridement, antibiotics, pain relievers, turning of sheets and supporting surfaces, time breastfeeding system for risk assessment, monitoring and repositioning. It is the second most common claim after wrongful death and is more significant than falls or emotional distress. Regardless of the cause of pressure sores, the presence or absence of pressure sores is generally considered a performance measure of the quality of nursing care and the overall health of the patient. Pressure ulcers can be avoided by implementing simple interventions such as factor rating scales and regular patient rotation. Proper hydration, a balanced diet, physical activity, wound care and keeping the patient's skin and body dry are treatments, as well as preventive measures for this problem. A thorough physical assessment, risk assessment (using a risk assessment tool like the Barden Scale), repositioning, patient and caregiver education, effective communication and