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Essay Available:
Pages:
10 pages/≈2750 words
Sources:
15 Sources
Level:
APA
Subject:
Health, Medicine, Nursing
Type:
Research Paper
Language:
English (U.S.)
Document:
MS Word
Date:
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Topic:

Catheter associated urinary tract infection (Research Paper Sample)

Instructions:
I HAVE GIVEN ALL INSTRUCTIONS BELOW, IF YOU HAVE ANY QUESTION ABOUT ASSIGNMENT PLEASE GIVE ME A CALL. MAKE SURE YOU DO IT ACCORDING TO THE INSTRUCTIONS GIVEN BELOW. I WANT USE THE SAME WRITER FOR THE WHOLE CAPSTONE PROJECT ASSIGNMENT BEACUSE IT WILL BE CONTINUATION PROJECT. IT WILL BE FOR 5 WEEKS. Now I am giving 1st week assignment.Dear writer this is a Capstone project.I will attach the whole information, you can open it and start working on the assignment.Please read the instructions carefully and do the assignment according to the grading rubric ( which is an attachment).The topic I have given that is CATHETER ASSOCIATED URINARY TRACT INFECTION IN CRITICALLY ILL PATIENT IN INTENSIVE CARE UNIT.On 1st week there are three assignment.( Given below) 1.PICOT 100 word assignment(Please read the Instructions given below and grading rubric which is an attachment to do this assignment) 2. 500 word assignment (Please read the Instructions given below and grading rubric which is an attachment to do this assignment) 3.1500 word assignment, at least 100 words answer for each article according the question given below in #3. (Please read the Instructions given below and grading rubric which is an attachment to do this assignment). --------------------------------------------------------------------------------------------------------------------- 1)PICOT Statement and PICOT question ABOUT CATHETER ASSOCIATED URINARY TRACT INFECTION (AT LEAST 100 WORDS).Develop a searchable question using PICOT format. (The question is a single statement identifying the components of PICOT.) Recall the components of PICOT from your research course: (P) Population of Focus (I) Intervention (C) Comparison (O) Outcome (T) Time Examples of PICO questions/statements: In adult, cardiac surgery patients experiencing post operative pain (P) immediately following surgery (P), is morphine (I) or fentanyl (C) administered intravenously more effective in reducing postoperative pain (O)?--------------------------------------------------------------------------------------------------2) In no more than 500 words,(CAUTI) describe the nature of the problem (which is Catheter Associated UTI), issue, or educational deficit. Include the following in your discussion: a) The setting and/or context in which the problem, issue, or educational deficit can be observed. b) Detailed description of the problem, issue, or educational deficit c) Impact of the problem, issue, or educational deficit on the work environment, the quality of care provided by staff, and patient outcomes. d) Gravity of the problem, issue, or educational deficit and its significance to nursing. e) Proposed solution to address the problem, issue, or educational deficit. f) Prepare this assignment according to the APA guidelines 5TH edition found in the APA Style Guide, An abstract is not required.------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ #3)PLEASE SELECT 15 ARTICLES FROM "CINHAL" according the instructions given below Locate a minimum of 15 PEER- REVIEWED articles that describe the problem or issue and support the proposed solution. EIGHT of the 15 articles MUST BE research-based (i.e., qualitative, quantitative, descriptive, or longitudinal study). Preview each of the 15 articles chosen by reading the article abstracts and summaries. Hint: Article abstracts and summaries provide a concise description of the topic, research outcomes, and significance of findings. #3) Perform a rapid appraisal of each article by answering the following questions (one to two sentences are sufficient to answer each question):(AT LEAST 100 WORDS ANSWER FOR EACH ARTICLE, SEE the questions below). a) How does each article describe the nature of the problem, issue, or deficit you have identified? b) Does each article provide statistical information to demonstrate the gravity of the issue, problem, or deficit? c) Example(s): morbidity, mortality, rate of incidence or rate of occurrence in the general population. d) Does each article support your proposed change? 5) Prepare this assignment according to the APA guidelines found in the APA 5th edition Style, An abstract is not required. source..
Content:
Catheter associated urinary tract infection (Name) (Course) (Instructor’s Name) (Date) PICOT Statement and Question Ms. X is a critically ill patient who has been in the ICU for almost a month. She was unconscious upon admission due to an occurrence of a stroke while she was at home. Upon admission to the ICU, an indwelling catheter was placed and has not been replaced since. P – Critically-ill patients in the intensive care unit I – Prolonged use of a catheter C – Decreased use of a catheter O – Cause urinary tract infection T – In a span of 1 month PICOT Clinical Question In the intensive care unit, does prolonged use of a catheter compared to the decreased use in critically-ill patients cause an increase in urinary tract infection in a span of 1 month? Catheter associated urinary tract infection Urinary catheterization is a treatment used to empty the bladder. Healthcare providers may recommend this for short or long-term use for patients experiencing urinary incontinence, urinary retention, surgery and other medical conditions. The occurrence for long-term use of urinary catheters can usually be observed in the intensive care unit (ICU). This is because most of the patients in the ICU are unconscious and critically-ill. It is indicated for diagnostic or therapeutic purposes. Its diagnostic use includes urine specimen collection, urine output monitoring and urinary tract imaging. The therapeutic use of urinary catheterization includes acute urinary retention, chronic obstruction, initiation of continuous bladder irrigation, intermittent decompression for neurogenic bladder and hygienic care for bedridden patients. Nosocomial or hospital-acquired urinary tract infection (UTI) is a significant contributor in the prevalence in nosocomial infections (Bennet & Brachmann, 1986). The use of a urinary catheter is a major predisposing factor in the occurrence of nosocomial urinary tract infections. Approximately 80% of nosocomial UTI is associated with the use of a urinary catheter (Mandell, Douglas & Bennet, 1990). Identifying the Problem Knowing the risk factors for catheter-associated urinary tract infection (CAUTI) is one way to lessen its prevalence. The duration of catheter use is the major risk factor for the occurrence of CAUTI. The occurrence of CAUTI increases by 5% to 10% for each day that the catheter remains in place. Patients with a long-term catheter almost always develop CAUTI. Other risk factors include sex, age and the ability to maintain a closed drainage system. Females are more prone since their urinary tract is shorter than males. This makes for easy access of the bacteria from the outer part of the catheter. Elderly patients are more prone since they have a compromised immune system due to their age. The urine collection bag is a pool for microorganisms that is why proper handling can help reduce the risk for infection. Impact of CAUTI The occurrence of any nosocomial infections reflects the level and quality of healthcare the patient is receiving. Since the insertion of a urinary catheter should be done in a sterile technique, maintaining its sterility is dependent on the healthcare provider who is placing the catheter. Nosocomial UTI is a significant cause of mortality and morbidity (CDC, 1982). CAUTI is a very preventable condition according to the Centers for Medical Services (CMS). That is why the CMS has announced that they will no longer allow the reimbursement of healthcare institutions for care associated with preventable conditions such as CAUTI. This brings about an increase in extra expenses since it causes prolonged hospital stay, additional hospital costs and complication to the recovery of a critically-ill patient (Alavaren, Lim, Antonio-Velmonte & Mendoza, 1993; Stokowski, 2009). Solutions to Prevent CAUTI Although not all CAUTI can be...
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