Evidence based Research on pressure ulcer in Geriatric patients 65 and older
Clinical Question:
For geriatric adult patients age 65 and over, in the long term care setting, does developing a personalized, risk assessment-based, pressure ulcer care plan decrease pressure ulcer rates more than routine every 2-hour turning and repositioning of patients?
P: Pressure ulcer formation; geriatric adult patients age 65 and over; Long-term care setting.
I: Development of personalized, risk assessment based, pressure ulcer care plans
C: Routine every 2-hour turning and repositioning
O: Decreased incidence of pressure ulcers in geriatric, long term care patients
I am writing on Stake holders identifications with the following instructions.
Identify stake holders for clinical practice change and identify who will be on team to implement the change. Be sure and explain why and how stake holders are involved. I dentify and discuss each of the main categories of stake holders
Patient and families
Administrators
Health care providers
Regulators
Community
Students’ Name:
University Affiliation:
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Evidence-based research
Older individuals become more prone to developing skin wounds because of the changes associated with aging. The process of aging increases the skin’s fragility and resultant thinning of the skin layers, reduced vascularization, delayed healing process, and decreased cell proliferation. The issue of pressure injuries among the elderly poses as the most significant challenge in the healthcare setting. According to Juan and Gong (2017), the cost of treating pressure ulcers is relatively high, and its impact on the patients’ physical and mental conditions is immense. Therefore, appropriate medical care should be designed and implemented to cater for such patients, especially for geriatric patients above 65 years.
Understanding that a patient is at risk of pressure ulcers is essential in developing care plans to prevent ulcers. The needs of the patients should first be identified to ensure the recommendation of effective care plans. The plan is a legal document that stipulates the patient’s treatment plan and should be kept confidential unless educating the family before discharge. It encompasses nutrition, mobility, friction, moisture, activity, and other risk factors (Ju & Gong, 2017). Since each patient has a unique risk profile, clinicians should determine care plans for each patient. The care plan is then given to each staff member to ensure continued care.
Pressure ulcers arise from excessive pressure on hard surfaces such as wheelchairs and beds in geriatric patients aged 65 and older. Some may result from involuntary muscle movements such as spasms, which may tear the epidermis (Lorente-Granados et al., 2020). The elderly geriatric patients are prone to sores as they shed off fats. Their skins are not well-cushioned against wear and tear. Nurses usually are urged to routinely turn older patients to avoid the formation of pressure ulcers. Repositioning, the patients form an integral part of preventing pressure ulcer formation and acts as a treatment model. However, the patients’ regular turning may not be a suitable remedy for pressure ulcers because they may succumb to oxygen deprivation due to pressure on a particular part of the body.
Role of Stakeholders in Implementing Evidence-Based Projects
Patients and families play a crucial role in their health, cost of services, and nature of care plans designed for their loved ones. It would be impossible to implement a program already rejected by the audience. Some organizations left employees and recruiting employees who abuse drugs to lower medical costs. Usually, doctors are accused of overprescribing medications that may occur due to the patient’s demands. Some patients utilizing insurance services demand the newest and most expensive plans above their subscriptions (Nilsen et al., 2019). Physicians often succumb to the request and offer the treatments unnecessarily. It is, therefore, the duty of the phy...
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