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Prevention

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Submitted By blcrider
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Prevention
Grand Canyon University
NRS 430V Professional Dynamics
22 October 2010
Prevention
As a nurse, we have to be accountable to meet standards with our clients. We meet some of these standards on a daily basis without even thinking about them. Between patients, we automatically wash our hands without giving it a second thought. We don on a pair of gloves when we do IV therapy or IM shots. “Accountability for professional nursing revolves around interventions, outcomes, and costs.” (Hood, 2010) Prevention is the key to interventions, outcomes, and cost. People associate pressure ulcers with long term care. They can occur during a long surgery. As nurses we need to be sure that we are doing our part to prevent them no matter what the setting. If the patient has poor nutrion status or certain other qualifiers their chances for receiving a pressure ulcer increase significantly. With keeping this in mind we need to ensure that we do what we can to prevent pressure ulcers. Even in acute care pressure ulcers occur. They can happen in as little as an eight hour shift. With different health conditions making it easier for someone to acquire a pressure ulcer. The risk of acquiring one in acute care is a stagering “2.7 percent to 29.5 percent” (AHCPR Supported Clinical Practice Guidelines). As a nurse we have a responsibility to our patients to give them the best care available. With that we have to prevent harm from our clients. As nurses we need to be aware of what is happening to our patients. We have to know what is their acute health care problem and then prevent any more harm to them. “Guidelines suggest that our overall goal is prevention of pressure ulcers which is less costly.” (AHCPR Supported Clinical Practice Guidelines) If we prevent pressure ulcers from happening with an overlay mattress, and it will cost less in the overall outcome then we need to know use this safety measure. Prevention of a health care problem is less expensive than healing one. Overlay mattress’s are confirmed to prevent pressure ulcers on the majority of patients. Along with frequent turning and checking nutrtional status, mattress overlays pay for them selves in a short time. If you consider the amount of money spent on woundcare in opposition to the overlay there’s no comparison. The expenditure of one pressure ulcer can range from “$2000-$40,000” (Salcido, 2009) the overlay can be as economical as $100 every month. We need to make frequent turning on moderate risk patients as common as hand washing between patients. If the patient is at a high risk and qualifies for an overlay then we need to intiate that as soon as possible. As we all know with certain risk factors already in place in an eight hour shift a patient can develop a stage one pressure ulcer. Nurses know that prevention is the key to not only be cost effective but also help ensure a safe outcome for the client. We have changed our standards by incorporating the braden scale into our assessment. The braden scale is an assesment tool. It has six catergories which are sensory preception, moisture, activity, mobility, nutrition, friction and shear. We do this on admission and then weekly thereafter. This is a good tool because it takes all things into consideration that cause pressure ulcers. If a patient meets a certain number on the braden scale they automatically qualify for an overlay. We then have to notify the physician and get an order for it. It is nursings responsibility to ensure that we meet these standards. As a professional nurse we take an oath to cause no harm. If that means that we have to get specialized equipment in order to hold true to this, that is what we need to do. We are to uphold our profession by being accountable for interventions, outcomes, and cost effectiveness. Studies have shown that it is more cost effective to prevent than to treat. So we need to ensure that our hospital has the prevention measures in place to keep our oath. If we work in a place that doesn’t have any prevention meausures for pressure ulcers we need to put some in place.
References
AHCPR Supported Clinical Practice Guidelines. (n.d.). Retrieved October 22, 2010, from National Library of Medicine: http://www.ncbi.nlm.nih.gov/bookshelf/br.fcgi?book=hsahcpr&part=A4502
Hood, L. J. (2010). Leddy & Pepper's Conceptional Bases of Professional Nursing. Philadelphia: Wolters Kluwer Health.
Salcido, R. (2009, July 09). Pressure Ulcers and Wound Care. Retrieved October 22, 2010, from eMedicine: http://emedicine.medscape.com/article/319284-overview

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