Plantar fasciitis is the inflammation of a thick tissue on the bottom of the foot. This tissue is called the plantar fascia and connects the heel bone to the toes, creating the arch of the foot. Plantar fasciitis is the most common cause of heel pain (heel spurs). It occurs especially among athletes and is caused by the continuous repetition of excessive overload at breech.…
Pressure ulcer prevention (PUP) in surgical patients has become a major interest in acute care hospitals with the increased focus on patient safety and quality of care. A pressure ulcer is any area of skin or underlying tissue that has been damaged by unrelieved pressure or pressure in combination with friction and shear. Pressure ulcers are caused due to diminished blood supply which in turn leads to decreased oxygen and nutrient delivery to the affected tissues (Tschannen, Bates, Talsma, &Guo, 2012). Pressure ulcers can cause extreme discomfort and often lead to serious, life threatening infections, which substantially increase the length of stay and total costs of care and compromise quality of care.…
Pressure ulcers tend to affect people with health conditions that make it difficult to move, especially those confined to lying in a bed or sitting for prolonged periods of time.…
Some of the interventions that can be taken to help minimise the risk of pressure ulcers occurring in those that are at risk, one method is to that the individuals is position is changed on a regular basis, another is to use a pressure relieving device such as a special mattress, bed frame, seat…
There were a lot of factors that resulted in the articles of confederation being thrown out. The articles of confederation for one, had no way to pay for common defense; another problem was that the country didn't have a bill of rights; and Shay's Rebellion. The constitution addresses all of these in its bill of rights and amendments. In the articles of confederation they entrusted paying for national defense to the states.…
Having pressure ulcers especially on stage 4 give impact to individual’s life. Impact may vary from person to person where some patient may feel having pressure ulcers is the worst thing can happen and some can live normally with the ulcers. First impact on having pressure ulcers is on quality of life. People who suffer from pressure ulcers experiencing excruciating pain while doing daily activities such as dressing changes.Individual who suffer from pressure ulcers also suffer from financial problem where they need to deal with expensive healthcare such as medical care charges, medication, trips for appointment and home modification. Next, patients may experience social isolation. Patients may feel isolated when they do the treatment. For…
Patients having severe spinal injuries which prevented them from being repositioned, patients with existing heel pressure ulcers, or under the age of 18 were purposefully excluded from this study. The remaining trauma and critically ill patients admitted to the hospital were the pool from which the study participants were selected.…
In their article published in the June, 2012 issue of Critical Care Nurse, authors Estilo, Angeles, Perez, Hernadez, and Valdez discuss the issue of pressure ulcers on patients in intensive care units. These patients are high risk for pressure ulcers for several reasons. They usually are unable to turn themselves from back to side to relieve pressure on bony areas of the back such as the tailbone. If caregivers do not turn the patient properly, friction and shearing can occur which can lead to pressure ulcers. Medications could interfere with circulation that supplies oxygen to the skin to keep it healthy. Most patients lose weight while in intensive care, causing bones to be more prominent. Failure of caretakers to keep patients clean and dry from incontinence can also contribute to pressure ulcers.…
The NPUAP website has the ability to be a good start for clinicians in the battle of the bedsore. Sullivan & Schoells, (2013) further credit the information given by the NPUAP by stating, “guidance provided by such organizations as the Institute for Healthcare Improvement, National Pressure Ulcer Advisory Panel, and AHRQ has resulted in successful implementation of bundled evidence-based practices throughout the United States.” It is clear that the information on the NPUAP website is not only valid, but it is based on best practice and is evidence based. Nurses dealing with patients that are susceptible to pressure ulcers are doing themselves and their patients an injustice by not utilizing the tools that the site has to offer. Nurse educators, and wound nurses will find this site especially valuable and would be able to change practices and policies if needed based on the information the site provides. Another nice feature of the site (especially for the busy consumer researching medical information) is the link to Medline and the description it gives of the usefulness of evidence based…
In patients with nutritional imbalances, the patient is predisposed to developing a pressure ulcer quicker than in a healthier patient. Evaluating which methods to use, according to supportive literature, will guide nurses to implement the appropriate care and treatment for the patient. A comparison cohort study was conducted in order to evaluate two methods for turning and positing and the effects it has on pressure ulcer development. Two methods of positioning were evaluated specifically with the use of pillows (standard of care) to patient positioning system (PPS). Sixty patients from a neurointensive/trauma unit were used for this particular study. A random assignment of patients was designated to one of two teams per standard bed placement practices. Patients who already had a prior pressure ulcer were not included in this study. Evaluation of pressure ulcers were performed on a daily basis and information was collected on the number of staff members that were required to turn the patients. The patients that were turned with standard of care pillows was designated…
Looking in evidence-based research for an effective strategy to decrease the spread of pressure ulcers is the primary objective for a medical unit that exceeds the national average and is the topic of this research discussion. Most pressure ulcers are preventable. This is an important challenge for nurses. Patients who suffer from complications such as, impaired skin integrity, impact a patient with discomfort, increased hospitalization, and may lead to sepsis.…
NPUAP. National Pressure Ulcer Advisory Panel. (2010). Pressure Ulcer prevention guidelines. General recommendations. [Online] Available from: http://www.epuap.org/guidelines/Final_Quick_Prevention.pdf…
Pressure ulcers continue to be a prevalent issue in the health care system and causes “pain, slow recovery from morbid conditions, infection and death” (Kwong, Pang, Aboo, & Law, 2009, p. 2609). In the field of nursing turning and repositioning patients is a well-known nursing intervention to prevent development of pressure ulcers. However, many hospitals and facilities still neglect to apply this as a standard policy. This gives room for nurses and nursing aides to overlook the importance of this intervention resulting in increased pressure ulcer development. The purpose of turning and repositioning patients is to prevent oxygen deprivation to skin tissues caused by continuous pressure. The question then becomes whether to standardize policy for patients with a Braden score of less than sixteen to be scheduled for a turn and reposition every two hours to decrease risk of new pressure ulcer development.…
Revival history is an interesting topic and one that can be explored at great depths. Revivals of the past, if looked at through the right lens, can awaken hope and desire for God to move again, even in the darkest times. Revivals show us that God is still very much active and interested in His people. The Father desires that we would know Him as a real Person and who loves to make Himself known through His Son Jesus. I wrote my paper on the First Great Awakening mainly because I am from New England and I have a passion to see the church set ablaze again in that area. The heritage is so rich in that land and I believe that the Lord would love to encounter His people again with a great spiritual awakening. Below, I will go over the Great Awakening in detail discussing the dates, location, key leaders, scope of impact, main features, main message, controversial aspects, principles learned, and our application for today.…
de Laat, E.H. et al (2005) Pressure ulcers: diagnostics and interventions aimed at wound-related complaints: a review of the literature. Journal of Clinical Nursing; 14: 4, 464-472.…