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Improving Wound And Pressure Area Care In A Nursing Home Summary

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Improving Wound And Pressure Area Care In A Nursing Home Summary
Improving Wound and Pressure Area Care in a Nursing Home

Improving Wound and Pressure Area Care in a Nursing Home
Introduction
In Sprakes and Tyrer’s (2010) research article entitled “Improving Wound and Pressure Area Care in a Nursing Home”, the effectiveness of wound and pressure ulcer management was examined. The rate of wounds and pressure ulcers in a nursing home is often an indicator of the quality of care received as these injuries can lead to illness and a decreased quality of life (Sprakes & Tyrer, 2010). Sprakes and Tyrer have identified gaps in overall management of wound and pressure ulcers. They have also identified a large volume of referrals regarding advice and support for wounds and pressure ulcers. For
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Summary Research took place in a nursing home that was selected due to observations of poorly managed wounds and pressure ulcers. The authors’ overall aim of the research was to “improve outcomes for patients requiring wound and pressure ulcer management” (Sprakes & Tyrer, 2010, p. 47). The authors planned on meeting this goal through improving staff knowledge, improving documentation, and finally encouraging owners to uphold the proper standards of care. Before implementing their management framework, the authors obtained data to establish a control. The authors collected data over a six month period regarding frequency of wounds and pressure ulcers and regarding the number of times additional support nurses were contacted to aid with wounds/pressure ulcers. Next, staff knowledge was assessed regarding wound and pressure ulcer assessment and management (Sprakes & Tyrer, …show more content…
Only four were chosen due to the amount of time required to support each individual member. The four nurses then received two theoretical training sessions with a day on wound assessment and a day on pressure ulcer prevention and management (Sprakes & Tyrer, 2010). Once complete, the nurses worked alongside one of the authors in implementing the framework in the clinical setting. Completion of the process took an average of six weeks per nurse (Sprakes & Tyrer, 2010). After completion of the program the four nurses had their knowledge reassessed and another set of data was collected over a six month period to allow time for the nursing staff to incorporate the framework into practice (Sprakes & Tyrer, 2010). After analyzing the data, the authors found a 77% decrease in the number of wounds and a 57% decrease in the number of pressure ulcers. The data also revealed a significant increase in wound and pressure ulcer documentation and a decrease in the number of contacts to supportive nurses. When reassessed the staff demonstrated an increase in knowledge and skill. Overall the authors came to the conclusion that both the nursing staff and patients considerably benefited from the project. Based off the results, they encourage the implementation of similar projects in other nursing homes (Sprakes & Tyrer,

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