Endrotachael tubes that provide continuous subglotic suctioning (abbreviated: CSS-ETT) may reduce VAP, but they are more expensive than the standard endrotacheal tubes (abbreviated: S-ETT) that do not have the characteristic of continuous suctioning. The objective of this study (Speronni et al
Organizers, for instance, may spend a great deal of unnecessary time and money trying to randomly attract a certain core group of people, when more qualified individuals would in reality be found were a convenience sample used. These people could then be divided into experimental and control groups and, the study being well-matched to them, would have proceeded in a more effortless manner showing possibly better results (Tuckett et al
The condition occurs under the watch of the nurses who have the responsibility of providing extensive care to patients. Since the condition is complex, it is essential to focus on its prevention rather than treatment thus reduction in the total costs and adverse effects in association with Ventilator Associate Pneumonia (Zilberberg et al
Therefore, in the case of a six-year-old boy contracting pneumonia, the best nursing model to ensure the recovery of the child would be to include the family as a necessary element in the care of the child. So, in the case of the six-year-old child who has already been administered the necessary medication to treat his symptoms, the best route of care for that child would require the full cooperation and support of the child's family, which has proven to be essential in several cases, as seen in the article "Family-Oriented Program Models, Helpgiving Practices and Parental Control Appraisals," (Trivette, Carl J
2 million patients are hospitalized each year in the United States with pneumonia and inpatient mortality rates average 5.8% (Lindenauer, Behal, & Murray et al
, 2006). Currently, pneumococcal disease is the most prevalent form of community-acquired pneumonia in older adults which represents a substantial clinical and economic burden, as well as exacerbating existing COPD conditions (Ludwig & Unal, 2012)
Conclusion The studies included in the research paper have contributed in its completeness and it is concluded that the chlorhexidine glucomate is proved to be beneficial in the prevention of ventilator associated pneumonia. The paper has provided that almost 2% of chlorhexidine glucomate is more effective as compared to any other strategy for the patients receiving mechanical ventilation (Elward, Warren, & Fraser, 2002; Labeau, Vyver, Brusselaers, Vogelaers, & Blot, 2009)
Consequently, the lungs of patient infiltrate due to which pneumonia is caused. The ventilator associated pneumonia possibly occurs early or late during the course of intubation along with a mechanical ventilation of a patient (Evans, et al
It can be recommended that rigorous studies should be conducted while considering the administration procedures and cost effectiveness of chlorhexidine glucomate. Different studies in the paper have provided that analysis of the patients suffering from the ventilator associated pneumonia are provided with different preventive medications among which chlorhexidine glucomate is very common (Labeau, Vyver, Brusselaers, Vogelaers, & Blot, 2009; Tantipong, Morkchareonpong, Jaiyindee, & Thamlikitkul, 2008; Ozcaka, et al
It has been found that this method increases the chances of developing of resistant species. The chlorhexidine glucomate is known to be the bisbiguanide disinfectant and it is effective on different types of bacteria, viruses, and fungi (Lorente, Blot, & Rello, 2007; Shorr & Kollef, 2005; Chan, Ruest, Meade, & Cook, 2007; Tantipong, Morkchareonpong, Jaiyindee, & Thamlikitkul, 2008)
The direct impact of intervention on the ventilator associated pneumonia has been considered in most studies (Lorente, Blot, & Rello, 2007; Chastre & Fagon, 2002; Abad, McKinley, & Safdar, 2008; Rello, Lode, Cornaglia, & Masterton, 2010). The higher intensity of disease as a risk factor is being considered in many studies, but its interaction with interventions are not much mentioned (Maselli & Restrepo, 2011; Safdar, Crnich, & Maki, 2005; Tantipong, Morkchareonpong, Jaiyindee, & Thamlikitkul, 2008)
The early onset pneumonia occurs due to the antibiotic sensitive bacteria, whereas, late onset pneumonia associated with ventilator patients is caused by antibiotic resistant pathogens. This disease consists of supportive care along with the administration of antibiotics and the mortality attributable to it is greater than ten percent (Pileggi, Bianco, Flotta, Nobile, & Pavia, 2011; Ozcaka, et al
The placement of an endotracheal tube enforces negative effect on the cough reflexes, which aims to protect the airway from invasive pathogens. The endotracheal tube prevents mucocoliary clearance of secretions and depresses epiglottic reflexes (Rello, Lode, Cornaglia, & Masterton, 2010; Labeau, Vyver, Brusselaers, Vogelaers, & Blot, 2009)
Understanding and addressing this problem requires careful attention to the latest research, and this research must be approached from a critical perspective. Quantitative research, or research that directly and concretely measures certain phenomenon and describes relationships in numerical terms, has yielded no small amount of useful information on this topic, and critically examining a current article that outlines the knowledge regarding ventilator associated pneumonia is an excellent way to determine if there are any knowledge gaps or inconsistencies that require attention (Burns & Grove, 2011)
The following paragraphs present just such an examination. Problem Statement A substantial portion of patients intubated for ventilator-assisted breathing during hospital stays develop pneumonia as a result of infection spread or allowed to flourish at the intubation site (Chastre & Fogan, 2002)
Once infection has been detected, antibiotics will be indicated. The lungs react to a bacterial infection in various ways, the most notable of which is the leaking of capillaries, allowing protein-rich fluids to enter the alveoli ("Pneumonia - Pathophysiology Of Pneumonia," n
For the proposed change plan in the concerned nursing facility, the proponent proposes to implement an oral care hygiene protocol, which is particularly important for patients fed using feeding tubes. Its effectiveness had been documented significantly in studies of a similar kind of medical problem (aspiration pneumonia) (Ebihara and Ebihara, 2011, 341)
The intended outcome of the in-service training is to decrease the number of incidence of aspiration pneumonia among the elderly who are dependent on the nursing staff for their daily health needs and requirements. A latest study on aspiration pneumonia found that its prevalence can be as much as 50%, data taken from a survey of two (2) urban nursing homes in South Korea (Liantonio et
Further, after this review of relevant literature, the proponent will present an action plan that the hospital management can review and take into consideration. Change Model Overview In developing this proposal, the proponent will implement the Johns Hopkins EBP model, which shall outline my proposal based on the following components: Practice Question, Evidence, and Translation (Newhouse et
Beyond this period, the intervention protocol would be less likely to be adhered to or followed and successfully implemented by residents and staff. Further, among the intervention protocols implemented, it was the feeding positioning and instruction to patients on swallowing techniques were found to be more effective and the most that staff adhered to than manual brushing (Quagliarello et