4% and 38%. The incidence within long-term and home care is significantly lower while intensive care units report that 8% to 40% of ICU patients develop pressure ulcers during the hospital stay (Cuddigan, Berlowitz & Ayello, 2001)
Further, given the difficulty of diagnosing early stage pressure ulcers, it may be helpful to implement a new standardized diagnostic tool. The Pressure Ulcer Scale for Healing (PUSH) has been shown to provide a valid measure of pressure ulcer healing over time and accurately differentiates between a healing and a non-healing pressure ulcer (Gardner, Frantz, Bergquist & Shin, 2005)
For instance, a study conducted by Sergi et al. demonstrated that nutritional assessment is important in preventing and identifying patients at risk for pressure ulcers (Sergi et al
(Salih & M. Fatih Abasiyanik, 2007) (A & Muller-Lissner SA, 1981) SIGNS AND SYMPTOMS The signs and symptoms of peptic ulcer include abdominal pain bloating water brash nausea, and copious vomiting; loss of appetite and weight loss; hematemesis melena COMPLICATIONS Gastrointestinal bleeding Perforation of the gastric walls Penetration into the surrounding organs usually liver or pancreas
Peptic ulcer, often known as a peptic ulcer disease, is a painful condition of the abdomen resulting in mucosal erosion of the gastrointestinal tract usually by excessive acid (consult, 2007) these erosions can only be categorized as peptic ulcers if they are larger than 0
The Academy of Behavioral Medicine and Research has concluded that psychological stress is a significant factor in development of peptic ulcers (consult, 2007) 4. smoking: smoking has also been recently correlated with occurrence of peptic ulcer (Kato & Abraham M
Each year the number of people diagnosed with peptic ulcer is almost 300,000. Duodenal ulcer is 4 times more common than the gastric ulcer and peptic ulcer account for almost 2900 deaths every year (Kurata JH, 1984)
pylori (Salih & M. Fatih Abasiyanik, 2007) (Martin & Captain Elizabeth Montgomery, 2008) (Kurata Ph.D. & Nogawa, 1997) 5
pylori (Salih & M. Fatih Abasiyanik, 2007) (Martin & Captain Elizabeth Montgomery, 2008) (Kurata Ph
Nomura, 1992) however it has been proved a number of times that such infection only exasperates when there is presence of the bacterium H.pylori (Salih & M
Still, according to the Brazilian study, the most critical factor in developing pressure ulcers was lack of activity due to poor cognitive functioning, which again suggests findings are supported by the existing literature. Also importantly, from an ethical standpoint, the research was carried out in a manner which supports the needs of the study population and did not harm the health of any of the participants (Polit & Beck 2012)
In fact, reducing the direct costs of health care as well as the indirect costs that are associated with diabetic foot ulcers represents one of the overarching objectives for health care providers and patients alike (Fidler, 2009). How Addressing this Problem Improves a Current Practice At present, the medical management of diabetes mellitus cases remains suboptimal in many cases (Ebersole & Hess, 1999)
To determine why there should be a standard of care in place for the treatment of diabetic foot ulcers in long-term care patients, this paper provides a review of the relevant peer-reviewed and scholarly literature, followed by a summary of the research and important findings concerning diabetic foot ulcers in the conclusion. Review and Analysis The Significance of the Problem and How Addressing the Issue will Contribute to Society There has been growing concern among practitioners in the health care community about the persistent prevalence of diabetes mellitus and on identifying preventive protocols for foot ulcers for patients in long-term care settings (Fidler, 2009)
35). Impact that Improving this Problem Would Have on Professional Practice There should be a standard of care in place for the treatment of diabetic foot ulcers in long-term care patients because improving this problem would improve the quality of life for diabetic foot ulcer sufferers and reduce the comorbidities that are associated with the condition (Prentice & Ritchie, 2011)
Pathophysiology of Gastric Acid Stimulation and Production The human body produces gastric acid in the stomach, primarily to digest proteins (Anand, 2015; Huether & McCance, 2012)
Those with perforated ulcers report on a sudden attack of severe and sharp abdominal pain (Anand, Huether & McCance). Diagnosing uncomplicated PUD includes radiographic and endoscopic tests (Dach, 2015)
Irrespective of communication's value in the profession of nursing and nursing practice, many occasions wherein there has been negative and detrimental nurse-patient communication in the medical center, have been noted. This, in turn, results in decreased patient satisfaction, along with a negative effect on possibilities of attaining required outcomes for patients (Brosey & March, 2015)
As per a 2010 research report by Tzeng, over 45% of inpatient falls were toilet-connected (when the patient goes to or comes back from using the toilet). It has been observed by Carroll, Hurley and Dykes (2010) that hourly nurse rounds can work as an effective strategy in preventing inpatient falls and considerably lessening fall-related injury, since the rounding intervention also incorporates assisting patients with toileting-related problems (Carroll et al
Hence, this strategy would prove adequate in helping lower falls, avert ulcers, and decrease usage of call lights, thereby leading to improved patient satisfaction via evidence-based techniques. Applying this approach to the healthcare organization with an aim of bettering clinical outcomes and patient satisfaction necessitates formulation of an inclusive implementation strategy and involvement of all major stakeholders in the organization (Deitrick, Baker, Paxton, Flores and Swavely, (2012)
Hence, the key issue for the facility is enhanced dangers of falls, mounting call light usage, and ulcers, thereby impacting clinical results and satisfaction of patients. These issues are predominantly caused due to absence of a proper system of regular nurse rounds, for predicting and delivering necessary care proactively, instead of merely reacting after a patient has called for help (Forde, 2014, p