Pressure Ulcer Care Essay Example for Free

Pressure Ulcer C atomic number 18 EssayThe aetiology of pinch ulcers is in some parts insubstantial due to the many influences that apply to the formation of a public press ulcer. There are, none the less, a diverse array of contributing factors that have been proven to impair the social organization of the skin and disrupt the healing processes, for example heart complications, lack of mobility, nutrition, sensory loss, temperature and age effecting the skins texture and strength. The nigh significant rationale behind the choice of clinical skill is to assist in the advancement of knowledge base, as Ali amp Atkin (2004, p. 03) accurately specify, we need to use our increasing knowledge base to transform usefulness provision and provide better primary get by. As health professionals it needs to be realize that we are a vital link between patients and other specialised health fearfulness services, Morison (2001, p. 4) points let on the importance of, health care profes sionals as patient advocates in relation to tissue viability services, if we do not make it our duty to be knowledgeable of what options our patients have it is unsurmountable to administer care holistically as if our duty as a health care professional.In recent studies it has shown that constrict ulcers are roughly prominent with surgical patients, research has also shown that the surgical patient relegates a ram ulcer 8 times to a greater extent than the non surgical patient (Pulskamp, 2007). Interestingly it shows that not only are pressure ulcers find in older patients but just as practically in the younger ago groups, with an affix in occurrence in those who receive neck and head surgeries (Bader et al, 2005), In a study is it is shown that variation to the operating table diminished sharply the incidence of pressure ulcer development.Bader et al found that often Pressure ulcers are observed after 2 weeks of being admitted, this then contradicts the theory that pressur e ulcers are caused by in nice nursing care, this then can only suggest that pressure ulcers develop during an operation, during periods of treatment or during investigations, for example X-ray departments where the mattresses are not adapted to the variety of different patients with a different variety of problems.To reduce occurrence and risk there must be put in place preventative measures in terms of risk sound judgements but as Pulskamp (2007) points out, There is no authorise tool to predict risk of pressure ulcers in the surgical patient. There are numerous pressure ulcer risk assessment tools in use, yet none being significantly more preferred than others and each with particular strengths and weaknesses.In 2003 the National Institution for Clinical probity produced the guidelines, pressure ulcer risk assessment and legal community, including the use of pressure relieving devices (beds, mattresses and overlays) for the prevention of pressure ulcers in primary and seconda ry care. They suggest that in order to maximise the effectiveness of the guidelines, they should be enhanced by implementing them in workings partnerships such as tissue viability teams. The aim of the guidelines, as LittleJohns amp Rawlins (2005, p. 9) highlight, are to inform clinical habituate and to direct clinical decision making in order to improve patient outcomes with regard to pressure ulcer prevention and commission. To encourage the use of this guideline the National Institution of Clinical Excellence suggest, incorporating guidance into continuing professional development programmes (in order to) further encourage its use in clinical practice (LittleJohns amp Rawlins, 2005, p. 100). After initial execution an audit was arried out which highlighted significant pitfalls in implementation of the guidelines in clinical practice, for example being unable to record timings or risk assessments, repositioning charts not being used and seating assessments n out being carried out, this highlights the need for flexibility in futurity risk assessments as clinical issues often arise and cannot be avoided in the busy schedules of health care professionals and can often become barriers to the effective implementation there for making the correct use of the guidelines impossible risks unattended concerning the patients.They also voice the fear that the guidelines are simplifying clinical decision making and urge professionals to contain any particular recommendations in light of such issues as available resources, local policies, patient scene and updates research findings.The European Pressure Ulcer Advisory Panel quick reference guidelines on prevention for developing pressure ulcers (2009) have a in depth and diverse approach on the assessment of pressure sores and contributing factors, their guidelines investigate not only the treatment of pressure ulcers but use of pressure ulcer prevention devices and wound management with a grading system to reflect the severity of the sore.The advisory panel suggests that, pressure ulcers need to be assessed in the context of the patients overall condition, they also chance on nutrition, pain and psychosocial factors as potential areas of complication, looking into the localization, tier, size, wound bed, exudates, pain and status of the surrounding skin (Dealey, 2005, p. 138). unrivaled of the pitfalls of this particular assessment strategies is the actual analysis of the pressure ulcer itself, one must have gained adequate back ground knowledge and experience on the analysis of a sore and the most sufficient wound management product (for example dressings or antibiotics if the wound appears infected) to truly be able to grade it, Dealey (2005, p. 142) herself discusses, accurate assessment is necessary in order to select a suitable wound management product.