INTEGRATION OF PRESSURE ULCER TREATMENT

Integration of Pressure Ulcer treatment

Integration of Pressure Ulcer treatment protocol into practice clinical outcome care Environmental attributes

Introduction

The pressure ulcer is the spot on the external skin and it is the injury of tissue normally developed which is prominent on the skin. The pressure ulcer is even considered a decubitus ulcers, bed sore and pressure sores. Even though there are other injuries as well included in skin injury that are friction, shearing forces, and moisture. The primary cause is the Pressure ulcer and is the main source of problem. The classification of Pressure ulcer is done by the amount of visible damage. When there is an exposure of persistent pressure for at least two hours, then the skin becomes sensitive to pressure.

Due to pressure ulcer, there is a visible effect on the skin and the color is even affected, so this type of Pressure ulcer is classified as Stage 1 ulcer. When there is a thin ulcer, concerning the loss of only the dermis and epidermis, it is then classified as Stage 2 ulcer. The deep tissue injury which affects the fat of skin is classified as Stage 3 ulcer. The ulcer which affects the muscle or bone is classified as Stage 4 ulcer. (Bluestein, 2008)

Literature Review

Normally, pressure ulcers are formed during the long period of hospitalization. It occurs among those people whose movement is limited to a chair or bed and almost 30% people are diagnosed with Stage Pressure ulcer during the hospitalization. It means that 25% of people at hospitals suffer from pressure ulcer which is categorized between Stage one and Stage two. Apart from the low activity level, factors of nutrition, incontinence, variation in the level of consciousness has been constantly considered as the reason for the increase in pressure ulcers. There are more than half of the cases of pressure ulcer which occurs on people who are more than 70 years old. (Lyder, 2003)

Almost 50% Stage two ulcers are healed after one month and also after six months time, around more than forty percent of Stage three and Stage four ulcers doesn't heal. Consequently, the main objective of pressure ulcer management Program is the prevention of pressure ulcers. The people with inability to relocate on the bed or even on chair must be analyzed for further factors of risk during the enrolment to any hospital. Regular check-ups must take place and the notice must be taken for any change required. Relocation after two hours has always been the key procedure carried out for prevention of pressure ulcer. The people having partial capability of changing the place for sitting in the chair; they must not sit in the chair for more than one hour at any time. The use of pressure-reducing mattresses has proved to decrease the incidence of being diagnosed with pressure ulcer, and special beds would decrease the occurrence of pressure ulcer outcomes and the condition of patient will improve. The use of wheel chairs, stretcher and foam-padded ...