organizational systems Task 1 Essay

However, only 10% of nurses actually complete accurate inspections of the skin during their initial physical assessments of the patients (Lahmann et al., 2010). As a result, patients who are at risk of developing pressure ulcers are often overlooked by nursing staff.

The ability of nurses to provide a high level of care to each individual patient will cause a decrease in inpatient complications and a decrease in rates of inpatient mortality (Needleman, Buerhaus, Pankratz, Leibson, Stevens & Harris, 2011).

The negligence of this incident had a negative impact on the patient’s family members. Approximately 25% of cases involving medical negligence involve poor nursing care. Another negative aspect was patient’s family follow up was poor resulting in lack of importance highlighted on the pressure wounds. Ashley (2003) states nurses can be sued for malpractice, this means he or she is being sued for “negligence”. Furthermore, the nursing health professionals can lose its credibility among a community as they failed to provide a holistic care for the patient. However, a positive outcome was nurses were able to reflect among this evidence based practice to assist in better quality in patient

nurse staffing ensures quality nursing care for patients and can be a challenge for nurse

If the nurse would have made an effort to assure that the patient was being repositioned at least every two hours, whether in restraints or not, the patient would not have developed a pressure ulcer.

Mr. J.’s daughter noticed a red mark on her father who then reported this to the nursing assistant and her concerns were immediately dismissed. If the nursing assistant was properly trained in the use of restraints and had knowledge of patient outcomes, this patient would not have developed a pressure ulcer. The nursing assistant should have immediately informed the nurse and measurements should have been taken to prevent further breakdown of the patient’s skin which was not done. It is evident in reading this case that Mr. J developed a Stage I pressure ulcer from being retrained in one position with no assessment or release for an undetermined amount of time.

DO: All team member will go through the training, policies and instructions will be available in intranet for review by staff, changes will be implemented for all patients with spinal cord injuries on units 2 and 4. This pilot study of pressure ulcer prevention bundle implementation will be monitored for 3 months. Number of new developed pressure injuries will be monitored on weekly basis and results will be analyzed at the end of the project in three

Pressure ulcers remain a major health problem affecting approximately 3 million adults.1 In 1993, pressure ulcers were noted in 280,000 hospital stays, and 11 years later the number of ulcers was 455,000.2 The Healthcare Cost and Utilization Project (HCUP) report found from 1993 to 2003 a 63 percent increase in pressure ulcers, but the total number of hospitalizations during this time period increased by only 11 percent. Pressure ulcers are costly, with an average charge per stay of $37,800.2 In the fourth annual HealthGrades Patient Safety in American Hospitals Study, which reviewed records from about 5,000 hospitals from 2003 to 2005, pressure ulcers had one of the highest occurrence rates, along with failure to rescue and postoperative respiratory

The purpose of this paper is to discuss pressure ulcers (PUs) and their prevention. The National Pressure Ulcer Advisory Panel (NPUAP), European Pressure Ulcer Advisory Panel (EPUAP), and Pan Pacific Pressure Injury Alliance (PPPIA) define pressure ulcers as a ‘localized injury to the skin and/or underlying tissue usually over a bony prominence, as a result of pressure, or pressure in combination with shear’ (Brown, 2016, p. S6). Pressure ulcers are a healthcare problem that can have detrimental effects on patients’ quality of life and can be regarded as an indicator of poor nursing practice. Hospital-acquired pressure ulcers (HAPUs) result in costly settlements

Considering that wound management is a significant role for nurses. Since, patients who suffer from developed pressure ulcers require assessment and interventions towards identifying and correcting the causative factors and treatment modalities. To assure optimal wound healing and efficient use of supplies. It is imperative that nurses acquire appropriate knowledge and skills to assess susceptibilities and implement pressure ulcers (PUs) prevention strategies. Therefore, nurses must pay close attention towards correct infection control measures when managing PUs regardless of clinical setting environment. The Nursing and Midwifery Council (NMC) (2015) code

Most pressure ulcers are usually hospital-acquired and insurances are not covering the costly and could have been prevented.

Healthcare is the single largest business around the world and plays a vital role in society today. The desire to enhance quality of care in healthcare delivery has increased tremendously.

In modern times, hospitals are where customer service and patient care need to be carefully evaluated. Hospitals see patients from all walks of life. It is where children are born, lives are saved, and finally where some spend the last moments of their lives. Consumers of healthcare frequently evaluate the quality of the services they receive, and choose the one that guarantees a high-quality experience. Quality care from caring and compassionate hospital personnel, guarantees that patients receive the care they deserve (The Joint Commission, 2008). Hospitals should ensure that patients receive the best service and care possible, so that their fears are quelled and ailments are treated.

Patients get a pressure ulcer for a legion of rationalities. According to Alene Burke of Nursing Assistant Education, some of the elements why people get them which she cited from Nettina, S. (2009), are old age, deficient mobility, lack of moisture, and insufficient diet. Moreover, factors like neurological and other physical problems, friction and shearing, bed and chairs with wrinkled linens or hard objects and pressure ulcers in the past may similarly predispose pressure ulcer. This observations implies that in nursing care pressure ulcers are prospected as negligence, however it is arrogated that pressure ulcers are avoidable on the condition that prime level of care is continuously rendered to patients and residents. (Burke 2010).

The nurses and CNA could utilized the Nursing Sensitive Indicators in the scenario of Mr. J. The education of what the ‘red area’ as described by the CNA on the patients’ lower spine was valuable knowledge. This was the start of a pressure ulcer. Repositioning the patient could have assisted the patient with prevention of further breakdown of the skin and the