Nr451 Sacrum Pressure Ulcer Capstone Essay

1421 words - 6 pages


Sacrum Pressure Ulcer Reduce With Strict Use of Foam Dressing
Chamberlain School of Nursing
Penni-Lynn Rolen
NR 451 Capstone Course
Sacrum Pressure Ulcer Reduce With Strict Use of Foam Dressing
Despite advancement of technology, pressure ulcer continues to be a primordial in the health care system. Prevention of pressure ulcer remains an important issue in the health care facility. The critically ill ICU patient is the main target of this disease. Prevention remains the key for this problem. Some facility have standard policy for the eradication of pressure ulcer However the question is will the sacrum pressure ulcer ...view middle of the document...

Step1: Assess the Need for Change
Due to recent changes in healthcare reform, Medicare and medical insurance will no longer pay for pressure ulcer acquired during hospital stay because bedsore can be preventable. According to Compton et al, (2008), 5% of ICU budget goes to the treatment of pressure ulcer. Courtney, Ruppman, & Cooper (2006) continue to say that an average of $4,000 is spent to take care of one patient with pressure ulcer. The price of treatment varies because there are different stages of pressure which range from stage 1 to unstageable stage which can lead to septicemia and death.

Step 2 Link the problem, intervention, land outcomes
The problem is in the critical care unit it is difficult to turn and reposition the patient due to dynamically unstable patient.
Most patients who end up in intensive care unit are most of the time so unstable that any little movement will put them at risk for further complications which can lead to death. However, finding a way to prevent pressure ulcer in the most critical ills patients in the healthcare system is very crucial.
Braden scale (Braden & Makelburts, 2005) use in hospitals allows nurses to identify patients at risk for pressure ulcer based on their sensory perception, mobility, activity, moisture and nutrition. Although the Braden scale is a useful tool but healthcare administrations has yet found the best method to eliminate pressure ulcers or bedsore in intensive care units. The use of foam dressing will be introduced to the intensive care patients in one of the critical care units at Stroger hospital as a pilot project.
Due to the low cost of foam dressing, the goal of this project is to figure out whether or not the use of foam dressing can decrease the rate of pressure ulcer in intensive care units without the need to constantly turning those patients who are unstable.

P = Patients(s) or problemPatient, patient population or presenting issue | Adult patient who is critically ill in ICU units |
I = Intervention under Consideration | Apply foam dressing to bony permanent on admission as a preventive measure |
C = ComparisonWhat is the current practice you are comparing to “I”? (This element may be implied or missing) | Compare incident of pressure ulcer before using the foam to the number of incident of pressure ulcer after use of foam in the ICU patients |
O = OutcomeWhat is the effect of the “I” on “P?” What is desired outcome? | No Hospital acquired pressure ulcer |
T = TimeIs there a need to limit the timeframe for the intervention? | Will monitor the critical care unit for 30 days. |

Step 3: Synthesize the Best Evidence
Six articles that were found to be applicable for this project were reviewed. Evidence from these six articles support the issue of Pressure ulcer is high risk patients. The propose change is to assess patient on admission and applied a foam dressing for prevention of pressure ulcer.

Step 4: Design Practice Change

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