Evidence-Based Practice Brief, Health Care Organization - Nursing Assignment Help

Assignment Task -                 
 

Abstract 

 Background: the hospitalized patient who stays in the hospital for a long time in bed to received care from the health care organization facing another issue other than the health condition which lying in the bed for the same position can influence the patient skincare and oxygen supply for the pressure area which may as a result of friction between skin and the patient skin cause bedsore (pressure ulcer) particularly if the patient is elderly which make the situation worse. Objective: to assess and evaluate whether change the patient position frequently from 2 hours to 4 hours or every 3 hours can prevent the patient from decubitus ulcers and healed the skin condition for the adult patient. The method of research: the search done electronically in databases such as PubMed, Cochrane library, and CINHAL.the criteria of research included the last ten years, the publication was limited to the English language. the result: most of the studies have not clear statement about if repositioning the patient can influence bedsore positively and prevent it.The conclusion: most of the studies not free from bias, the evidence level very low and not trustworthy as some studies incomplete reports, the evidence in regard to pressure ulcer is not solid that it can rely on.

 Introduction

 Pressure ulcers one of the most preventable incidents for the elderly and hospitalized patients because of the fragile and aging skin, also the epidermis thickness becomes less and the dermal layer with the collagen shrinks and they have a high probability to get bedsores (Brunner,2010). Clinically this issue it can be avoidable for some patients but some time especially at the end life stage patients this problem can’t be controlled which makes it stressful for the nurse as they can’t prevent it (Carlsson, M., Gunningberg, L., 2017). The clinical question is In elderly hospitalized patients (P), does manual patient repositioning (I) every two hours (T) reduce pressure ulcer injury and promote the maintenance of healthy skin (O) compared to 6 hours (C). The purpose of the Evidence-Based Practice Brief is to find out a clear answer for the clinical question and the frequency repositioning for the patient is repositioning the patient effective way to heal bedsore, what is the best position to put the patient on it (supine, lateral, and chair positions).

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