Strategic Plan Summary

Summary Plan for Intervention for the Prevention of Pressure Ulcers

From the previous papers, my proposed primary method of preventing pressure ulcers among the hospitalized patients is turning the patients at least once per hour or using pressure distribution mattresses or devices, Gefen et al. (2020). However, based on the Pennsylvania healthcare facility’s culture assessment, I noted potential challenges that may make my proposed nursing interventions unsuccessful. Firstly, is that the organization faced a challenge for not providing adequate education to patients and their caregivers. From my research about facility and interview, most patients never knew about potential causes of pressure ulcers and how they could be prevented by either turning themselves or calling nurses to assist them at least once per hour.

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This problem will be solved by making organizational culture changes where patients are given first priority through education regarding avoiding remaining in the same position for a long time and asking the nurse’s help. Secondly, the nurses will be educated on reducing pressure ulcers among the patients since it’s a common condition, especially during the current pandemic where patients receive ventilator or respirators care. This can include ensuring that the correct mask is worn, ensuring the clean surface, and adjusting it often. Finally, the Pennsylvania healthcare facility should acquire pressure distribution mattresses which will be a better option for the patients in the ICU. This will reduce pressure on some parts of the body, which will prevent the development of sores. Despite many authors arguing that pressure mattresses are ineffective, they are an excellent option for preventing ulcers. Jaul et al. (2018).

References

Gefen, A., Alves, P., Ciprandi, G., Coyer, F., Milne, C. T., Ousey, K., … & Worsley, P. (2020). Device-related pressure ulcers: SECURE prevention. Journal of wound care29(Sup2a), S1-S52. https://www.magonlinelibrary.com/doi/abs/10.12968/jowc.2020.29.Sup2a.S1

Jaul, E., Barron, J., Rosenzweig, J. P., & Menczel, J. (2018). An overview of co-morbidities and the development of pressure ulcers among older adults. BMC geriatrics18(1), 1-11. https://link.springer.com/article/10.1186/s12877-018-0997-7

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