Improving Wound and Pressure Area Care in a Nursing Home Essay

In Sprakes and Tyrers (2010) research clause entitled Improving Wound and wardrobe Area Care in a Nursing Home, the posture of wound and thrust ulcer trouble was examined. The rate of wounds and squeeze ulcers in a care for home is often an indicator of the quality of worry received as these injuries can lead to illness and a change magnitude quality of life (Sprakes & Tyrer, 2010). Sprakes and Tyrer have identified gaps in overall management of wound and wedge ulcers. They have also identified a ample volume of referrals regarding advice and support for wounds and hug ulcers.For these reasons the authors research was aimed toward whether utilization of a crude wound and atmospheric constrict ulcer management system in the nursing home would decrease rate and severity of these injuries (Sprakes & Tyrer, 2010). The reason this article was selected for brush up was due to personal encounters with pressure ulcers in the nursing home position and first-hand observations o f the debilitating effects they can have on an individual. Summary search took place in a nursing home that was selected due to observations of ill managed wounds and pressure ulcers.The authors overall aim of the research was to improve outcomes for patients requiring wound and pressure ulcer management (Sprakes & Tyrer, 2010, p. 47). The authors planned on meeting this goal through improving lag knowledge, improving documentation, and finally encouraging owners to uphold the strait-laced standards of care. Before utilizeing their management model, the authors obtained info to establish a control. The authors collected info over a six month full point regarding frequency of wounds and pressure ulcers and regarding the flake of times additional support cherishs were contacted to assistance with wounds/pressure ulcers.Next, supply knowledge was assessed regarding wound and pressure ulcer assessment and management (Sprakes & Tyrer, 2010). The authors then(prenominal)(p renominal) created a unique competency-based framework. This competency-based framework served as the standard of care to be used throughout the project. It also served as an evaluating tool when measuring staff performance. From there the authors then went on to discuss the project with the staff. Concerns, barriers, and benefits were all discussed as the authors felt if staff understand why change is occurring, they are much likely to implement the required change (Sprakes & Tyrer, 2010, p.47). When implementing their competency-based framework the authors selected four nurses to be supported through the program. Only four were chosen due to the list of time required to support each individual member. The four nurses then received two theoretical training sessions with a day on wound assessment and a day on pressure ulcer prevention and management (Sprakes & Tyrer, 2010). Once complete, the nurses worked alongside one of the authors in implementing the framework in the clinical get dressedting. Completion of the process took an average of six weeks per nurse (Sprakes & Tyrer, 2010).After completion of the program the four nurses had their knowledge reassessed and another set of data was collected over a six month period to allow time for the nursing staff to incorporate the framework into intrust (Sprakes & Tyrer, 2010). After analyzing the data, the authors found a 77% decrease in the number of wounds and a 57% decrease in the number of pressure ulcers. The data also revealed a significant increase in wound and pressure ulcer documentation and a decrease in the number of contacts to auxiliary nurses. When reassessed the staff demonstrated an increase in knowledge and skill.Overall the authors came to the finding that both the nursing staff and patients considerably benefited from the project. Based off the results, they hike up the implementation of similar projects in other nursing homes (Sprakes & Tyrer, 2010). Analysis of the authors references af firms their rightness to the sight however, 66% of the references used are not current as indicated by a publication date greater than 5 years. follow-up Based on the article, the authors purpose of the study was apparent and the results were conclusive.The authors decision to implement an evidenced-based wound assessment tool was a great choice as it significantly benefited documentation rates as one was not universe used in the nursing home prior. Through this choice it was diaphanous that the authors were able to help the nursing staff to ensure the credibility of their work and provide accountability for nursing care (North Carolina Concept-Based Learning chromatography column Board, 2011, p. 2324). When analyzing the study it clearly demonstrates the impact that proper guidelines and education can have on wound and pressure ulcer management.Through education the authors were able to aid the nursing home in preventing the occurrence of more wound and pressure ulcers as pr evention is the goal for the clients at risk for pressure ulcers (NCC-BLEB, 2011, p. 1918). Although this article is a good resource for culture and statistics on wound and pressure ulcers, it is not recommended for individuals looking for particular nursing interventions used for wound and pressure ulcers. While the authors did broadly explain their competency-based framework, they lacked depth in explaining specific information and interventions taught and used throughout the project.In conclusion, this work greatly contributes to the nursing employment because it created a unique quality management plan that has the potential to separate numerous nursing homes and improve the lives of many patients. References North Carolina Concept-Based Learning Editorial Board. (2011). Nursing A concept-based approach to learning (Vols. 1-2, pp. 1915-1926, 2324, 2425). Upper Saddle River, NJ Pearson Education, Inc. Sprakes, K. , & Tyrer, J. (2010). Improving wound and pressure area care in a nursing home. Nursing Standard, 25(10), 43-49. Retrieved from http//search. ebscohost. com/login. aspx? direct=true&db=rzh&AN=2010893921&site=