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CAPSTONE PROJECT
PRESENTATION

Schoool

Course

Instructor

Hello professor and classmates, my capstone project presentation is on the prevalence of pressure ulcers among the elderly and decreased mobility patients.

in the hospital and healthcare facilities.

The Prevalence of Pressure ulcers in hospitals & Healthcare Facilities among the elderly & decreased mobility patients

an overview

Pressure ulcers are responsible for 70% of the significant issues affecting older individuals in hospitals.

The yearly healthcare cost of treating pressure ulcers in the United States is projected to be more than $20 billion( Saleh et al., 2019).

Pressure ulcers cause patients to stay in the hospital for longer periods of time, which has a significant economic impact on both the patients and the facility.

My capstone project aims to implement certain method to prevent pressure ulcers among the elderly above 60 years and decreased mobility patients in the hospital and healthcare facilities through the use of Braden scale, applying mepilex foam dressing to bony prominence areas, and repositioning (Saleh et al., 2019)

The majority of pressure ulcers or sores originate near the joints (Norman et al., 2020). They can cause infections in joints and lead to amputation or dangerous bone infections if not properly cared for or if they take a long time to close and heal. They can cause cancer and sepsis, a disease marked by internal organ inflammation caused by the body’s production of chemicals to fight infections.

Background significance

Elderly people with pressure ulcers may be unable to care for them, and as a result, they take longer to heal, exposing the wounds to infections that can be detrimental to the body and even fatal.

Pressure ulcers can lead to cancer and sepsis, an inflammatory illness defined by the production of chemicals to fight infections in the body (Papp, 2019).

People who are over 60 years are at risk of having pressure wounds due to their immobile state and they are likely to have multiple pressure wounds or recurring ones, depending on their activities and postures.

This study aims to implement certain method to prevent pressure ulcers among the elderly above 60 years and decreased mobility patients in the hospital and healthcare facilities through the use of Braden scale, applying mepilex foam dressing to bony prominence areas, and repositioning (Saleh , et al., 2019)

Background and significance cont.

Despite several methods for avoiding pressure ulcers, this problem persists in the American healthcare system, where it is both severe and embarrassing. My recommendation is that institutions institute a policy of use of Braden scale, rotating and repositioning critically sick patients every two hours, and use of mepilex border silicon foam dressing to protect the bony prominences since this is the best evidence-based method for avoiding pressure ulcers in elderly people and patients with decreased mobility (Saleh , et al., 2019).

In the prevalence of pressure ulcers in hospitals and healthcare facilities, the use of Braden Scale, mepilex foam dressing in the bony prominence region, and regular patient repositioning, in this research is aimed to reduce the prevalence of pressure ulcers among the elderly and patients with limited mobility in hospitals and other healthcare institutions. (Papp, 2019).

Methods and designs

The research methods include Qualitative and Quantitative Methods.

They include:

observations

Focus groups

Interviews.

Theoretical model framework
jean Watson’s caring theory

Jean Watson’s theory of human caring is a middle-range theory that concentrates on the patient-nurse interaction.

It emphasizes treating the patient as a whole, which entails taking care of the patient’s mind, spirit, and body so that the healing process may continue at its best (Watson & Woodward, 2020).

This model relates to my project in caring for patients with pressure ulcers and determining the best procedure for preventing pressure ulcers for patients aged above 60 years.

Jean Watson’s theory will help me implement certain prevalence method to help prevent the development of pressure ulcers among the elderly, and also determine the effectiveness of using Baden scale , mepilex dressing and repositioning in prevalence of pressure ulcers.

Jean Watson’s hypothesis is based on qualitative research. Qualitative research is collecting and analyzing non-numerical data in order to get a better understanding of experiences, perspectives, or concepts.

Jean Watson’s concept is based on the philosophy and science of caring, which helps patients improve their health. As a nurse, I’ve always been trained to put my patients in the best possible situation to allow them to recover themselves. As a nurse, I am required to participate in inpatient care. Caring has several advantages, and it promotes self-absorption on both a professional and personal level (Watson & Woodward, 2020). Watson’s concept aligns with the nursing profession’s concept of care.

When in hospital, patients are mostly lying-in bed, not moving around, and therefore many can develop pressure ulcers (Watson & Woodward, 2020). Taking care of them is essential, and the method utilized to care for the wounds has a significant impact on how long it takes for the wound to heal.

Interventions

In my capstone project, I will be implementing certain method to prevent pressure ulcers among the elderly above 60 years and decreased mobility patients in the hospital and healthcare facilities through the use of Braden scale, applying mepilex foam dressing to bony prominence areas, and repositioning (Saleh , et al., 2019)

I will use the PICOT (Patient, Intervention, Comparison, Outcome, Time) format, for adults over 60 years old and decreased mobility patients who are already in the hospital and are at risk for developing pressure ulcers.

In a group of 50 patients, 25 will be employed to the use of Braden Scale, applying mepilex foam dressing to bony prominence area and repositioning while the other 25 will use no prevalence method.

Expected outcomes

After two weeks, the Braden Scale, mepilex silicon foam, and repositioning patients are expected to significantly reduce the incidence and severity of pressure ulcers in the study population compared to patients in the general population who did not participate in the study and who did not use any prevalence measurement strategy (Boyko et al., 2018).

Anticipated conclusions

When comparing the prevalence of pressure ulcers in the sample population to that of the general population, we find that the use of the Braden Scale, the application of mepilex silicon foam to bony prominence areas, and patient repositioning are all significantly more effective in preventing pressure ulcers in the sample population than they are in the general population (Saleh et al., 2019).

This is due to the fact that pressure ulcers and other negative outcomes might arise as a direct result of poor circulation brought on by inactivity (Boyko et al., 2018).

Potential implications for practice

Negligence on the part of patients and their families, as well as nurses and other healthcare staff, who may not comply to the treatment regimen, by refusing to apply the prevalent technique presented above, may be hurdles associated to the suggested intervention. Educational resources that are both interesting and informative for families and healthcare providers are one way to get beyond this obstacle (Saleh et al., 2019).

Potential implications for practice

Strengths: individuals’ openness to monitoring their own health in relation to prevalence of pressure ulcers. Having access to the necessary means for conducting good quality assessment on the at risk population (Saleh , et al., 2019)

Patients and nurses work together well. The facility’s administration and users have provided outstanding support (Saleh , et al., 2019).

Challenges: Sadly, not all patients have access to adequate medical treatment.

Nursing staff and patients have difficulties in establishing and maintaining open lines of communication.

Weak financial support and an absence of necessary administrative help both within and outside the workplace (Saleh , et al., 2019)

References

Atkinson, R. A., &amp; Cullum, N. A. (2018). Interventions for pressure ulcers: a summary of evidence for prevention and treatment. Spinal Cord, 56(3), 186.

Boyko, T. V., Longaker, M. T., &amp; Yang, G. P. (2018). Review of the current management of pressure ulcers. Advances in wound care, 7(2), 57-67.

Norman, G., Goh, E. L., Dumville, J. C., Shi, C., Liu, Z., Chiverton, L., … & Reid, A. (2020). Negative pressure wound therapy for surgical wounds healing by primary closure. Cochrane Database of Systematic Reviews, (6).

Saleh, M. Y., Papanikolaou, P., Nassar, O. S., Shahin, A., & Anthony, D. (2019). Nurses’ knowledge and practice of pressure ulcer prevention and treatment: an observational study. Journal of tissue viability, 28(4), 210-217.

Watson, J., & Woodward, T. (2020). Jean Watson's theory of human caring. SAGE Publications Limited.

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