Health Research & Educational Trust

  • Pressure Ulcer Incidence in Patients Wearing Nasal-Oral Versus Full-Face Noninvasive Name

    This study source was downloaded by 100000811028065 from CourseHero.com on 10-07-2021 09:23:12 GMT -05:00

    https://www.coursehero.com/file/38768268/EBP-Sharingpptx/

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    PICO Question

    Does the use of full- face non-invasive ventilation mask reduce the future risk of pressure ulcer compared with the use of the traditional nasal- oral mask?

    This study source was downloaded by 100000811028065 from CourseHero.com on 10-07-2021 09:23:12 GMT -05:00

    https://www.coursehero.com/file/38768268/EBP-Sharingpptx/

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    Fact 1

     Hospital acquired pressure ulcers (HAPU) affect more than 2.5 million patients in the U.S., resulting in significant patient harm including pain, expensive treatments, increased length of stay, and premature mortality. (Health Research & Educational Trust,2017).

    This study source was downloaded by 100000811028065 from CourseHero.com on 10-07-2021 09:23:12 GMT -05:00

    https://www.coursehero.com/file/38768268/EBP-Sharingpptx/

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    Fact 2

     Full-face mask use the principle of redistribution of pressure to larger area whereas the nasal-oral mask put continuous pressure in one area. The research showed only 2% who used full-face mask developed pressure ulcer compared to 20% developed pressure sore who used nasal-oral mask (Schallom et al., 2015).

    This study source was downloaded by 100000811028065 from CourseHero.com on 10-07-2021 09:23:12 GMT -05:00

    https://www.coursehero.com/file/38768268/EBP-Sharingpptx/

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    Fact 3 Clinical Practice Guidelines from National Pressure Ulcer Advisory Panel (NPUAP)

    1. Consider older adults with medical devices to be at risk for pressure ulcers.

    2. Ensure that medical devices are correctly sized and fit appropriately to avoid excessive pressure.

    3. Consider using a prophylactic dressing for preventing medical device related pressure ulcers.

    This study source was downloaded by 100000811028065 from CourseHero.com on 10-07-2021 09:23:12 GMT -05:00

    https://www.coursehero.com/file/38768268/EBP-Sharingpptx/

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    Fact 4

     Through the work of the American hospital association (AHA)/ Health Research & Educational Trust (HRET) Hospital Engagement Network (HEN), from 2015 to 2016, more than 1,400 AHA/HRET HEN 2.0 hospitals reduced pressure ulcers/injuries by 20 percent. This equates to 1,122 harms prevented and $19,078,000 in cost savings

     (HRET, 2017).

    This study source was downloaded by 100000811028065 from CourseHero.com on 10-07-2021 09:23:12 GMT -05:00

    https://www.coursehero.com/file/38768268/EBP-Sharingpptx/

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    MY Recommendation

    Hospitals need to follow the guidelines and provide all the staff proper in-service education.

    Nurses should not rely on any equipment, Proper assessment and nursing interventions should be applied to prevent pressure ulcer

    This study source was downloaded by 100000811028065 from CourseHero.com on 10-07-2021 09:23:12 GMT -05:00

    https://www.coursehero.com/file/38768268/EBP-Sharingpptx/

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    References  Health Research & Educational Trust (2017). Hospital Improvement Innovation

    Network: Pressure Ulcers. Retrieved from http://www.hret- hiin.org/topics/pressure-ulcers.shtml

     Health Research & Educational Trust. (2017). Preventing hospital acquired pressure ulcers/injuries. Retrieved from http://www.hret-hiin.org/Resources/pressure-ulcers/17/hospital-acquired-pressure -ulcers-injuries-hapu-change-package.pdf

     National Pressure Ulcer Advisory Panel., European Pressure Ulcer Advisory Panel., and Pan Pacific Pressure Injury Alliance. (2014). Prevention and treatment of pressure ulcers: Quick reference guide. Retrieved from http://www.npuap.org/wp-content/uploads/2014/08/Quick-Reference-Guide-DIGI TAL-NPUAP-EPUAP-PPPIA-Jan2016.pdf

     Schallom, M., Cracchiolo, L., Falker, A., Foster, J., Hager, J., Morehouse, T., Watts, P., Weems, L., & Kollef, M. (2015). Pressure ulcer incidence in patients wearing nasal- oral versus full-face noninvasive ventilation masks. American Journal of Critical Care, 24(4), 349-355. doi: 10.4037/ajcc2015386 This study source was downloaded by 100000811028065 from CourseHero.com on 10-07-2021 09:23:12 GMT -05:00

    https://www.coursehero.com/file/38768268/EBP-Sharingpptx/

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