Nursing Intervention Pressure Sore and Nutrition - 950 Words

It is important for nurses to assist in the healing of pressure ulcers. Apart from providing appropriate wound dressing, various nursing interventions are needed such as relieving pressure by providing special pads or air mattresses and turning or repositioning the patient at least every two hours. Arranging pillows under the ankles, back, head and arms, regular cleansing and drying of the skin, and providing good nutrition to support the healing process are also important (Cohen, 2009). Optimal nutrition helps pressure ulcer healing, keeps immune competence and reduces risk of infection. On the other hand, when patients are in a poor nutritional state wound healing is impaired and more likely to be complicated by infection (Edmonds,†¦show more content†¦(Sinno et al, 2011). It also helps in the transfer of white blood cells to the wound, improves resistance to infection and increases capillary strength. Since vitamin C is water-soluble, it is difficult to store it in the body, so a regular intake is necessary and dietary sources are green vegetables, potatoes, fruits like orange, kiwi and berries. (Timms, 2011). Vitamin K facilitates blood clotting, and Vitamin E (tocopherols) is a major lipophilic antioxidant of the skin and enhances immune response (Gillman, 2008). Another nutritional supplementation with such positive effectors as arginine can enhance wound healing. Arginine stimulates insulin and growth hormone secretion, which are related to wound healing (Sherman, 2011). Wound healing also demands high energy needs of the patient. An increase in metabolic need causes an increase in demand for glucose, which is the major fuel source for collagen synthesis and the most efficient source of fuel for adenosine triphosphate synthesis compared with fat (Timms, 2011). Protein has an important role in growth and repair of body tissue. It is required for inflammatory process, the immune system and development of granulation tissue. Requirements increase when extensive nitrogen losses can occur from draining wounds (Richardson, 2006). Insufficient energy intake causes fat and muscle wastage, because protein isShow MoreRelatedOrganizational Systems Task 1727 Words   |  3 PagesUniversity Task 1 A. Nursing-sensitive indicators By understanding nursing sensitive indicators, the nurses in this case could improve the structure, process, and outcomes of their nursing care. The structure of nursing care is indicated by the supply of nursing staff and the skill level of the nursing staff. By the nurses having increased knowledge of the issues hip fracture patients are prone to having, such as decrease mobility, increase need for surgical intervention, and increase risk ofRead MoreThe Clinical Situation And Plan Nursing Interventions1468 Words   |  6 Pagesfor a scheduled cholecystectomy. The intended procedure will be performed by a laparoscopy however there is a chance that a laparotomy may be required. The patient has no previous known medical condition. It will discuss and analysis the nursing interventions, therapeutic communication and person-centred approach to perioperative care. Surgery is a unique experience and no two people respond the same to similar operations. No matter how minor or major the surgery it can still be a stress to theRead MoreThe Risks and Prevention of Pressure Ulcers1851 Words   |  7 Pages Pressure ulcers (PU) are defined as the localized injury to the skin and/or underlying tissue usually over a bony prominence, as a result of pressure, or pressure in combination with shear and/or friction (NPUAP, 2014). PU is a common condition in long term care facilities (LTCF) and affects about affect 1.3 million to 3 million adults in the United States and are associated with decreased quality of life; impaired function; complications, such as infection; poorer prognosis; and increasedRead MoreLink Cause Effect And Prevention Of Pressure Ulcers1647 Words   |  7 PagesA pressure ulcer is an area of skin with unrelieved pressure resulting in ischemia, cell death, and necrotic tissue. The constant external pressure or rubbing that excee ds the arterial capillary pressure (32 mm Hg) and impairs local normal blood flow to tissue for an extended period, results in pressure ulcer (Brunner and Smeltzer, 2013). According to National Pressure Ulcer Advisory Panel, 2014, pressure ulcers are a major burden to the society, as it approaches $11 billion annually, with a costRead MoreThe Risk Of Pressure Injury1511 Words   |  7 PagesPressure injury, due to its high prevalence probability, is nowadays seen as a patient safety issue internationally. As patient s safety is paramount, a great importance is accorded to the issue. Even the performance of hospitals is benchmarked against the skin care quality, an attribute of quality care. This comparative essay outlines the evidence-based best practice recommendations to abate the risk of pressure injuries to patients in care. These recommendations, in essence, relate to the fiveRead MoreBased Practice : Braden Scale For Predicting Pressure Sore Risk991 Words   |  4 Pages Evidenced Based Practice: Braden Scale Alexa M. Diaz Lienahard School of Nursing Pace University Word Count: 972 Introduction The Braden Scale for Predicting Pressure Sore Risk is a tool that assesses the risk for ulcers in six zones of the body: sensory perception, skin moisture, activity, mobility, nutrition, and friction/shear. Nurses and clinicians in settings such as acute, home, and long-term care places use this tool. There is no set time length to complete one of these assessmentsRead MorePressure Ulcers As A Hospital985 Words   |  4 Pagesmay be at risk for numerous hospital-acquired conditions. Pressure ulcers, also known as pressure sores or â€Å"bed sores†, are a type of hospital-acquired condition that may develop during a hospital admission if proper risk assessment is not performed by a registered nurse (RN). Pressure ulcers form over bony prominences, such as the back, heel, ischium, sacrum, and elbow, when circulation of these prominences is impaired (Jarvis, 2012). Pressure ulcers may develop when a person is confined to a bed orRead MoreEvaluation Of The Nursing Care Plan1229 W ords   |  5 Pagesinterdisciplinary partnership. Other interventions available to the nurse include independent, dependent, and collaborative. Implementing the â€Å"doing† step includes monitor versus q4h which means â€Å"every 4 hours†; teaching the potential complications of hypertension to instill the importance of maintaining Na restrictions, teaching the patient about the amount of sodium restriction, foods high in sodium, food preparation and sodium alternates, and how to properly read nutrition labels while evaluating forRead MoreRisk Assessment and Pressure Area Care1120 Words   |  5 PagesUndertake agreed pressure area care (HSC 2024) Outcome 1 Understand the anatomy and physiology of the skin in relation to pressure area care: 2) Identify pressure sites of the body: * Shoulders or shoulder blades * Elbows * Back of your ears * Knees, ankles, heals, toes * Spine * Base of spine/sacrum area 3) Identify factors which might put individual at risk of skin breakdown and pressure sores: Intrinsic risk factors: * Mobility problems * Poor nutrition * UnderlyingRead MoreThe Nurses Role in Relation to Risk Assessment Essay2726 Words   |  11 Pagesinto contact with health services in both primary and secondary care settings, the specific subject the author will explore is pressure ulcers, definitions will be offered throughout the assignment to assist the readers understanding of terms such as risk and risk assessment, as well as the importance of nutrition and the detrimental effect malnutrition can have on pressure ulcers, the causes and the aims of preventing them through the use of appropriate assessment tools, along with statistics, policies

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