Burning Health Problem Resulting Morality †Myassignmenthelp.Com

Question: Discuss About The Burning Health Problem Resulting Morality? Answer: Introducation The topic for the audit is pressure ulcer prevention and the reason for choosing it is that it is a burning health problem resulting in increase in morality and healthcare costs especially in the geriatric population (Behrendt et al. 2014). Every year, 2.5 million people are developing pressure sores and that bring pain with serious risk for infection and increased utilization of healthcare. There is also increased reimbursement of patients to hospitals and require adequate care in pressure ulcer under the hospital care. Moreover, pressure ulcer demands interdisciplinary approach to care and high tailored and routine care. As Singapore population is ageing, it is battling with pressure sores in hospitals and need measures on a greater urgency (Chang, Carville and Tay 2016). According to Gunningberg et al. (2015) one in ten geriatric patients are struggling with pressure sores where they are admitted for more than a week at the hospital. At the Changi General Hospital (CGH), 15% patie nts in geriatric wards get pressure ulcers or sores until task force combat it. It also adds to the cost of healthcare and demands adequate care. This depicts that it is a major health issue affecting millions of patients and increase in hospital stays affecting patient safety and quality of care (Woo et al. 2017). Along with incidence, mortality rates are also increasing resulting in readmissions and increase in costs. This is the reason to choose the topic of pressure ulcer prevention for the audit as it is an emerging nursing concern and increasing the burden of care. Audit standards The standard criteria to be used for the pressure ulcer prevention will be under the NICE guidelines that encompass the potential challenges and priorities to collect data for the audit plan. The audit tool detects the clinical issues and guidelines that are suitable for the development of the audit standards for the proposal. It provide recommendation guidelines like to prevent patients declining treatment Audit standards Definitions Risk assessment Braden scale or Norton assessment scale or Waterlow score that support clinical judgment Skin assessment Skin integrity, colour changes, moisture, firmness and heat variance. Repositioning none Pressure redistributing equipments none Care planning Outcome of risk, skin assessment, mobility, additional pressure, mobility, co-morbidities The 5 audit questions are: What are the best practices for the pressure ulcer prevention that the hospital have? How often the comprehensive assessment of skin is conducted in the hospital? How often the pressure ulcer risk assessment is conducted and according to standard guidelines? How should the care planning for pressure ulcer should be done based on the risk? What additional resources the hospital have in identifying the best practice for the prevention of pressure ulcers? Audit setting The audit will be conducted in the hospital setting in a private hospital in Singapore. It will be conducted in Intensive Care Units (ICU) that is 22 bedded and provide care for the complex assessments and treatment. Population and sample setting The audit will be undertaken in the ICU setting in hospital where the population size will be 30 people comprising of geriatric patients, ward nurses in wound dressing and ICU medical staffs. The stakeholders involved in this audit plan will be the commissioners, clinical leaders at every hospital level, managers in clinical governance, working staffs, carers in the clinical audit program. The sample will be selected who have impaired mobility and bed-ridden. References Behrendt, R., Ghaznavi, A.M., Mahan, M., Craft, S. and Siddiqui, A., 2014. Continuous bedside pressure mapping and rates of hospital-associated pressure ulcers in a medical intensive care unit.American Journal of Critical Care,23(2), pp.127-133. Chang, Y.Y., Carville, K. and Tay, A.C., 2016. The prevalence of skin tears in the acute care setting in Singapore.International wound journal,13(5), pp.977-983. Gunningberg, L., Mrtensson, G., Mamhidir, A.G., Florin, J., Muntlin Athlin, . and Bth, C., 2015. Pressure ulcer knowledge of registered nurses, assistant nurses and student nurses: a descriptive, comparative multicentre study in Sweden.International wound journal,12(4), pp.462-468. Woo, K.Y., Sears, K., Almost, J., Wilson, R., Whitehead, M. and VanDenKerkhof, E.G., 2017. Exploration of pressure ulcer and related skin problems across the spectrum of health care settings in Ontario using administrative data.International wound journal,14(1), pp.24-30.