Assignment 14: Positive patient outcome.
Pressure Ulcer Prevention in Adults with Intellectual and Developmental Disabilities: A PICOT Example:
Pressure ulcers pose a significant health risk for adults with intellectual and developmental disabilities (IDD). These individuals often have limited mobility and may struggle to communicate discomfort, making them particularly vulnerable to skin breakdown. This paper examines a proposed nursing intervention to reduce pressure ulcer occurrence in this population, framed by the following PICOT question:
In adults with intellectual and developmental disabilities at Athelas Institute (P), will implementing proper documentation, follow-up, and every two-hour turning and repositioning (I), compared to current practice (C), reduce the occurrence of pressure ulcer development by 50% (O) over a six-month period (T)?
This clinical problem directly impacts patient outcomes and quality of life. Pressure ulcers cause pain, increase infection risk, and can lead to prolonged hospitalizations. By addressing this issue through evidence-based nursing interventions, we can significantly improve patient care and overall health outcomes for adults with IDD.
Evidence-Based Solution
Research supports the efficacy of regular repositioning in pressure ulcer prevention. Moore et al. (2018) found that implementing a structured repositioning schedule significantly reduced pressure ulcer incidence in at-risk populations. The authors noted that combining repositioning with proper documentation and follow-up enhanced the intervention’s effectiveness.
For individuals with IDD, tailored approaches are crucial. Alonso-Sardón et al. (2022) highlighted the increased risk of adverse effects, including pressure ulcers, in hospitalized patients with IDD. Their study emphasized the need for specialized care protocols and improved documentation to mitigate these risks.
Nursing Intervention
The proposed intervention involves three key components: proper documentation, regular follow-up, and scheduled turning and repositioning every two hours. Nurses will be trained to accurately assess and document skin condition, implement the repositioning schedule, and conduct thorough follow-up assessments.
Robstad (2020) emphasized the importance of nurses’ attitudes and behavioral intentions in providing care to vulnerable populations. By fostering a culture of attentiveness and proactive care, nurses can significantly impact pressure ulcer prevention efforts.
Patient Care
Implementing this intervention is expected to improve patient care in several ways. Firstly, regular repositioning reduces prolonged pressure on vulnerable areas, decreasing the likelihood of skin breakdown. Secondly, enhanced documentation and follow-up enable early detection of potential issues, allowing for prompt intervention.
Roussou et al. (2023) found that pressure ulcers significantly impact patients’ quality of life. By preventing these ulcers, we can help maintain patients’ comfort, mobility, and overall well-being. Additionally, this intervention promotes a more personalized approach to care, addressing the unique needs of individuals with IDD.
Health Care Agency
For Athelas Institute, implementing this intervention aligns with the goal of providing high-quality, patient-centered care. It demonstrates a commitment to evidence-based practice and continuous improvement in patient outcomes. Moreover, reducing pressure ulcer incidence can lead to decreased healthcare costs associated with treating these complications, benefiting both the institution and patients.
Krahn et al. (2023) highlighted the importance of prioritizing health data collection for adults with IDD. By improving documentation practices, Athelas Institute can contribute valuable data to the broader understanding of health outcomes in this population.
Nursing Practice
This intervention has the potential to elevate nursing practice by promoting a more proactive and collaborative approach to patient care. Nurses will develop enhanced skills in assessment, documentation, and preventive care. The emphasis on regular follow-up encourages continuity of care and fosters stronger nurse-patient relationships.
Furthermore, this evidence-based approach aligns with the broader trend in nursing towards data-driven decision-making and quality improvement initiatives. It empowers nurses to take a leading role in preventing complications and improving patient outcomes.
In conclusion, implementing proper documentation, follow-up, and regular repositioning for adults with IDD at Athelas Institute represents a promising approach to reducing pressure ulcer incidence. This intervention addresses a critical clinical problem, aligns with evidence-based practice, and has the potential to significantly improve patient care, institutional outcomes, and nursing practice. As we move forward with implementation, careful monitoring and evaluation will be essential to ensure the intervention’s effectiveness and make necessary adjustments to optimize patient outcomes.
References
Alonso-Sardón, M., Sáez-Lorenzo, M., Chamorro, A.J., Fernández-Martín, L.C., Iglesias-de-Sena, H., González-Núñez, V., Santos-Sánchez, J.Á., Carbonell, C., Lorenzo-Gómez, M.F., & Mirón-Canelo, J.A. (2022). Adverse effects in patients with intellectual and developmental disabilities hospitalized at the University Clinical Hospital. Journal of Personalized Medicine, 12(11), 1898.
Krahn, G., Cargill‐Willis, K., Raymond, M., Bonardi, A., Havercamp, S., & Johnson, J. (2023). What are the priorities for health data for adults with intellectual and developmental disabilities? It varies by whom you ask. Journal of Policy and Practice in Intellectual Disabilities, 20(3), 308-322.
Moore, Z., Cowman, S., & Conroy, R.M. (2018). A randomised controlled clinical trial of repositioning, using the 30° tilt, for the prevention of pressure ulcers. Journal of Clinical Nursing Papers, 27(3-4), e380-e389.
Robstad, A.N. (2020). Intensive care nurses’ attitudes and behavioural intentions toward obese intensive care patients. Nursing in Critical Care, 25(6), 359-367.
Roussou, E., Fasoi, G., Stavropoulou, A., Kelesi, M., Vasilopoulos, G., Gerogianni, G., & Alikari, V. (2023). Quality of life of patients with pressure ulcers: a systematic review. Medicine and Pharmacy Reports, 96(2), 123-130.
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Assignment 14: Positive patient outcome.
Review your problem or issue and the study materials to formulate a PICOT question for your capstone project change proposal. A PICOT question starts with a designated patient population in a particular clinical area and identifies clinical problems or issues that arise from clinical care. The intervention used to address the problem must be a nursing practice intervention. Get custom essay samples and course-specific study resources via course hero homework for you service – Include a comparison of the nursing intervention to a patient population not currently receiving the nursing intervention, and specify the timeframe needed to implement the change process. A PICOT question starts with a certain group of patients in a certain clinical area and looks for problems or issues that come up because of clinical care. An intervention in nursing practice must be used to solve the problem. Get custom essay samples and course-specific study resources via course hero homework for you service – Include a comparison of the nursing intervention to a group of patients who aren’t getting the nursing intervention right now, and say how long it will take to make the change. Create a PICOT question that answers the clinical nursing problem. The format for PICOT questions is given in the readings. Formulate a PICOT question using the PICOT format (provided in the assigned readings) that addresses the clinical nursing problem.
The PICOT question will provide a framework for your capstone project change proposal.
In a paper of 500-750 words, clearly identify the clinical problem and how it can result in a positive patient outcome.
Describe the problem in the PICOT question as it relates to the following:
Evidence-based solution
Nursing intervention
Patient care
Health care agency
Nursing practice
Prepare this assignment according to the guidelines found in the Ace homework tutors – APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a rubric. I need help writing my essay – research paper review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to LopesAce my homework – Write. Refer to the LopesAce my homework – Write Technical Support articles for assistance.
FYI. I just added 3 more articles to the six you used last week. Hope this helps.
Remember we are PICOT question is;
Will proper documentation and follow up couple with every two hours turning and repositioning reduce the occurrence of pressure ulcer development in adults with Intellectual and Developmental Disabilities at Athelas Institute?
