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Proposal for Clinical Audit - Assignment

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Added on  2019-10-30

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The purpose of the assignment is to develop a proposal for a clinical audit. The proposal will be divided into 5 parts such as introduction which will include the background information of the topic. Second section will include an audit purpose in which the proposal will clearly discuss what is to be achieved through the proposal. Third section will be methods in which the intention of the researcher will be discussed to complete the proposal. Third section will clearly state the practice used to conduct the research. Also it includes the method that will discuss the data collection process. The third section will also include the information related to data collection, data findings and data analysis. This section will discuss the findings of the research. In the fourth section the proposal will include what is to be achieved through the research.

Proposal for Clinical Audit - Assignment

   Added on 2019-10-30

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1Running head: AUDIT PROPOSALAudit Proposal Name of student:Name of university:Author note:
Proposal for Clinical Audit - Assignment_1
2AUDIT PROPOSAL IntroductionPressure ulcers, or commonly called pressure sores or bedsores, is the clinicalcondition in which the patient suffers a localised damage to the skin or the underlying tissuedue to pressure and shear or friction. The areas prone to suffer such conditions are sacrum,heels, coccyx, knees, elbows, and back of the cranium. This condition attributes to a numberof other ailments such as bladder distension, autonomic dysreflexia, bone infection,amyloidosis, pyarthroses, urethral fistula, sepsis, anaemia and gangrene. These conditionscause considerable suffering to the patient as some are life-threatening. In addition, treatmentof these conditions increases the burden of healthcare costs and inconvenience is suffered bythe healthcare professionals alike (Coleman et al. 2013). Pressure ulcer in hospitalisedpatients continues to be a serious economical and clinical challenge across the clinicalcentres. The magnitude of the problem has increased in the recent past due to increasingnumber of patent admissions and ageing population (Bååth et al. 2014). Clinical audits ofpressure ulcer prevention is a chief strategy to identify the patterns of pressure ulcer withinthe setting, that is ‘hot-spots’, to aid in the allocation of the resources and to assist with theproper and timely development of prevention strategies (Coleman et al. 2014). The present paper is a proposal for clinical audit in the area of pressure ulcerprevention. The audit cycle would aim to be a suitable framework for understanding the needof bringing about changes in practice related to pressure ulcer prevention guidelines. Qualityimprovement process has to initiate with an audit. It would be a continual dynamic processthat would result in quality improvement for both nurses and patients. BackgroundPressure ulcers are suffered by hospitalised patients due to unrelieved pressuredisrupting the blood supply to the capillary network, restricting the flow of blood and making
Proposal for Clinical Audit - Assignment_2
3AUDIT PROPOSAL the tissues deprived of nutrients and oxygen. It is a common problem and leads to a numberof medical complications, increased hospital stay and readmissions. Pressure sores are keyreasons for significant morbidity and under certain cases mortality. This clinical complicationis considered as a preventable complication, and there are a number of measures available toachieve so (Gunningberg et al. 2015). The financial burden of pressure ulcers on care servicesis immense, and it is likely that with the ageing population of Singapore, the prevalence rateof this issue would rise. Nurses are to encounter number of similar cases while working in ahealthcare setting, including ICU. The health department of Singapore is taking initiatives tocombat the augmented challenge and coming up with guidelines that can bring positivechanges in management practices (Low, Vasanwala and Tay 2014). Though the presentprotocols used by the hospital might be fairly abiding by the set guidelines present, there isalways a scope of improvement in the near future. Recommendations can be brought intofocus that deals with risk assessment, nutritional supplementation, skin care, pressureredistributing support surfaces, and multi-component interventions. The audit would servethis purpose of bringing change in practice. Purpose of the auditThe aim of the present audit is to identify the contributing factors and preventivemeasures that impact pressure ulcer prevalence in healthcare setting of Changi GeneralHospital (CGH), specifically the ICU setting. The results of the audit would be valuable inbringing about substantial change in the approach to management of pressure ulcer in thesetting. Audit Standards The standard criteria against which the practice will be evaluated are NationalInstitute for Health and Care Excellence (NICE) guidelines for pressure ulcer prevention.
Proposal for Clinical Audit - Assignment_3
4AUDIT PROPOSAL NICE develop performance metrics and quality standards for providing public health andcommission in social care services. It provide guidelines for prevention, risk assessment andtreatment of pressure ulcer and aims at reducing the pressure ulcer numbers in secondary andtertiary care settings like primary, community and emergency departments (Stansby et al.2014). The key guideline for risk assessment is to evaluate the sensation, mobility, andnutritional deficiency, ability for repositioning and cognitive impairment. This measures thelevel of pressure ulcer risk in adults according to NHS guidelines. There should also bedocumentation of any previous pressure ulcer and their ability to reposition themselves ontheir own. There should not be any massaging or rubbing of skin for the pressure ulcerprevention. In case of adequate nutritional intake, there should not be any kind of additionalnutritional intake in that case. NICE also recommends that intravenous or subcutaneous fluidsshould not be given for the prevention of pressure ulcer in adults in case of adequatehydration status. Adults who are at high risk for developing a pressure ulcer are being evaluated by atrained professional undergo a skin assessment. This assessment takes into consideration anykind of discomfort, pain when the skin is being checked. The integrity of skin is assessed atthe pressure areas, any kind of discoloration or variations in moisture, firmness and heat. Theskin si also assessed for the oedema, incontinence, inflamed or dry skin. The care planning is done according to the outcome of skin and risk assessment.There are certain considerations made for the high risked individuals like need for additionalrelief of pressure at risk sites, ability for repositioning and mobility. Patient preference andother co-morbidities are also assessed for care planning.
Proposal for Clinical Audit - Assignment_4

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