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Pressure ulcer (PU): A serious healthcare issue among elderly residents in an aged care facility

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Added on  2020-04-21

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PU risk assessment, prevention and management are the important parameters that need to be undertaken by a nurse in reducing the prevalence of PU among the elderly population in residential aged care homes. Various risk factors or predictors contribute to the progression of PUs like skin integrity, sensory perception, skin moisture, physical activity, mobility, nutritional status, friction and tear. In a quantitative retrospective cohort study conducted by Tescher et al., (2012) showed that Braden scale and subscales is highly used for the PU

Pressure ulcer (PU): A serious healthcare issue among elderly residents in an aged care facility

   Added on 2020-04-21

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Running head: NURSING ASSIGNMENT Nursing assignmentName of the StudentName of the UniversityAuthor note
Pressure ulcer (PU): A serious healthcare issue among elderly residents in an aged care facility_1
1NURSING ASSIGNMENTPressure ulcer (PU) is a serious healthcare issue among the residents in an aged carefacility resulting from unrelieved pressure over bones that are exposed to the compressingsurfaces. It results in lesions in soft tissue and eventually, damages the underlying tissues. Thefrail elderly residents are at risk for developing PU if incontinent, immobile or cognitivelyimpaired (Theisen, Drabik & Stock, 2012). PU risk assessment, prevention and management arethe important parameters that need to be undertaken by a nurse in reducing the prevalence of PUamong the elderly population in residential aged care homes. Risk assessment is the first and foremost step in the prevention of PUs that is undertakenby nurses. For PU risk assessment, various scales like Braden, Waterloo and Norton scales areused. Various risk factors or predictors contribute to the progression of PUs like skin integrity,sensory perception, skin moisture, physical activity, mobility, nutritional status, friction and tear.The scores obtained by risk assessment scales provide an estimate for the PU risk developmentin a patient. In a quantitative retrospective cohort study conducted byTescher et al., (2012) showedthat Braden scale and subscales is highly used for the PU risk assessment by nurses superior inspecificity and sensitivity. Assessment of skin integrity is also important to check for theimpairment, weakness and complete deterioration of the skin to assess for the progress of PU inthe aged people. The strength of the article is that the effectiveness of Braden sub scores werefound to be highly predictive in assessing the PU development risk apart from Braden scalealone. Risk alert was also explained in the study where nurses must consider both Braden scaleand sub scores for the highest PU risk assessment. However, the study has a limitation where thepresented data is active clinical practice and impact of Braden scale is studied in high-riskpopulation, however, it may be different in any other population. The exact factors are not
Pressure ulcer (PU): A serious healthcare issue among elderly residents in an aged care facility_2

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