Evidence-Based Nursing Practice: Pressure Ulcer Prevention Report

This report focuses on evidence-based nursing practice concerning pressure ulcer prevention in geriatric patients. It identifies the problem of pressure ulcers in immobile elderly individuals and proposes a solution using pressure-relieving mattresses. The report utilizes the PICOT framework to formulate a research question and explores the effectiveness of these mattresses compared to standard ones. It highlights the importance of the theoretical framework, which incorporates physiological and biomechanical factors. The report also discusses funding resources and references relevant literature on pressure ulcer prevention and management. The study involves 25 older patients and emphasizes the need for economic assistance to implement the project. The goal is to reduce the incidence of pressure ulcers, thereby improving patient comfort and reducing potential complications such as infections and prolonged hospital stays. The report concludes that pressure-relieving mattresses are more effective in preventing ulcers in older adults.

Running head: EVIDENCE BASED NURSING PRCATICE
EVIDENCE BASED NURSING PRACTICE
Name of the Student
Name of the University
Author note

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Abstract
The specific problem which is identified in the practice area is about the geriatric patients
is that the mobility develops pressure ulcers when a person lie the standard mattress. The
mattresses of pressure relieving which are made of special foams helps in evenly distributing the
weight of the patient and thus it reduces the chances of pressure ulcers. The majority of the older
patients who are suffering from the chances of ulcers require PICOT analysis which serves as an
alternative way to improve the conditions of the pressure ulcers. This project is very important as
many people suffering from the pressure ulcers may improve if the alternative way is invented.
For doing this experiment 25 numbers of older people were involved. For doing this project
economic assistance are needed. The patients in the hospital are suffering from severe pain and
discomfort because of the pressure ulcers.
The PICOT format is a very effective method for summarizing the different questions of
investigations in the health practices, which discover the consequences of the therapy of the
identified problem (McInnes et al., 2015).. The PICOT question that has been formulated for this
study is-
The older people who lack mobility using pressure relieving support mattresses as opposed to
standard support mattresses are likely to experience reduced incidences of pressure-ulcers.
A geriatric patient is the older person whose overall function do not work
properly. Normally the geriatric patients are usually above 75 years of age. The pressure ulcers
can be defined as the areas of very damage or severe injury in the underlying tissues or skin. This
condition is very common among the older people as they lack mobility (Gunningberg et al,
2015). The pressure ulcers are causing very problems is very because the patient may get

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infected, the patient may have to stay in hospital for many days and in very fatal cases, the
patient may even die. If the treatment is not done on time then the infection may even spread in
the hospital.
The goal of this project is to find out the relieving support mattresses are better than
standard support mattresses to prevent the ulcers.
The use of normal mattresses do not help the patient to reduce the pressure ulcer. From
the data available it is evident that pressure relieving mattress helps in reducing ulcer in the older
people. The foam distributes the pressure throughout the large provided surface area of the body
of the patient, hence help in reducing the high pressure on the different vulnerable body parts.
The mattresses also have chambers which contain air of different quantity and quality (Dealey et
al., 2015). The uses of these mattresses will decrease the chances of risk of ulcers in the intensive
care unit.
The theoretical framework includes incorporation of the key physiological and
biomechanical factors or components and the impact they have on the internal strains and
different stresses. The direct and the important indirect factors are suggested by following a
theoretical pathway to map the physiological and biochemical components of this framework.
The framework provides the basis for people to understand the critical determinants of the
development of pressure ulcer and this also has much potential in influencing the guidance and
practices of risk assessment.
The two important funding resources for this project are the funding from the
Government and also the funding from the hospital management (Jupp et al., 2016). The
Government always provide support to the projects which are associated with the improvement

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of life of humans and especially for the old aged people. So the Government will surely provide
support in this. The hospital management should also provide support as the experiment is
occurring in that hospital only.

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References
Dealey, C., Brindle, C. T., Black, J., Alves, P., Santamaria, N., Call, E., & Clark, M. (2015).
Challenges in pressure ulcer prevention. International wound journal, 12(3), 309-312.
Gunningberg, L., Mårtensson, G., Mamhidir, A. G., Florin, J., Muntlin Athlin, Å., & Bååth, 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), 462-468.
Jupp, T., Fitzsimons, J., Carr, B., & See, P. (2016). New partnerships for managing large desert
landscapes: experiences from the Martu Living Deserts Project. The Rangeland
Journal, 37(6), 571-582.
McInnes, E., Jammali‐Blasi, A., Bell‐Syer, S. E., Dumville, J. C., Middleton, V., & Cullum, N.
(2015). Support surfaces for pressure ulcer prevention. Cochrane Database of Systematic
Reviews, (9).