Read the Chapter 4 Pressure Ulcer case study in your textbook and answer the dis

Question

Read the Chapter 4 Pressure Ulcer case study in your textbook and answer the discussion questions. Your paper should be two to three pages in length, excluding the title and reference pages, and formatted according to APA guidelines as outlined in the Ashford Writing Center.   In addition to the textbook, utilize a minimum of two scholarly sources to support your points.

Case Study Discussion Questions:

What are the steps of the practice-based evidence (PBE) process related to this case study?

As the informatics specialist working with the clinical team in the four long-term care facilities, identify the following:

elements to incorporate into the documentation by Certified Nursing Assistants (CNAs) and managers that address factors identified in the original study

Clinical Decision Support (CDS) tools that could be incorporated into computer systems

How can the cost effectiveness of the new documentation requirements and standards of care be efficiently evaluated?

The textbook is health care informatics

Explanation / Answer

Pressure Ulcers

What is pressure ulcers?

It is the injuries to skin and its underlying tissues due to prolonged pressure on the skin , which is also known Bedsores . It is mainly found near the bony areas of body such as heels, ankles, hip and tailbone.

Prevention of pressure ulcer :-

The prevention of pressure ulcer is by identifying at early stage, and by treating the ulcer and provding health education to the care provider and the pateints.

Steps for practice based evidence process in research are as follows.

The elements used for the documnetation is a Braden scale :-

Each and every nurse should use the Braden Scale for the identification of the pressure ulcers , atits early stage so that it is prevented.

There are 6 elements which is scored accordingly .

Sensory Perception:- A .1 completely limited.

B. 2 Very limited.

C. 3 slightly limited .

D. 4 no impairement.

Moisture Score:- A. 1 constantly moist

B. 2 very moist

C.3 Occasionaly moist

D. 4 rarely moist.

Activity score:- A. 1 Bedfast

B. 2 chairfast

C.3 Walks occasionally

D. 4 walks frequently.

Mobility score:- A. 1 completely immobile

B. 2 very limited

C. 3 slightly limited

D. 4 no limitations

Nutritional score:- A. 1 very poor

B. 2 probably inadequate.

C. 3 adequate

D. 4 excellent

Friction and shear:- A. 1 problem

B. 2 potential problem

C. 3 no apparent problem.

Level of risk:-

A. 9 or less :- very hifh risk

B. 10-12 :- High risk

C. 13-14:- Moderate risk

D. 15-18:- Mild risk

E.19-23:- Generaly not at risk.

The cost effectiveness of standered care is most effective by :-

Nursing Responsibility:-

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