According to Shahin, Dassen and Halfrens (2009) patients in the intensive care unit (ICU) have a 50% higher chance of developing a pressure ulcer as compared to patients on any other unit in a facility. Pressure ulcers are a significant problem in those with complex illnesses or injuries that require admission into the ICU. Upon observation in an ICU many of the patients suffer from pressure ulcers. Nurses blame the frequency of pressure ulcers in the ICU on poor nutrition and the many machines and monitoring devices that are attached to patients which restricts patient movement.
Pressure ulcer development in patients admitted to the ICU may be classified under the Quality ...view middle of the document...
The current procedure to avoid pressure ulcers in many facilities is turning the patients who are unable to reposition themselves every two hours (Gray-Siracusa & Schrier, 2011). There is nothing wrong with the current procedure as long as it is being performed, which is the problem in the ICU, it is not being performed regularly. Nurses in the ICU may become distracted by the many medications, lab results and monitoring devices that are associated with a patient in the ICU (Gray-Siracusa & Schrier, 2011).
When patients are not turned a minimum of every two hours they are at an increased risk of developing pressure ulcers. Pressure ulcers significantly reduce patient outcomes and carry with them significant health risks associated with infection that may lead to death (Nanjo et al., 2013). The change that needs to take place is multiple interventions need to be performed to decrease the risk of pressure ulcers in patients admitted to the ICU. Other interventions that include frequent skin inspections, air up mattress pads and petroleum based topical creams (Gray-Siracusa & Schrier, 2011).
Planning and Literature Review
In a cross-sectional study of 169 patients in the Intensive Care Units (ICU) of 18 hospitals, Shahin, Dassen, and Halfrens (2009) found that turning patients every two hours was not enough to prevent pressure ulcers. The study showed nurses must use a multifaceted approach using massage, pressure reliving mattresses and ensuring patients have proper nutrition to prevent pressure ulcers (Shahin, Dassen & Halfrens, 2009). Pressure reducing mattresses were the most commonly used pressure ulcer reducing agent that was...