Pressure Ulcers in the Elderly Gifty Appiah Research Paper

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Pressure Ulcers in the Elderly

Gifty Appiah

Dr. Judi Kuric

DNP Project

Final Premise

DNP Project Question

Will Every Two Hourly Turning and Positioning Decrease Pressure Ulcers in the Elderly Bed Bound Population in Nursing Home.

Will Every Two Hourly Turning and Positioning Decrease the Pressure Ulcers in the Elderly Bed Bound Population in Nursing Homes.

Pressure ulcers are a common cause of immobility among the elderly, which results in immense pain, suffering, and substantial costs with charges because of increased length of stay in the nursing homes. Prior studies suggest that patients who receive care in accordance to evidence-based guidelines are not at risk of developing pressure ulcers. However, the empirical evidence on the effectiveness of the measures is inadequate. Nevertheless, frequent manual repositioning of patients is a firmly established standard of care for the elderly; although there has been no much evidence on the same, experts suggest that it is effective. There are several risk factors for pressure ulcers in the elderly:

Intrinsic

Extrinsic

Aging

Pressure

Chronic Disease

Friction

Impaired Mobility

Shearing

Limited Activity

Limited Activity

Fecal Incontinence

Moisture

Malnutrition

Sensory Impairment

Objectives

Pressure ulcers are common phenomenal in the elderly, and immobility is among the adverse effects associated with the condition. Although numerous nursing homes utilize mattresses, two hourly manual repositioning and overlays designed to prevent pressure ulcers; there is not enough evidence as to, which of them is effective.

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Therefore, this review aims to establish whether two hourly manual repositioning is effective in preventing pressure ulcers among the elderly. This being said, there is also research that shows simply turning the patient is not enough, by itself, to completely remove the threat of pressure ulcers, and must sometimes be combined with other methods in order to enhance efficacy.

Review methods

This review relied on scholarly reviewed articles reporting on prevention measures in relation to pressure ulcers among the elderly. In addition, the papers selected for this review had to show or illustrate how the prevention strategy was effective in the prevention of ulcers; however, this review did not impose a restriction on studies that showed other prevention measures other than two hourly manual repositioning.

Results

Gray and Krapfl (2008) systematically review suggests that two hourly manual repositioning, when combined with a proper pressure redistribution surface is effective in prevention of Pus among the elderly. A randomized trial by Grypdonck, et al., (2005) found out that two hourly repositioning reduced the incidence of PUs. However, a cohort study by Rich, et al., (2011) found out that two hourly repositioning did not reduce the incidence of PUs among the elderly. An observational study….....

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"Pressure Ulcers In The Elderly Gifty Appiah", 23 February 2014, Accessed.4 June. 2026,
https://www.aceyourpaper.com/essays/pressure-ulcers-elderly-gifty-appiah-183525
   

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