Posted: May 15th, 2022

Interventions for the Project

Interventions for the Project

How Much Evidence-Based Data There Is for Suggested Interventions
Pressure ulcers are common among older patients and people with limited mobility in hospitals and other health care facilities. The Braden Scale, applying mepilex silicon foam to bony prominences, and moving patients have been shown to be very effective ways to prevent pressure ulcers. As it helps reduce the risk and complications of pressure ulcers, which can lead to sepsis and other infections, and the risk of getting them in the first place (Sving et al., 2020). By using the above prevalence method, patients will be less likely to get pressure ulcers and their complications. They will also be more comfortable and have a better quality of life, and their time in the hospital will be shorter. This will also save a lot of money for patients on Medicare and Medicaid and for the facilities and government.
When older people get pressure ulcers, it may be hard for them to take care of themselves. If you don't take care of pressure ulcers, they can turn into long-term wounds that take longer to heal. This puts the wounds at risk of getting an infection, which can be harmful to the body or even kill it. If you don't take care of them, they could cause more problems, like blood poisoning, if you don't. Many people over the age of 60 may not be able to take care of themselves. This can make them less mobile, which can lead to pressure ulcers if there isn't a way to prevent it.
Things that could affect how the proposed interventions are used
Adjusting persuasions to improve quality and making programs flexible are two factors that affect the offered solutions. Also, the financial incentive for benefit had little effect on the intervention, but stakeholders expected incentives to always be focused on high-quality rebuilding, and participants should be open to change because the world is always changing due to increased diversity and technological advances.
The problems caused by the proposed solutions
The proposed intervention could run into problems if patients and their families don't take care of themselves or if nurses and other health care workers don't follow the treatment plan by refusing to use the prevalence method described above. This barrier can be overcome by giving families and health care workers the right kind of education and training. The teaching will start by explaining how it works, why it needs to be done, and what the benefits are. They will also be told what will happen if it isn't done, such as patients getting pressure ulcers that lead to complicated wound infections and patients getting complications like bone and blood infections and later sepsis (Taylor et al., 2021). Pressure wounds happen most often at joints and from torn tissue. They can be deep and take a long time to heal, especially if they keep coming back because the patient keeps the same position that makes the wounds worse, which can happen in a long-term care facility. Braden scale, it is always best to use mepilex foam to protect the bony prominences and reposition patients in this group.
Needed Materials
For the capstone project, you will need an implementation guide, an AHRQ Pressure Ulcer Tool kit, a Fact Sheet for hospital and nursing home staff, a Fact Sheet for consumers, a pressure ulcer teaching guide, a pressure ulcer collaborative skin and wound handoff tool, and a pressure ulcer tracking tool.
Implementation Activities
For some patients, the intervention would involve using the Braden Scale, putting mepilex foam on the bony prominences of patients who are at risk, and moving the patients. For others, there would be no use of a prevalence method (Taylor et al., 2021). If there are 60 people at risk in the group, 30 of them will have to use one of the above prevalence methods, while the other 30 will have to use no prevalence method. This is to see how well the Braden Scale, applying mepilex silicon foam to bony prominences, and repositioning patients to prevent pressure ulcers work compared to patients in the same condition who didn't use any prevalence method for the same length of time.
Reviewing, tracking, and keeping an eye on things
This capstone project is important to healthcare institutions because it shows some of the problems that older people face, like higher medical bills and longer hospital stays. It's also important for hospitals and health care systems because it shows how important it is to use a certain prevalence method to stop pressure ulcers from happening in older people and people with limited mobility (Minteer et al., 2020). The main goal of the intervention is to use a prevalence method whose way of working is very good at stopping pressure ulcers from happening.
Getting things done that are needed for implementation
It is very hard to help older people who have pressure ulcers. There are different kinds of interventions, and some are being used while others are not (Saleh et al., 2019). By using the Braden Scale, Mepilex silicon foam, and moving patients, you can find out how often pressure ulcers happen. has been thought to be effective at stopping pressure ulcers from happening. Healthcare providers and hospital organizations need to work together to make sure this intervention works well.
Strategies that make it easier to put the proposed intervention into place
It means finding ways to make it easier for older people to heal from pressure wounds, which can take a long time. By doing this, the risk of infection and its complications, like sepsis and bone infections that lead to amputations, is lowered (Saleh et al., 2019). The nurse is also in charge of looking for signs of pressure ulcers and making sure they don't happen by using the Braden Scale, Mepilex silicon foam, and moving patients around. Over time, this has been shown to be the most EBP way to reduce the number of pressure ulcers in older people and people with limited mobility.

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Timeline
The plan will take two weeks.
Outcomes I Hope My Project Will Bring About
The data will be used to look at the percentage of in-hospital and healthcare facility problems and costs caused by pressure ulcers in elderly and less mobile patients, as well as the need for the prevalence of pressure ulcers through the use of the Braden Scale, Mepilex silicon foam, and repositioning patients within this population in the sample group, length of stay, and patients at risk who are not in the sample group. The results of the study will show that using the Braden Scale, Mepilex silicon foam, and repositioning patients in the sample population makes a huge difference in how often pressure ulcers happen and how quickly they heal compared to patients outside of the sample population who don't use a prevalence method. In this case, there is likely to be a big change in the number of reported pressure ulcers and complications from infections caused by pressure ulcers. This reduces the number of older patients who get dangerous complications like sepsis because of pressure ulcers. This will help cut down on deaths from pressure wounds.

Conclusion

The use of the Braden Scale, applying mepilex silicon foam to bony prominence areas, and repositioning patients have shown to be very effective in preventing pressure ulcers on at-risk patients within the sample population compared to the same at-risk patient outside the sample population. This is because not being able to move around much makes circulation worse, which can lead to pressure ulcers. Pressure ulcers can cause problems like sepsis, bone and blood infections, and other infections.

References
Saleh, M. Y., Papanikolaou, P., Nassar, O. S., Shahin, A., & Anthony, D. (2019). An observational study of what nurses know and how they treat and prevent pressure ulcers. Journal of tissue viability, vol. 28, no. 4, pp. 210–217.
Sving, E., Fredriksson, L., Mamhidir, A. G., Hogman, M., & Gunningberg, L. (2020). A three-year follow-up of a multifaceted intervention for preventing pressure ulcers that is based on evidence. JBI Evidence Implementation, 18(4), 391-400.
Taylor, C., Mulligan, K., & McGraw, C. (2021). Barriers and enablers to implementing evidence-based practice in pressure ulcer prevention and management in an integrated community care setting: A qualitative study using the theoretical domains framework. Health & Social Care in the Community, 29(3), pp. 766-779.