• Join over 1.2 million students every month
  • Accelerate your learning by 29%
  • Unlimited access from just £6.99 per month

The practice issues of pressure ulcers

Extracts from this document...


The practice issues of Pressure Ulcers The aim of this assignment is to define the meaning of pressure ulcers, and to explore the causes, and aims of preventing them. Pressure sore -"A decubitus ulcer; a bedsore. Ulceration of the skin due to pressure, which causes interference with the blood supply to the area" ( Weller 2005) Bed sore (decubitus ulcer, pressure sore) -" An ulcerated area of the skin caused by the continuous pressure on part of the body in a bedridden patient" (Fergusson and Stibbs 2003) Nurses and physicians use many terms for a pressure ulcer. Allerescu and Allerescu (1992) reported that these terms include decubitus, decubiti, pressure ulcer, pressure sore, bedsore and pressure necrosis. They believe the term pressure ulcer bests describe the aetiology. (Davies 1994). A pressure ulcer can also be described as "damage to the skin and underlying tissue" (Wrightington, Wigan and Leigh NHS Trust 2002). Morison (1989) explains that a pressure ulcer is caused by a prolonged unrelieved pressure, however Hibbs (1988) and Morison (1989) describe that shearing and friction are also known to cause the type of tissue damage associated with pressure sores. (Davies 1994). Wrightington, Wigan and Leigh NHS Trust (2002) advise a patient sliding down a chair or in bed causing slight friction can cause and worsen minor pressure ulcers. They explain that pressure on the skin, when unrelieved, squeezes blood vessels which supply the skin with oxygen and nutrients. ...read more.


(Verner 2006/2007) Preventing pressure ulcers is very complex, dependant on the requirements of the individual. Mobility of a patient plays a great part in preventing these sores, as we have already identified that they are caused by a "prolonged unrelieved pressure." (Morison 1989) If a patient is mobile or has a degree of mobility using walking aids, pressure ulcers are much less likely to present themselves. Where a client is bedridden, the nursing and multidisciplinary team must relieve the pressure for the patient. This is very important as the patient is unable to do this for themselves. Nurses can use techniques such as changing body position at least two hourly, using types of elbow, hip and heel protectors, using sheets that are clean, without creases and avoiding synthetic materials which are more likely to make the skin sticky and hot. (Department of Health 1994) A patient presenting a pressure ulcer requires careful nursing care to prevent gangrene and it is essential that the area is kept dry and clean. The position of the patient should be frequently changed to prevent the high risk areas, such as the buttocks, heels and elbows from being affected. (Fergusson and Stibbs 2003) Using the right equipment is especially important when caring for patients susceptible to pressure ulcers, and a doctor, nurse or occupational therapist can advise on the wide range of support equipment available. The equipment includes mattress covers, special beds, and pressure relieving mattresses and cushions. ...read more.


Our patients come into hospital to be treated and for us to help them recover, they do not wish to leave hospital with a life threatening condition that could have been prevented. Knowledge is the key to giving patients the best care we can provide. Reference List Allman, R.M., Goode, P.S., Patrick, M.M., Burst, N and Bartolucci, A.A. (1995) Pressure ulcer risk factors among hospitalized patients with activity limitation. The Journal of the American Medical Association. Vol 273, pages 865-870. Davies, K. (1994) Pressure sores: aetiology, risk factors and assessment scales. British Journal of Nursing. Vol 3, No.6, pages 256-259. Department of Health (1994) Your guide to pressure sores. UK: Health Literature Fergusson, R and Stibbs, A. (2003) Oxford Minidictionary for Nurses. 5th Edition, page 66. Oxford: Oxford University Press. Gebhardt, K. (1995) Clinical: What causes pressure sores? Nursing Standard. Vol 9, page 31. Reddy, M., Sudeep,G., and Rochon, P. (2006) Preventing Pressure Sores: A systematic review. Vol 296, pages 974-984. Richardson, R. (2008) Clinical Skills for Student Nurses. Pages195-213. UK: Reflect Press Ltd. Roland, L.P. and Merritt, H.H. (2005) Merritts Neurology. 11th Edition. Philadelphia, USA: Lippincott, Williams and Wilkins. Verner, Y. (Dec 2006/Jan 2007) Building profiles to create individual care. Kai Tiaki Nursing. Vol 12, page 11. Waterlow, J. (2005) 'Waterlow pressure ulcer prevention/treatment policy'. Waterlow Score Card, available at Judy-Waterlow.co.uk. Last accessed 14/07/2008. [online at: http://www.judy-waterlow.co.uk/waterlow_score.htm] Weller, B.F. (2005) Bailliere's Nurses' Dictionary. 24th Edition, page 315. London: Elsevier. Wrightington, Wigan and Leigh NHS Trust (2002) Tissue Viability, Pressure Ulcer Prevention. Wigan and Leigh: Clinical Support Services. ...read more.

The above preview is unformatted text

This student written piece of work is one of many that can be found in our University Degree Nursing section.

Found what you're looking for?

  • Start learning 29% faster today
  • 150,000+ documents available
  • Just £6.99 a month

Not the one? Search for your essay title...
  • Join over 1.2 million students every month
  • Accelerate your learning by 29%
  • Unlimited access from just £6.99 per month

See related essaysSee related essays

Related University Degree Nursing essays

  1. Nursing case study. The aspect selected is pressure area care and nursing models, knowledge, ...

    Also, the fact that she has empirical knowledge of wound healing, she can apply her experience to assess how the patient's wound is healing as she can recognize the normal aspects of wound healing. The context where care is applied can affect the way on how the nurses applied their knowledge.

  2. HOSPITAL CASE ANALYSIS. This case study takes place at a hospital and is based ...

    improvement and the intrinsic need for every employee to give their best. This is a commitment to providing a quality health care service devoted to customer satisfaction. All nurses should be concerned with continuously improving efficiency and quality, while striving to eliminate mistakes in doing their jobs.

  1. Ulcerative colitis. The young gentleman I took part in his care had an ...

    At this stage, the patient may always have the inflammation going beyond the layer of the mucosa hence causing impaired colonic motility bringing about toxic mega colon. The perforation may always occur especially if the serous membrane is involved. At this stage of fuminant disease, the patient is always at

  2. Nursing Practice Management.

    possible degree of care from many different members of staff at any one time, instead of restricting care to a smaller number of nurses. The ward also argues that all staff are aware every patients condition using the team nursing approach for the delivery of patient care and are therefore

  1. Legal and Ethical, DNR

    On the other hand McDermott (2002) believes that patients who are brought back to life experience the prolonged dying process and this denies them dignity and a peaceful death. The Nursing and Midwifery Council (NMC 2008) 'The Code' states that registered nurses are "personally accountable for ensuring that you promote

  2. Literature Review of Ritualistic Care in Practice

    Obstacles which may hinder the utilization of research / change / utilization within practice may includes time, resources, pressure of work, to much change, nursing colleagues being uncooperative, medical staff blocking implementation, implementation may require resourcing, other professions may think research is sub-standard, inability to access research, insufficient skills in

  1. Assessment and Care Planning for the Adult in Hospital. This essay will include ...

    Wood (2008) reports that unfortunately, some nurses can appear to distrust patient?s reporting of their pain which may lead to patient?s reluctance to ask for analgesia when needed. As a result of the delay in reporting increased pain, Chris?s pain became severe, instead of being mild and easily controlled.

  2. Case Study. This essay will examine the nursing process involved in managing chronic venous ...

    Being overweight, with a body mass index of 31, increased burden to her knees causes her pain walking, which has latterly seen her mobility reduced. Hess (2011) claims that obesity can impair wound healing through comprised blood supply due

  • Over 160,000 pieces
    of student written work
  • Annotated by
    experienced teachers
  • Ideas and feedback to
    improve your own work