Ulcer College Essays Samples For Students

Annotated Bibliography

Conduct a literature review on your specific practicum topic to prepare for the annotated bibliography assignment
Examine 7scholarly peer-reviewed journal articles based on the topic identified in the clinical assignment
Previous Annotated Bibliography Identify
Chaboyer, W., Mills, P. M., Roberts, S., & Latimer, S. (2015). Physical activity levels and torso orientations of hospitalized patients at risk of developing a pressure injury: An observational study. International Journal of Nursing Practice, 21(1), 11-17 7p. doi:10.1111/ijn.12188
The International Journal of Nursing Practice is a fully refereed journal that publishes original scholarly work related to nursing and focuses on professional dialogue and sound ...

Introduction

Ms. Zona is an 83 – year - old female patient who has been admitted to the hospital for worsening of the pressure ulcers on both of her heels. She has a medical history of type 2 diabetes (T2D). Surprisingly, she demonstrates poor understanding of her illness and its management. Due to this factor, diabetic complications seem to be almost certain. With a BMI of 31, she seems to be an obese patient, which means she is either not aware or not educated enough on the health risks associated with obesity. Her heel ulcers are painful; therefore, she tends to spend most ...

Introduction

Decubitus ulcer also referred to as bedsore or pressure sore is an open wound on the skin (Thomas, 2006). Thomas (2006) indicates that the decubitus ulcer mostly occurs on the skin that covers the born areas. Notably, the most common areas for bedsore to appear are; hips, ankles, back and buttocks. Decubitus ulcer are common among the disabled, elderly and those people who spend long periods of time on wheelchairs or bed, and those who are not able to move certain parts of their body without assistance (Thomas, 2006). In keeping with Albert and Spencer (2007), decubitus ulcers/ bedsores ...

Scene 1: At the Doctor’s Office

Doctor (D): Hi! Please come in and take a seat.
Patient (P): Good morning, Doctor. Thanks.

D: How do you feel yourself today?

P: Better, but I’ve still got a stomach ache.
D: Right. You see, when you came here 4 days ago and were unable to breathe on your own, we had to attach you to a respirator and ventilate your lungs in the ICU.

P: Yes, I remember that. But what is the ICU you are talking about?

D: ICU stands for the intensive care unit, which we use to treat seriously ill patients. You see, you were gasping for breath, and we had to put you in the ICU.

P: Got it. So what’s wrong with me?

D: I’m still not ...

Value Based PurchasingIntroduction

2007 is considered to be a very important year in the medical field for both medical institutions and patients. This is a time when these Centers that provide both Medicare and Medicaid services (C.M.S) embarked on initiating a program that would ensure higher quality practices in the field (Dlugacz, 2009). The program was dubbed the value-based purchasing program (Dlugacz, 2009). This program was initiated I a bid to directly connect the efforts made by both Medicare and Medicaid facilities towards ensuring quality care for their patients.
In order to measure and also achieve the higher quality expected, the value-based purchasing program was ...

XAP Task 1

XAP Task 1

Introduction

Various studies are pertaining to the nursing discipline are available in journals and on the web. Understanding these pieces of information is essential when it comes to increasing one’s knowledge towards the nursing discipline. Normally, these studies encompassing the nursing practice are based on the evidence gathered either through quantitative or qualitative method of research. An exploratory type of research that aims to establish an understanding about the related motivations, opinions, and reasons is the main characteristics of a qualitative research. On the other hand, the quantitative approach aims to gain understanding of the topic ...

QUANTITATIVE AND QUALITATIVE RESEARCH IN PREVENTION OF PRESSURE ULCERS IN HOSPITAL SETTINGS

Abstract
Six journal articles detailing research with varying qualitative and quantitative data on pressure ulcer prevention was studied. Elliot (2010) claims that pressure ulcers and its interventions have significant impact on health-related quality of life and can be a heavy burden to the patient, the family and the health professionals involved. This is why health professionals must do more research on evidence-based interventions to be able to provide optimum care to their patients. Goreckiet al (2009) discovered that subject-specific search strategies could help health practitioners find good qualitative patient-reported data in pressure ulcer prevention. Nurses especially, must remember that ...

Introduction

Every other day, new study get published in different prominent journals which highlight the importance of the study, the changes, costing, etc. Critical appraisal of a paper has the ability to adversely affect the quality, output, cost of care, especially when the proposed changes are not relevant to the study’s data. It also helps in pointing out the issues that need considerations and which are essential for making a decision. Based on the critics one can recommend or to not recommend an intervention. The purpose of Research critique is to discover whether the methods and results of the ...

The use of skin care bundle among hospitalized adult sick people can reduce the risk of skin breakdown compared to standard care of practice
Pressure ulcers are a common problem in acute care hospitals, specifically among obese patients in intensive care units. Pressure ulcers or sores are common, serious but preventable health issues in the healthcare system. Pressure ulcers are associated with low quality of life, increased expenditure, increase hospital stay, and poor health outcomes (Bhattacharya & Mishra 2015). Hospital-acquired pressure ulcers (HAPU) are preventable if repositioning and turning techniques. However, the evidence on the effectiveness on these techniques is ...

This paper focuses on how to reduce pressure ulcer rates and the tools and strategies to be used to improve the quality of the service provided. Pressure ulcers can mostly be prevented and using initiatives to prevent pressure ulcers from developing can improve the health care process and reduce the rates of pressure ulcers developing (Sullivan & Schoelles, 2013). According to Lyder (2003, p. 223), “pressure ulcers develop when persisting pressure on a bony site obstructs healthy capillary flow, leading to tissue necrosis.” Preventing pressure ulcers is important because it protects patients as well as reduces the cost of care ...

Pressure ulcers are injuries that break down the skin and any other underlying tissue. This happens especially when a part of the skin is placed under some pressure hence reducing blood flow to that part of the skin (Smith et Al., 2013). Lack of enough blood causes the skin to die causing an ulcer. Most patients get this kind of ulcer as a result of staying in bed for a long time. The symptoms of a pressure ulcer are: the skin on that part becomes red and later forming a blister and an open sore. It mostly occurs in ...

The nursing profession and the scope improvement in the care delivery process are expanding with the increase in knowledge, technology and discovery of new medicines. Pressure ulcers are still one of the major issues in nursing practice. Thus, with time passing by it is getting important for the nursing professionals to increase their awareness about the disease in order to apply right procedure and use right medication to deliver better care. Additionally, it is a major concern for both hospital staff and patients due to elongated hospital stay and increase in healthcare expenditure. The nurses are now relying on ...

Healthcare professionals are responsible for not only facilitating recovery of a patient from health issues, but also preventing injuries to the patient during and after care. Despite the immense efforts by stakeholders in health to ensure safety of the patients under care, zero cases have not yet been achieved, as sentinel events are still a major challenge to patients and the healthcare industry. Park-Lee and Caffrey (2009) estimates that 9.2% of all people admitted in hospital acquire one or more nosocomial infections. The Joint Commission (2015) defines a sentinel event as an unexpected situation that leads to the physical ...

Scenario: “A nurse is assessing a client who reports pain in the leg that is aggravated upon walking. The client also has a small ulcer located at the end of the toe. The nurse suspects the client to have arterial insufficiency.”
Given that small ulcer at the toe may be as a result of poor blood flow to the client’s leg, the nurse should examine the client’s medical history in order to determine the cause of pain in the leg. The nurse should pay more attention to what caused arterial insufficiency to the client’s leg. Lack of blood ...

Helicobacter pylori

Helicobacter pylori was previously known as Campylobacter pylori because of its resemblance to campylobacter (Lee & Marks, 2012). It is a motile helical spiral gram-negative bacterium. It is microaerophilic, as it requires oxygen for its survival. It is a flagellated organism, possessing multiple unipolar flagella, which allows it to move from one location to another. It measures between 2.4 - 4.0 m in length and it is an S-shaped, spiral rod (Santacrose, 2011)
Enzymes that the organism produces include oxidase, vacuolating cytotoxin, catalase, lipopolysaccharide and urease (Santacrose, 2011). Urease, produced by the organism, converts urea to ammonium and bicarbonate thereby neutralizing ...

PICOT question is an approach used to identify the components of any clinical issue. Pressure Ulcer that is also commonly referred to as bedsore is an injury of the skin or tissues caused by moisture, friction, and pressure. The disease arises when a patient does not have space for mobility or cannot change its position on his own by lying on the bed.

PICOT question for Pressure ulcers in the hospital is as follows:

Does turning and repositioning of critically ill patients after regular intervals help to prevent pressure ulcers as compared to pressure redistributing support surfaces?P: Critically ill patientsI:  Repositioning and Turning patient at regular intervalsC: Pressure redistributing support ...

Introduction

Pressure ulcers (PU) are also known as decubitus ulcers occur due to the presence of pressure on a particular location of the body for an elongated period of time leading to scarring or other skin injuries. They have been one of the major concerns for several years for nursing professionals especially in the intensive care units because the physical consequences associated with it ranges from mild to severe tissue damage. The major risk factors of HAPUs are long term immobility, old age, sensory deficiency, abnormal circulation, inadequate nutrition, dehydration and other comorbidities . Internationally, PU is a patient safety issue ...

In the current healthcare settings, evidence based practice has been widely promoted. I have become aware on how evidence based practice can extensively improve patient outcomes by using evidence based practices in caring for patients with pressure ulcers through the wealth of information being available on the internet. There is no doubt that reading literatures can help improve the quality of patient care practices because the method used have been proven to be effective by obtaining evidences on what practices may be appropriate and ideal for certain conditions (Jette, et al., 2003).
I always use evidence based practices when ...

PICOT is a method that is usually used when one is to develop any questioned aimed at locating the appropriate evidence. The PICOT method for the Pressure ulcers can be formulated as follows.
1. The patients’ disease or population: the disease of discussion is pressure ulcers that affect many people around the globe. Pressure ulcers may affect areas such as the heel. This may lead to heel pressure ulcers.
2. Intervention: this is the issue of interest; take a type of pressure ulcers known as heel pressure ulcer, the issue of interest in this type of pressure ulcer in ...

Body Systems

The 10 possible terms that might be involved in this case are:
Muscular fatigue (Debility of muscles to generate force due to excessive spraining).
Fibromyalgia (Situation of muscular stiffness and localized tenderness at specific points).
Osteoarthritis (Situation of Severe joint pain and stiffness due to aging and body weight).
Rheumatoid arthritis (Disease causing inflammation of joints causing pain and deformity)
Tendinitis (Disease causing severe inflammation of tendons, which link muscles to bones).
Spasm (Situation of sudden muscular contraction or that of a convulsive movement).
Muscular Sprain (Accidental situation leading to torn or stretched ligaments).
Hypertonia (Situation of abnormal increase ...

Introduction: Gastric cancer is the second most leading cause of cancer associated deaths, worldwide. Japan, China, former USSR and certain countries in Latin America have reported highest incidence of stomach cancer. The high mortality rate of gastric cancer was reported in Eastern Asia and the lowest rate of gastric cancer was reported in North America. Nevertheless, it causes a worrisome level of mortality in the U.S. In 2010, gastric cancer or stomach cancer was responsible for 10,570 deaths in the United States, as estimated by National Cancer Institute. (National Cancer Institute, 2016)
A majority (85%) of the gastric ...

A Report

Introduction
Care homes for the elderly people, who cannot take care of their own, have always had a significant role in provisions of health care in any society. This is the reason why the most suitable use and funding of health care in care homes has been a crucial subject of key health policy initiatives in the developed as well as developing societies over many years. Rejuvenation Personal Care Home is a facility that provides care to the older people who are unable to take care of themselves. There are several projects going on under this agency which deal with several ...

Industrial Organization

Industrial organization refers to how the markets and industries are organized. In this case, the workings of such markets and/or industries are studied, particularly the way the firms in such industries compete with each other. Industrial organization is widely considered as a subject of microeconomics. However, it is imperative to consider it as a separate entity since it tends to emphasize on the study of strategies that firms utilize as a characteristic of interactions in the market. Such market interactions include product positioning, competition in pricing, research and innovation, advertisements, among many other factors. Further, it is important to note that industrial ...

Lifestyle changes

An important gastrointestinal disease I want to make lifestyle changes is known as peptic ulcer disease. Peptic ulcers are the ulcers affecting the stomach and small intestine. H.pylori is the organism that has been implicated as the main cause, although there are other major risks factors. My lifestyle changes/modifications will focus on reducing those risk factors and enhancing healing. I will need to reduce alcohol and stop smoking to enhance healing.
I will totally avoid any medication that is a non-steroidal anti-inflammatory drug. As regards to diet, I will limit my exposure to caffeine and acidic foods, and focus ...

Introduction

Evidenced Based Practice (EBP) is a critical appraisal spearheaded to deal with the rising cases of diseases and the unsustainable economic burden that is bestowed upon the victims based on the external evidence (Evidenced-based healthcare and public health, 2009). The sole purpose of evidence-based program is to enable the health practitioners to reach an optimal healthcare wellness with the cost-effective quality. The research presented by Hood (2014) as discussed in this study avails various practices in the paragraphs. Evidence based practice is the essential tool required by clinicians in the provision of excellent health services to the patients. The ...

Patient safety is a critical element in the health care since it guarantees the wellbeing of a patient while receiving treatment and ensures their hospitalization period is short and free from any harm. Thus, it is the responsibility of nurses and other health practitioners to carry out frequent assessments of health facility status to assess the safety and quality of clinical practices. As such, research in a clinical setting is essential in identify problems which have the potential of diminishing wellness of the patients and provide solutions to address the identified clinical problem. Therefore, nurses have to advance their ...

According to the NHS complementary therapies, also referred to as complementary and alternative medicine, CAM, are interventions against ailments that do not fall under mainstream medicine. However, NHS purports that there is a difference between ‘complementary’ and ‘alternative’ therapies, although the terms are always used together. The National Center for Complementary and Integrative Health, NCCIH, gives a distinction between the two terms. A therapy is referred to as complementary when it is used alongside conventional medicine. Alternative therapy replaces conventional treatment, becoming the main intervention for a patient.
This paper will focus on complementary therapies and how they impact ...

This paper is the first part critique of Bergquist-Beringer and Daley (2011)’s article on pressure ulcer (PU) prevention for use in home health care environments. It explores the following subsections.

Problem Statement

According to Grove and Burns (2011), a good problem statement describes the clinical and research problem as well as the study significance. These two elements introduce readers to the significance of the topic under analysis. It ensures a clear reader orientation to the problem as well as the framework that will be useful in the inference stage. Notably, Bergquist-Beringer and Daley (2011) have a clear clinical and research ...

Problem Statement

Pressure ulcers have been regarded as an indicator for quality of care within the nursing context. Today it is part of the measurable aspects of patient outcomes for hospitalized patients. The adoption of the Affordable Care Act further placed measures that would help minimize the prevalence of pressure ulcers as a hospital acquired illness. This was in the knowledge that the costs of hospital acquired illnesses and pressure ulcers primarily was one of the major reasons towards the escalating costs of care even when the value for those costs could not be established. The ACA called for the increased ...

Question # 1

Describe a clinical case you have observed where there has been a multi-disciplinary approach to discharge planning. Describe how the interactions between the multi-disciplinary team impacted on the quality of the patient’s care. What have you learned from this experience about effective multi-disciplinary team working and how will you put this into practice as a foundation doctor?

Answer #1

While I was on rotation at a spinal cord injury unit, I came across a patient asking for an early discharge due to a personal commitment, despite an unfinished rehabilitation program, active bacterial gastroenteritis and a healing foot ulcer.
I immediately took action, made notes and discussed ...

Consumption of 17g of arginine for two weeks has been found to enhance collagen production, according to a recent study (Crowe & Brockbank, 2009). But, what is a wound? Brown (2013) suggests that wounds are injuries on tissues or the skin, and are prominent in bony areas. Various factors contribute to the development of wounds, but this paper will evaluate the role of calorie malnutrition. This paper examines how high calorie diet promotes wound healing.
Enteral and oral nutritional support is of vital significance according to Crowe and Brockbank (2009). A randomized study that was centered on arginine analyzed how nutritional ...

1984 by George Orwell

Introduction

In 1984 by George Orwell, the lead character Winston Smith works at the Ministry of Truth based in London the main city of Airstrip One. Big Brother gazes from every poster and the Thought Police uncovers all acts of betrayal. When Winston Smith develops feelings for Julia, he experiences changes in his deadening and dull life as he opens up to new and optimistic possibilities. Despite police helicopters hovering and circling overhead, Julia and Winston start to question the motives of the Party and get drawn towards conspiracy. 1984 is the frightening story of a possible ...

Nursing Home Setting

Effective Communication in a Nursing Home Setting
This paper will discuss a nursing home organization that has a traditional hierarchical structure. With vertical hierarchical structures everyone except the Chief Operating Officer at the top of the pyramid has a manager or team leader to whom they are accountable (Bianca, 2013). Traditionally, having such a structure is associated with clear reporting structures and authority and clear communication of organizational policy from the top of the organization down. Clarity within these two important organizational areas is perceived as an advantage to the vertical hierarchical structure (Bianca, 2013). This is at least partially true within the ...

Discuss how a cell will change or alter itself in response to stress. Address different types of adaptation or change along with what might be the reason that brings about the changes.
A cell will change depending on the stress causing it. Stress to a cell can be caused by changes in temperature, oxygen levels, and toxins (Braun and Anderson, 2006). Cellular responses include a reduction in number, change in size and structure. The different adaptations are addressed below.

Atrophy

This refers to a decrease in the cell size. This may result from a decrease in the number of functions a particular cell produces (Braun ...