Essays on Chlorhexidine

Summary: APSIC Guide for prevention of Central Line Associated Bloodstream Infections (CLASBI)

The recommendations provided for insertion are optimal site selection, hand hygiene, alcohol based chlorhexidine skin preparation and maximum barrier precautions (Ling et al 2016). It is important to know the proper catheter infection site because it can affect the risk of infection and phlebitis. It is preferred to use subclavian site for adult patients. Hand hygiene is also important because it provides protection before the catheter insertion and maintenance. There should be proper aesthetic technique. Alcohol based chlorhexhidine in skin preparation is the standard procedure used in central and peripheral venous catheters. Lastly, maximum barrier precautions must be done ...

Introduction

Sub- capital fracture of the femoral neck is a common injury among the ageing population and is regarded as “unsolvable fractures”. This is a growing health concern in every country as the healthcare expenditure is very high. The surgical options, especially for elderly population, highly depend on the patient’s profile, their preference and the experience of the surgeon . Mrs. Pollard, 75- year- old, sustained a left sub- capital fractured neck of femur. Due to her age and her other complications such as hypertension and Type- 2 diabetes, a total hip replacement might be a better surgical option as ...

Healthcare environments are significantly prone to the risk of infection. Apparently, given the many avenues for possible infection that are evident in healthcare environments, there is an urgent need for intervention that such places demand. Several studies have revealed that all the people who participate in such environments stand a risk of getting infected, an aspect that further raises concern on the way those in charge of such places conduct their activities. The current paper identifies where the risk stems from, the possible interventions that should be initiated to curb the involved risks and it provided a reliable model ...

For elderly hospitalized patients (P), does the adoption of hourly rounding for nurses (I) as compared to daily baths with chlorhexidine gluconate (O) reduce the rate of incontinence-associated pressure ulcers (O) over a six month program (T)? The cases of pressure ulcers among the elderly population within the inpatient settings or homecare settings tend to be higher than those in other inpatient or similar settings. This is mainly attributed to the fact that the elderly population has other health issues that affect their functionality and these could range from physical to cognitive issues. On one hand, the physical ...

The healthcare sector in the U.S has significantly reviewed and modified its technical, policy and structural capabilities to help improve quality of outcomes and patient safety. There has been so much focus on the need to ensure that the healthcare system achieves the optimal value for money though eliminating the cases of illnesses, infections and injuries that have previously occurred within the settings. Despite these measures, the cases of hospital acquired Illnesses and infections have been rife. This has been associated with poor outcomes namely, high mortality rates, high morbidity rates and more glaringly the erosion of the public ...

The critical care units of hospitals treat frequently treat patients by administering oxygen via the insertion of tubes into tracheostomies, the nose, or the mouth; nosocomial infections may result, leading to ventilator-associated pneumonia, or VAP (CDC.gov, 2015). The infection is not generally associated with non-sterile techniques during insertion, but rather from tube contamination. The nosocomial infection is most often diagnosed in intensive care departments and research has been directed toward identifying methods of oral care as a means of prevention. Comparisons of the effectiveness of sodium bicarbonate swabs with that of chlorhexidine swabs have been made and the hospital ...

Infections in hospital settings are a challenge in nursing because of the potential dangers that they pose to a wide number of patients. Bloodstream infections from central lines are particularly hazardous as they affect patients that are already vulnerable, meaning that they contribute to morbidity and mortality in the hospital setting (Rinke et al., 2012). Although the rates of central-line-associated bloodstream infections (CLABSI) can be reduced by up to 67% through the introduction of checklists (Schulman et al., 2011), the issue continues to be important in a wide number of hospital settings. It is also important to understand the ...

Ventilator-associated pneumonia

Abstract The intensive care unit in most hospitals plays the role of providing care to patients dealing with life-threatening conditions. The technological and other set ups in these hospital units are vital in ensuring that these patients continue to receive the best regarding care while with the intentions of having them emerge with desirable outcomes. There are however challenges relating to the care that these patients receive since, in most cases, they are usually under mechanical ventilation. A patient under this condition faces the risk of developing ventilator-associated pneumonia if the ventilators are not handled with the required care. ...

Implementation of the VAP project is a significant step aimed at ensuring that the objectives of giving patients outmost care, improvement of nursing practices and achieving desirable patient’s outcomes on the mechanically ventilated patients in the critical care unit are realized. Nevertheless, there is the need for making sure that all the relevant implementation stages have been followed and adequately taken into consideration. This will ensure any possible hitches that may affect project execution along the way are equally addressed. Additionally, it will be imperative that well-informed decisions are made with the intentions of ensuring that all the ...

Abstract

In today's world, there are hundreds of developments that are taking place in medicine and nursing. These advances are made possible through thorough research and verifications using clinical projects. The steps in propelling forward the field of medicine are made upon identification of an individual problem that gives researchers a basis for their research, or rather a problem statement. One of the problems that have been identified is the CLABSI (Central Line Associated Blood Stream Infections). Many patients suffer severe infections that arise during treatment of an initial infection. Most of these infections, especially when not handled appropriately lead ...

ICU Observation Evidence-based Practice

ICU Observation Evidence-based Practice

Introduction of the Patient

The patient goes by the name T.P. A 72-year-old male who’s a retired truck driver. He’s immediate family includes his wife, daughter, and grandson (10 years old who is autistic and has turrets syndrome). He is currently diagnosed with myocardial infarction and altered mental state. The past medical history of this patient shows that he has suffered a lot of diseases including hypertension, diabetes mellitus Type 2, congested heart failure, peripheral neuropathy, CKD-3, CAD, dementia, chronic kidney disease and GERD.

The primary medical diagnosis is myocardial infarction which refers to regional myocardial necrosis ...