Turning patients prevents pressure ulcers Essay Example for Free

Turning patients prevents pressure ulcers Essay I.  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Introduction/ Preparation Statement of the Problem As for the study, the main problem to be considered is to determine the significant effects of turning in the prevention of pressure sores or ulcers. With the relational focus between the occurrence of the condition and the physiological processes involved, the study determines the most appropriate time allowance that the nurse should provide in bed turning administration to the patients. Considering different factors that influence the occurrences of bedsores, the study takes into account the possible factors contributing to their occurrences. The study aims to determine the relationship of providing bed turn for patients in order to reduce the occurrences of pressure ulcers. Within the study, the nursing intervention of bed turning is to be analyzed as to how it can further alleviate the condition of the patient, especially those who are prone to the development of pressure ulcers (e.g. skinny individuals, immunocompromised, immobile patients, unconscious, etc.). The condition of Pressure ulcer consists of localized disruption of skin integrity as well as the underlying tissue layers experience intense and prolonged exposure to most commonly pressure, while other etiologies can also include shear, friction, or any combinations of these causal factors. According to Lyder CH. (2003), pressure sores or also known as decubitus ulcers tend to occur in all cases wherein skin experiences sustained mechanical loads, but are usually common in those patients who are immobile and bedridden or those with administered orthopedic devices. Background and Significance of Problem The occurrences of decubitus ulcers have become one of the most common health problems that occur throughout the heath care unit, especially for clients who are immobile and currently under orthopedic therapy. According to statistics, it has been approximated that 1 million adults annually progress into acquiring pressure ulcers due to faulty nursing or care management. The incidence rates vary greatly depending on the health care delivery system. However, statistics evidently show that the occurrence of pressure ulcers range from 0.4% to 38%, which if broken down and categorized to the scope of quality of nursing care, it resulted from ranges 2.2% to 23.9% for health care facilities, and 0% to 17% for home health agencies (Fitzpatrick and Wallace,   2006 p.482). The most common age groups to develop this type of condition are those individuals aging from 70s and above due to the decreasing blood circulation. Significantly, insufficient and incompetent nursing care in the inpatient setting has been linked to the increasing conditions of this disease condition. In addition, the statistical incidence rates of decubitus ulcers are most prominent among inpatients of the hospital population under this age criteria. In fact, epidemiological ratings usually exceeds higher for those orthopedic cases (Baumgarten M et al., 2003). From the physiological point of view, the reason for the occurrence of decubitus ulcers is the inadequate oxygenation due to progressive or reoccurring pressure. This impedes the normal case of capillary refill and blood flow, which is responsible for cellular oxygenation; hence, due to impediment and impaired tissue perfusion, the end results to tissue necrosis. The development of these pressure ulcers usually occurs on the lower half body, two-thirds around the pelvis and a third on the lower limbs (National Pressure Ulcer Advisory Panel, 1989). Added by Fitzpatrick and Wallace (2006), the development of pressure ulcers and high epidemiologic ratings of patients under a particular health care delivery system can negatively influence the credibility of nursing care provided by the indicated institution (p.482). Considering the attempts made in order to reduce or prevent the occurrences of pressure ulcers, the results obtained have significantly provided a small decline of in the epidemiological statistics. Bed turning is one of the most commonly utilized nursing procedures in order to alleviate and reduce the cases of bed sore occurrences. However, there has been no clear study on how to better apply this procedure in terms of frequency as influenced by etiologic factors contributing to the occurrence of pressure ulcers. To be able to do so, a thorough literature review has been conducted in order to determine the conditions for the application of patient turning. The gathered literature review is an essential component of this study since outcomes of the data gathered could be used in order to act as basis for coming up a nursing care plan for these patients in an effort to reduce the morbidity ratings of pressure ulcers in the health care setting (Gordon MD, Gottschlich MM, Helvig EI, et al., 2004). In the study done by De Laat et al published in 2005, the authors did utilized a form of review of literatures for the purpose of demonstrating the measures that other studies have utilized in order to prevent or treat pressure ulcers. From this, turning patient had become the most simple and commonly used nursing procedure for this purpose. By determining the standard frequency time for the turning of patients in consideration of factors associated to bed sore occurrences, further guidelines can be mandated in health sectors to effectively reduce the cases of prolonged immobility of patients; hence, reducing as well the risk of pressure ulcer occurrences. Purpose of the Study   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   The purpose of the study is to provide information for the physiological relationship between the occurrence of pressure ulcers and the time standard required in between turning of patients. Critical analysis, comprehensive data integrations, and interpretation of research outcomes are the founding methodologies applied in the course research. The study should provide additional learning awareness for the public and health care institutions especially in terms of the most appropriate time allowance to be allotted in between patient turning. Turning patients can proved to be an important nursing procedure; hence, this study explores this procedure in an effort to raise the credibility of nursing care management in pressure ulcer management via patient turning. Independent and Dependent Variables Independent Variables Patient Age group Patient – Nurse ratio Dependent Variables Hospital protocols and policies Awareness of nursing facilities in the procedure Patient cooperation Definition of Terms: Independent Variables Patient Age group This pertains to the age criteria of those patients who have incurred the condition of bed ulcers. The study does not limit the age criteria although considers and categorizes the age group who had conjured the condition. Patient – Nurse ratio This variable pertains to the number of nurses available to cater to patients and the number available in providing the nursing procedure of bed turning for patients against the number of patients requiring need for turning, specifically those are at risk at acquiring the condition and those who have the condition already. Dependent Variables Hospital protocols and policies This dependent variable consists of those rules and standards utilized by the nursing service as the foreground basis in administering nursing procedures to their patient. This component can be modifiable granted that ethical concerns and rightful justifications are provided. Awareness of nursing facilities in the procedure The variable involves the knowledge of the nursing facility in terms of properly administering the turning of the patient, which consists of the standard time allotted per patient turning, and if there are considerations being applied depending on the etiology of pressure ulcers. Patient cooperation This involves the patient’s willingness to participate in the procedure provided by the nurse. Some patients demonstrate feeling of anxiety and reluctance, which causes resistance in participating in the given procedure. Significance of Project: To Patient Care The study is significant to patient care because the concept of turning patients facilitate appropriate physiological advantage on the part of the patient. By knowing the most recommended time allotted for every turns or repositions, the patient can lessen the risk of developing pressure ulcers, which, on the longer perspective, this can help reduce to morbidity ratings for pressure ulcers among patients. To Nursing The study is significant to nursing service since by knowing the most appropriate time necessary to stand as basis for every patient turns or repositions, the nurse may increase their competency in preventing the occurrence of bed sores for in-service patients. In addition, the decrease of pressure ulcer epidemiology in the nursing care facility can provide higher credentials in terms of perception in the nursing unit specified. To Society The study is significant to the community as it provides awareness expansion in the boy of nursing care for the sick. The concept of the study is more of a preventive task; hence, those families requiring preventive means for pressure ulcers can utilize the result of the study to further develop their care standards for their own patients; hence, fostering independence among family and community nursing care perspective. References Baumgarten M et al., (2003). Risk factors for pressure ulcers among elderly hip fracture patients. Wound Repair Regen;11:96-103. Fitzpatrick, J. J., Wallace, M. (2006). Encyclopedia of Nursing Research. Springer Publishing Publisher. Gordon MD, Gottschlich MM, Helvig EI, et al. (2004). Review of evidence-based practice for the prevention of pressure sores in burn patients. J Burn Care Rehabil.;25:388-410. Lyder CH. (2003). Pressure ulcer prevention and management. JAMA;289:223-226. National Pressure Ulcer Advisory Panel. Pressure Ulcers: Incidence, Economics, Risk Assessment—Consensus Development Conference Statement. West Dundee, Ill: SN Publications; 1989

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Rerum Novarum refers to new beginnings. New beginnings refers to an open letter given to all Catholic bishops that addressed the circumstances of the working class. Written on May 15th 1891 by Tommaso Maria Zigliara, the Rerum Novarum examined the interrelation and duties between labor and capital. This document also covers the relationship between the government and citizens. The document begins with an introduction, as all documents do. The introduction opens with remarks on social issues of that time. The speaker continues to speak out against the Socialist motives, and those who allowed them to come about and prosper. The first issues to be discussed are rights and duties. Pope Leo introduces an idea that entails the rights every worker is to be afforded and the duties he then owes his employer. Pope Leo also states that this rule should go both ways and extend to the employer as well. The Pope states that workers are, â€Å"fully and faithfully to perform the work which has been freely and equitably agreed upon; never to injure the property, nor to outrage the person, of an employer; never to resort to violence in defending their own cause, nor to engage in riot or disorder; and to have nothing to do with men of evil principles, who work upon the people with artful promises of great results, and excite foolish hopes which usually end in useless regrets and grievous loss. (p20)† The duties a worker owes his employer are quite clearcut. As such, so are the duties of an employer to his workman. A decent employer is not to use their workers as bondsmen, they are to regard every man with self-respect. They are to treat each worker as a person aggrandized by a good Christian character. Employers are reminded that there is no shame... ... value them for their bodily functions, and not as people. However, if all employers were privy to the contents of Rerum Novarum that talk about how employers are supposed to treat their workers how they deserved to be treated, America’s poverty level would go down. Others who are not well read on the struggles of others should especially look into Rerum Novarum so that they may understand what it is like for others who are on the opposite side of the spectrum. It was paragraph twenty that spoke to me the most. As mentioned previously I really appreciate the fact that it is written somewhere that there should be a set of rights and duties between workers and their employers. All of the rights and duties are fair, and I believe that they should be followed by everyone. I also appreciate these rights because they should be followed whether or not someone is Christian.

Macro environmental factors Essay

Based on the movie ‘Outsourced’ and you first two week study in the class, answer any four of the following. Give appropriate examples from the movie ‘Outsourced’. 1 Define differences between Eastern and Western Culture a Food: Food differs from place to place but there is an huge difference in eastern and western food where as western culture tends to eat more cheesy and fast food as compared to eastern cultures they prefer more of curries and noodles b Way of Conversation: This difference between eastern and western culture shows us that both cultures having entire different way of conversation c Accents: Eastern and Western culture don’t only differ in language but differ in the accent they have as well A) When Mr. Todd first came to India and has street food and fells sick for a day or two, this shows that people with different food culture cannot handle other food as they handle their own B) This can be seen when the aunty asks Todd about his life, salary and girlfriends where Mr. Todd Didn’t expected this at few of first meetings but for the people of india it’s an normal conversation C) This can be seen when Todd and Asha meet first time in a meeting where Asha tells Mr. Todd that they have different ways of pronouncing and then she gives an example of the world Internet and how both cultures pronounce it 2 Define ethnocentrism â€Å" Ethnocentrism is the tendency to judge all other groups according to the  standards, behaviors, and customs of one’s own group† ( Bovee, C. L. & Thill, J. V (2008) p. 60-83 ) When Mr. Todd first came to India he started to miss his hometown and his own culture and in the movie where he goes to get a beef burger so desperately but he can’t get one 3 Define stereotyping â€Å"Stereotyping is assigning generalized attributes to an individual on the basis of membership in a particular group† ( Bovee, C. L. & Thill, J. V (2008) p. 60-83) 4 Define cultural diversity The ability of an individual or a group to merge or diverge in different cultures can be defined as cultural diversity (Fhsu.edu, (2014). What is cultural Diversity – Fort Hays State University. [online] Available at: http://www.fhsu.edu/diversity-affairs/what-is-diversity) That moment when Mr. Todd and Puru are having drinks together. Mr. Puru being a stereotype says that why do all American’s don’t live with their parents when they grow up and are settled in their life The Part where Todd starts to give in and enjoy his life in India by celebrating holy festival this can be called cultural diversity Compulsory- Reflection on your cultural self-identity (200 words): I grew up in a small city Hyderabad of Pakistan and later on moved to Karachi. My dad came from Iran where as my mom was born in Hyderabad, as Sindhi being my mother tongue, Urdu national and English official I was able  to speak all of them. In the beginning of this year I moved to Australia to complete my studies where I learned different cultures of the world. Met almost every nationality of people. Life was bit tough in the beginning I had hard time making friends but as the time passed I learned a lot about Australia and its culture I was able to communicate people around me and slowly and gradually I was mixing in Aussie Culture. People here are so sports oriented which let me improve my game of basketball as I learned a lot of new techniques of play. I saw people having dinner at 6 pm where back home people started cooking for dinner at 8 30 but later I found myself following the same routine. In this one year I learned so much about the different cultures of the world and how to socialize or a have a good conversation with people of different cultures which inspired me a lot, that now I want to travel all around the world and make friends.

Analysis and Asses the Challenges International Companies Face in China Free Essay Example, 2500 words

A large number of foreign companies, particularly consumer goods companies, position their products targeting the biggest and most sophisticated markets, such as Beijing and Shanghai. A number of global companies like the FMCG majors Coca-Cola, Nestl , and Procter Gamble are having good success having touched billion-dollar sales with this strategy. But other foreign companies have found or still finding it extremely difficult to cross even the break-even cost. It is such a difficult situation for the companies. Foreign companies will continue to target and strive in the premium segment as the market is still growing and margins are big enough to earn a reasonable return and also it is easy for them to strike a perfect or in other words easy communication with the elite segment. But whether foreign players have already hit the $1 billion mark or are still striving for their first $100 million, many companies expect big growth in the much larger middle- and lower-income segments, wh ich account for 90% by volume of China's entire consumer goods market. (forbes. com, 2004). The local companies just follow selling the concept and just have the strong communication advantage and nothing else. We will write a custom essay sample on Analysis and Asses the Challenges International Companies Face in China or any topic specifically for you Only $17.96 $11.86/page Meanwhile, the Asian world was offered the empty promise, "Pepsi will raise your ancestors from the dead! " (Wadharmi).