PICO QuestionDoes the use of full-face non-invasiveventilation maskreduce the future riskof pressure ulcercompared with the useof the traditional nasal-oral mask?
Fact 1Hospital acquired pressureulcers (HAPU) affect morethan 2.5 million patients inthe U.S., resulting insignificant patient harmincluding pain, expensivetreatments, increased lengthof stay, and prematuremortality.(Health Research &Educational Trust,2017).
Fact 2Full-face mask use the principle ofredistribution of pressure to largerarea whereas the nasal-oral maskput continuous pressure in onearea. The research showed only2% who used full-face maskdeveloped pressure ulcercompared to 20% developedpressure sore who used nasal-oralmask (Schallom et al., 2015).
Fact 3Clinical PracticeGuidelines from NationalPressure Ulcer AdvisoryPanel (NPUAP)1. Consider older adults withmedical devices to be at riskfor pressure ulcers.2. Ensure that medicaldevices are correctly sizedand fit appropriately to avoidexcessive pressure.3. Consider using aprophylactic dressing forpreventing medical devicerelated pressure ulcers.
Fact 4Through the work of the Americanhospital association (AHA)/ HealthResearch & Educational Trust(HRET) Hospital EngagementNetwork (HEN), from 2015 to2016, more than 1,400 AHA/HRETHEN 2.0 hospitals reducedpressure ulcers/injuries by 20percent. This equates to 1,122harms prevented and $19,078,000in cost savings(HRET, 2017).
MYRecommendationHospitals need to follow the guidelines andprovide all the staff proper in-service education.Nurses should not rely on any equipment, Properassessment and nursing interventions should beapplied to prevent pressure ulcer
ReferencesHealth Research & Educational Trust (2017).Hospital Improvement InnovationNetwork: Pressure Ulcers.Retrieved from-hiin.org/topics/pressure-ulcers.shtmlHealth Research & Educational Trust. (2017).Preventing hospital acquired pressureulcers/injuries.Retrieved from-ulcers-injuries-hapu-change-package.pdfNational Pressure Ulcer Advisory Panel., European Pressure Ulcer Advisory Panel.,and Pan Pacific Pressure Injury Alliance. (2014).Prevention and treatment ofpressure ulcers: Quick reference guide.Retrieved fromTAL-NPUAP-EPUAP-PPPIA-Jan2016.pdfSchallom, M., Cracchiolo, L., Falker, A., Foster, J., Hager, J., Morehouse, T., Watts, P.,Weems, L., & Kollef, M. (2015). Pressure ulcer incidence in patients wearing nasal-oral versus full-face noninvasive ventilation masks.American Journal of CriticalCare, 24(4), 349-355. doi: 10.4037/ajcc2015386
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pressure ulcer, Bedsore, European Pressure Ulcer Advisory Panel