Benchmark - Capstone Project Change Proposal2BackgroundPressure Injury refers to skin injury that is normally caused by some affront pressure,shear, friction or the combination of the three risk factors (Montenegro de Albuquerque, de MeloBuriti Vasconcelos, and Guimarães Oliveira Soares, 2018). Most PI develops on hard body partscausing harm to the encompassing skin and sometimes delicate tissues (Montenegro deAlbuquerque et al., 2018). Given the present health care environment, hospital-acquiredpressure injuries are the greatest concern for facilities offering long term care and inpatientservices. Even though the HAPI’s have proved to affect the facility budget reimbursement, it hasstood out as a significant area of preventing and program building (Powers, 2016).Problem statementDespite the facility's awareness of the HAPI'S occurrence, the lack of a standardized wayof its evaluation has become a part of the concern for the hospital. Development of thestandardized way takes a lot of time and multiple gatherings of different multidisciplinarygroups. Meanwhile, staff education on the evidence-based practice changes will help prevent thefrequent PI occurrence and will give better patient results much sooner. The patients will alsocontinue profiting after the anticipated practice change of standardization is finished.Purpose of the change proposalThrough evidence-based research, increased warmth and expanded weight can cause PI.In order to keep patient's skin cool and dry, the number of bed-cloth layers should be limited andthe material type used should be observed (Williamson and Sauser, 2009). Apart from regulatingthe linen weight, regular turning of the patient, every 2-3 hours compared with two or three timeseach day, will also reduce the pressure on one side of the body, therefore, reducing the
Benchmark - Capstone Project Change Proposal3probability of developing a PI (Lyder and Ayello, 2008). Due to this evidence-based research, theproposed nursing medications to be implemented in this association includes diminishing thelayers of bed-cloth on emergency clinic beds and satisfactory turning of patients every 2-3 hours.Understanding and expanded information will help the advancement of an increasinglycompliant atmosphere. Capable medical attendants and an agreeable environment encourage thestaff to educate and offer to understand the new staff and employees from other departments inthe hospital. Executing these intercessions for patients on the medical-surgical unit will diminishthe commonness and rate of PI occurrence in this facility, hence allowing the most elevatedpatient care quality to be conveyed.
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acute care hospital, Melo Buriti Vasconcelos, Guimarães Oliveira Soares