...Introduction Research analyzing is a process in which a research undergoes a careful examination for its strength and weakness. Analyzing a research gives the nurse a chance to know the credibility of the study, its findings to see the evidence base for practice or utilization or application of the findings into the care practice. This paper is about analysis of a research conducted in relation to wound care in primary health care. This research took place in Stockholm, Sweden. The study shows a descriptive quantitative approach in investigating district nurse wound care management. Protection of Human Participants For this study district nurses (DNs) working at primary health care centers (PHCs) were randomly selected, to make sure that differences between sample and population are a function of chance. The nurses got information in writing and verbally the reason for the study and that the information used will be confidential. Participants remained anonymous in the results presentation. Ethics Research Committee at Karolinska Institute gave an approval for the research proposed. In addition, the researchers got permission from director in each health care to obtain samples. Twenty-three primary healthcare centers met the research criteria but only five randomly were selected from Stockholm, Sweden and two sub-urbs for the study. No force for participation found. Data Collection The study involved a survey based on the questionnaire and the wound registration form...
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...Dietary Protein Increase and the Promotion of Wound Healing in Diabetic Adult Patients Dietary Protein Increase and the Promotion of Wound Healing in Diabetic Adult Patients Introduction There are approximately 23 million people diagnosed with diabetes in the U.S. (American Diabetes Association, 2012) and this population continues to grow. There are multiple complications associated with diabetes. One major and expensive complication is diabetic wounds. The cost of care in the U.S. alone for this population is approximately $245 Billion annually. (American Diabetes Association, 2012) Proper wound care is an essential step in the wound healing process, however,wound care alone is not sufficient. Nutritional status is extremely important in wound healing. Diabetic patients need to be educated and assessed for protein-energy malnutrition (PEM) as the body’s nutritional needs significantly increase during the wound healing process (Demling, 2009). Supplementation (especially protein) and the importance of it for wound healing need to be discussed with the patient. Without all the necessary interventions applied the process of wound healing can be lengthy and may lead to infection, excessive hospitalization and potential amputations. Understanding the body’s nutritional needs and how the body uses protein in the repair process is imperative. The recommendation for the amount of protein supplementation is between 0.8grams/kilogram to 1.2 grams/kilogram and is based on patient...
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...National Diabetes Statistics Report, “29.1 million people or 9.3% of the population have diabetes.” One of the many conditions resulting from uncontrolled diabetes is foot ulcers. Foot ulcers can lead to an increase hospitalization stay for wound care treatment. The standardized method for treating foot ulcers consist of saline moisture gauze. The newer technology to promote wound healing is Negative Pressure Wound Therapy (NPWT). One type of NPWT is vacuum-assisted closure device. With the rapid growth of diabetes, there comes an...
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...knowledge and skills in wound identification, management, treatment and prevention. This, along with other factors, creates poor patient care and vast costs to the pertinent facilities. The solution is to have interprofessional collaboration. The utilization of current advanced practice nursing staff as a resource for floor nurses and other involved healthcare workers is a must. This would obtain certification in wound care and be responsible for the ongoing continued education for wound prevention, monitoring and maintenance. The staff will be educated and trained at quarterly intervals on wound identification, staging, prevention, maintenance and monitoring. Key words: wound care, evaluation, pressure ulcers, multidisciplinary, specialist, evidence The Significance of Having a Multidisciplinary Team 4 Problem Identified The Centers for Medicare & Medicaid Services (CMS) declared in October of 2008 that it will no longer provide reimbursement for hospital acquired pressure ulcers (HAPUs) because it is a preventable occurrence (CMS, 2014). Even though the percentages of occurrences have declined since then, HAPUs continue to cause financial strain on institutions (estimated $9.1- $11.6 billion dollars loss annually) (Leaf Healthcare Inc., 2014). Nurses are in a position to decrease these numbers but barriers remain. Staff nurses in acute care settings, as well as hospital based transitional units provide care for patients with...
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...World Wide Wounds Negative Pressure Wound Therapy Augusta Ogwu Chamberlain College of Nursing Foreword: Negative Pressure Wound Therapy better known as Topical Negative Pressure (TNP), stands to be a vacuum assisted procedure for the treatment of ulcer by employing a negative pressure of 60-125 mm Hg on the bed of the wound. The procedure has been employed ever since the year 1995 for the treatment of surgical wounds, severe wounds and more rarely for the ulcers that are hard to heal. Treatment with TNP is employed within the departments of high technology like the department of cardiothoracic surgery, wherein the procedure has been widely assessed for mediastintis post heart surgery (Sjögren J. Vacuum, 2005). The experiences of patients of treatment with TNP for mediastintis has been elucidated in one Swedish doctoral thesis (Swenne C.L., 2006). Plurality of research rest upon the V.A.C. therapy, that was brought forth in the American market in the year 1995 and in Europe in the year 1997(Argenta L.C, Morykwas M.J. Vacuum, 1997). The objective of this research was to assess if the negative pressure would be a clinically feasible alternative for the management of wound in primary care, when taking into consideration the time for the healing of ulcer (gauged in weeks), change in the size of the ulcer (measured in cm² using a digital planimeter) and formulation of the granulation tissue (examined by visual observation). Albeit the calculation costs was...
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...position. The Academy of Medical-Surgical Nurses’ mission is “to promote excellence in medical-surgical nursing.” They wanted to improve knowledge, skills and professionalism by educating and providing new materials to enhance learning. The organizations purpose is to improve patient care, advocate for the specialty of medical-surgical nurses, and being able to connect to others who has compassion and commitment. To improve patient care, they focused on their actions and voice, and provided evidenced-base practice, research and knowledge. Membership is open to everyone who is interested in the care of adults. Annual membership fee is $84.00 but students, seniors, new grads and associates can also become a member at a different fee. The benefits of being an AMSN member includes free journals and newsletters, free online continuing education, discounts on AMSN study resources, conventions, and application for scholarships, awards, and grants. Its professional culture and values of the organization is to improve patient care. AMSN could assist me with my professional development and lifelong learning by continuing to provide me with information on evidence-based practice for better quality patient care and safety. It also enhances my knowledge through the continuing education they offer for their members. American Association of Diabetes Educators (www.diabeteseducator.org) I chose American Association of Diabetes Educators as one of the organizations that I’m interested in because...
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...The Beneficial Use of Honey in Wound Management Introduction The use of honey for medicinal purposes has been around for thousands of years. It has been documented to the era of the ancient Egyptians, to the days of the Islamic Prophet Muhammad, even to the battles of World War I. The use of honey has so far declined due to the advances in medicine; however, the improvements in antibiotics are not without flaws. Antibiotic-resistant microbes have proved to be a widespread problem in wound management in all health-care settings. This incline of antibiotic-resistance resulted in a renewed interest in honey for the use in wound therapy. Considered by most clinicians as “complementary” or “alternative” medicine, the purpose of the four articles on this specific topic was to provide academic thought into whether honey should be an acceptable form of wound management. The authors of the respectable articles thoroughly discussed each point of view in a matter that created a profound insight of the use of honey and its properties in wound care. Benefits According to Sharp (2009), honey “possesses antimicrobial and anti-inflammatory properties, promotes debridement, deodorizes wounds, maintains a moist wound environment and stimulates healing” (p. 66). Honey has been discovered to be rich in antioxidants, maintains a low pH environment, facilitates osmosis to create a moist wound bed, and produces natural hydrogen peroxide from glucose oxidation. These...
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...Education on Wound Care for Diabetic Patients Education on Wound Care for Diabetic Patients Abstract Non-compliance of wound care management has increased the risk of infection and amputations. Diabetes wound care management is an important and fundamental aspect when it comes to diabetes teaching and education. Assessment of the feet daily and at a primary care office will provide information such as noncompliance, risks for neuropathy, peripheral vascular disease, macro-vascular disease, and possible amputation. Education provided by health care practitioners to the diabetic population will promote decrease in risk for further complications and the patient to be involved in their own care. Assessment, treatment, and education on wound care management with the involvement of the patient will increase the patient’s quality of life and be very beneficial to both the practitioner and the patient. Keywords: diabetic wound care management, diabetic ulcer care, outpatient diabetes management, diabetic care management Introduction Working in a primary care setting will involve a multitude of disease processes- diabetes mellitus being one of them. Diabetes is a disease that is characterized by high levels of blood glucose with a defect in insulin secretion and cell resistance. Without proper management, diabetes may lead to other issues in health. Examples of such, would be, delay in wound healing, leading to foot ulcerations, which thus increases the risk for amputations...
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...Pediatric Incision Care Abstract This paper explores several articles that show results about wound care education research and its effects throughout the world. It also provides information about a case study based on this type of research. The case study included an interview process and a presentation to the client. An important component of this research includes providing education specifically to parents or guardians of the pediatric population which include patients aged from zero to eighteen years of age. Since clients are often unaware of the appropriate interventions following incision care treatments, it is important to discuss and instruct them about the correct methods of providing care after a procedure. Keywords: wound care education, knowledge and skill of wound care, patient education, wound infection Wound Care Education Patients or caretakers of pediatrics patients are often unaware of how to care for incisions after medical procedures. Nurses are responsible for educating patients on the effects and complications of these treatments. Since wound infection has been attributed to many incision procedures, it is crucial that clients improve their knowledge and skills to reduce this type of infection when sent home. According to the Journal of Clinical Nursing, after providing a wound care program to 89 participants, there was greater understanding, skills, and satisfaction from the group who was provided the program than from those without the education...
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...Reduction of Nosocomial Wounds Phillip Cook American Sentinel University Hospital acquired wounds or nosocomial wounds have been a problem to the health systems across America for some time. They can be caused by several factors such as pressure, friction, or shear. In 2008, The Centers for Medicaid and Medicare (CMS) began withholding payment for hospital acquired conditions such as pressure ulcers ("Centers for Medicare," 2012). Hospitals have placed a priority on identifying those patients that are high risk for nosocomial wounds as well as protocols for preventing the wounds. Background of the Project Nosocomial wounds are a possibility for any patient that is admitted to the hospital. Patients are admitted to hospitals in various physical conditions and nosocomial wounds are caused by several factors. According to the Mayo Clinic (Mayo Clinic staff, 2011), nosocomial wounds are a result of pressure on the skin that inhibits the blood flow to skin and underlying tissues. This may come as a result of different problems such as: 1. Sustained pressure from the skim being trapped between a boney prominence and a surface such as a wheelchair or a bed. 2. Friction from moist skin being pulled across a surface 3. Shear from two surfaces moving in the opposite direction such as the bed and the patient. This movement damages the tissue making it more vulnerable to sustained pressure. Add to this the compromised nutritional status of the patients and...
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...designation in hopes of creating a highly sophisticated nursing profession geared toward handling an evolving healthcare system of diverse populations, technical advances and outcomes. This paper will focus on comparing the competencies between the ADN versus BSN education in order to highlight the need to pursue a BSN level of education. Research conducted by Poster et al. (2005) notes differing curriculum for each type of nursing program produces a difference in entry-level postgraduate competencies within clinical behavior, judgments and knowledge base. These differences according to the American Association of Colleges of Nursing (2005) are largely in the “research, theory, public and community health, management, and humanities (AACN, 2005). The associate degree education was a response to nursing shortages and provided an affordable, rapid educational choice to motivated individuals who wanted to enter the medical field. The education is provided at a community college covering the sciences, pharmacology and clinical skills. The two-year nature of the program doesn’t provide the time or development for critical thinking skills in addition to research, theory, public health,...
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...designation in hopes of creating a highly sophisticated nursing profession geared toward handling an evolving healthcare system of diverse populations, technical advances and outcomes. This paper will focus on comparing the competencies between the ADN versus BSN education in order to highlight the need to pursue a BSN level of education. Research conducted by Poster et al. (2005) notes differing curriculum for each type of nursing program produces a difference in entry-level postgraduate competencies within clinical behavior, judgments and knowledge base. These differences according to the American Association of Colleges of Nursing (2005) are largely in the “research, theory, public and community health, management, and humanities (AACN, 2005). The associate degree education was a response to nursing shortages and provided an affordable, rapid educational choice to motivated individuals who wanted to enter the medical field. The education is provided at a community college covering the sciences, pharmacology and clinical skills. The two-year nature of the program doesn’t provide the time or development for critical thinking skills in addition to research, theory, public health,...
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...NewAge BIOTECH Enter the Business Name BUSINESS PLAN Business Plan Prepared By Gerald Sawyer, PhD. Enter your full name Enter your title Enter the company name Enter the company address Enter City, State, and Zip Code Enter the phone/fax number(s) Enter your e-mail and Web addresses Date Prepared January 200B Enter Month and Year Insert your company’s disclaimer and confidentiality notice. Consult with your attorney as to the wording. The information contained herein is furnished on the condition that it is solely for internal use, for evaluation and planning purposes only, and this information shall not be disclosed, duplicated, used in whole or in part, for any other reason whatsoever. TABLE OF CONTENTS To jump directly to any title listed in the Table of Contents, hold down CTRL and then click the title. TABLE OF CONTENTS 2 Executive Summary 5 The Company 5 The Market 5 Competitive Analysis 5 The Product/Service 5 Value Proposition 6 Marketing and Sales Plan 6 Management and Organization 6 Financial Summary 6 Investor Summary 6 The Company 8 Name and Location 8 Facilities 8 Legal Form of Business 8 Employees 8 Company History 8 Marketing Plan 9 Industry Profile 9 Current Size 9 Growth Potential 9 Industry Trends 9 Other Characteristics 10 Sales Channels...
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...preparedness from the Registered Nurse to readily adapt. The fairly recent standard being implemented, almost nationwide is the demand of all nurses to obtain their Bachelorette Degree. The Associates Degree program lasting usually around two years is a streamlined program geared towards preparing the student to function as a nurse and past the National Council Licensure Examination or NCLEX. The Bachelor Degree nurse still has to past the NCLEX examination to practice as nurse, but the typical four year degree includes key differences usually omitted from its counterpart the Associates Degree program. Most Associates Degree prepared nurses can provide patient care directly. The major difference that a Bachelor Degree program provides is that the nurse can understand the science and nursing process of that patient care provided at a higher level basis of knowledge. The Bachelor program typically further promotes nursing history...
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...setting, research design, method used and respondents of the study, technique in gathering the information, description of the research, design, sample and the techniques, and instrument used. Research Design Quantitative research design is a systematic process used to gather and statistically analyze information that has been measured by an instrument. The research study used this design because a statistical technique has been use to explain a particular phenomenon concern with the practices on early recovery among Cesarean Section patients. The researcher specifically used a descriptive research, this type of research describes what exists and may help to uncover new facts and meaning that allow us to observe, describe and document the aspects of a situation as it naturally occurs. Research Locale The study was conducted on some affiliate hospitals of Arellano University – Jose Abad Santos Campus such as Mandaluyong Medical Center and Diosdado Macapagal Medical Center in Caloocan and a former affiliate hospital of the school which is Taguig Pateros District Hospital. The students chose these hospitals for the easy access on the hospitals for their study because it will be easy for the students to have the permission of the hospital administration to conduct their study on these local hospitals. Respondent of the Study The respondents of our study are Cesarean patient who are confined in the said affiliated hospitals who receive care from the...
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