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Skin Bundle Prevention In Long-Term Care: A Case Study

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When caring for the elderly, there are many factors to consider as their physiological pattern changes. I would like to focus on their vulnerability to skin breakdown due to the contributing factors of skin fragility, decreased mobility, incontinence, decreased nutrition, and hydration (Truong, Grigson, Patel, & Liu, 2016). Thus, the topic I chose for my capstone project is to incorporate a skin bundle program for pressure injury prevention in long-term care and skilled nursing facility patients.

Quality Improvement is defined by QSEN as a systematic approach in applying gathered data from past experiences to continuously monitor and improve the system in an effort to deliver the highest quality of care to our patients (QSEN Institute, 2018). …show more content…
Determine the cause of failure of previous quality measures, identify areas where improvement can be used and design a new system (QSEN Institute, 2018).

Be open to changes and keep an open mind that there is always room for improvement (QSEN Institute, 2018).

Recognize and appreciate everyone’s effort and contribution in improving the system (QSEN Institute, 2018).

My global objective is to decrease incidence of facility acquired pressure injury by creating a skin bundle prevention program and educating the staff to apply the bundle within their care.

1. Conduct a research on the most current evidence-based practice on pressure injury prevention.
2. Review previous data and find trends on skin breakdowns acquired within the facility in the past 6 months.
3. Assess the patients and utilize the Braden Scale tool to determine patients who are at increased risk for pressure injury.
4. Create a skin bundle program that addresses the underlying issues/cause of pressure injury.
5. Implement the practice with high-risk patients.
6. Evaluate the effects of implementing the skin bundle to our …show more content…
The tool will impact patient outcome by reducing risk of pressure injury within the facility.

During the first time meeting with my preceptor regarding the capstone project, we discussed pressure injury (PI), prevalence of PI in our facility, and the need for a new screening tool to decrease PI. We looked at the pathophysiology and causes of PI to get a better understanding of the problem. According to Agrawal & Chauhan (2012), Looking at the intrinsic and extrinsic factors such as moisture, friction, sheer, pressure, position, immobility, metabolic, and nutrition helps improve patient outcome. We also discussed the goal and time frame period needed to complete the project.

This week I was able to research nursing organizations and peer reviewed articles related to PI screening tools and preventive measures. I also researched skin bundles made in the past and found an article that studied its effectiveness within the community. According to McCoulough (2016), the skin bundle was effective during their study but it was only effective after proper training was done to all staff involved in the patients

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