Hourly Nurse Rounds, Can They Make a Difference?
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Pressure ulcers or as some refer to as bed/pressure sores or decubitus ulcers are categorized as localized areas of damaged tissue that is caused by shearing forces and excess pressure usually from maintaining the same position over a long period of time. Pressure ulcers typically happen in people who have nerve damage and/or limited mobility. When the person feels pressure, from sitting or lying on any certain body part, this often results in nutrient and oxygen deprivation to the wound or affected area. Strategies to circumvent this involve repositioning. Repositioning consists of moving the person into a different position to give the body the ability to redistribute or remove pressure from the affected area. "Pressure ulcers are distressing events, caused when skin and underlying tissues are placed under pressure sufficient to impair blood supply. They can have a substantial impact on quality of life and have significant resource implications" (Marsden et al., 2015, p. 2879).
Repositioning remains a main prevention strategy. However, it can be labor and resource intensive which often leads to variations in practice. Although repositioning may not help heal a pressure ulcer, it may prevent pressure ulcers from forming. Therefore, research attempts to discover which time intervals are better or worse for pressure ulcer prevention. "People who cannot reposition themselves require assistance. International best practice advocates the use of repositioning as an integral component of a pressure ulcer management strategy" (Moore & Cowman, 2012, p. 1).
The Joint Commission National Patient Safety Goal or JCNPSG states that hospitals and other health care facilities must minimize the risk of patient harm that could result from falls that happen without the supervision of nurses and other hospital staff. Therefore, the organization recommends fall reduction programs and period assessment to gauge...
Hourly Nurse Rounds to Help Reduce Falls, Call Light Use, and Pressure Ulcers The objective of this paper is to carry out the literature review to investigate whether the hourly rounding is able to reduce pressure ulcers, falls, and call light use and contribute to the overall increase in patient satisfactions. The outcomes of the literature review assist in identifying the gaps in the literature. Hicks, (2015) in his study, "Can
126). Although there are an increasing number of elderly in the United States today with many more expected in the future, the study of elder abuse is of fairly recent origin. During the last three decades of the 20th century, following the "discovery" of child abuse and domestic violence, scholars and professionals started taking an active interest in the subject of elder abuse. This increased attention from the academic
Hourly Nursing Rounding Nursing rounding is the schedule or process that ensures a member of staff, either the nurse or the nursing assistant visits the patient's room to offer the needed service to the patient. It is common that during the day, each hour this exercise is repeated and during the night, then after every two hours the patients are visited. Studies have shown that hourly rounding significantly decreases call light
2004). In those cases, there was very early diagnosis and administration of intravenous and intrathecal or intraventricular amphotericin B. with intensive supportive care (2004). One survivor received miconazole intravenously and intrathecally and rifampicin orally (2004). Other treatment options include the drugs rifampicin and micoazole. Khan (2008) notes that the mortality rate for PAM is 95%. Again, one of the major obstacles to effective treatment is the rapid progression of the
A lack of good relationships with staff can also result in a high risk factor for abuse from caregivers at these facilities. According to Woolf (1998), other factors that can contribute to the abuse of elderly persons, either in care facilities or in the home environment include external stress and intra-individual dynamics or personal problems. In terms of the former, a family members financial problems, job stress, or other issues
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