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EFFECTS OF BEDSORE MANAGEMENT FROM PERSPECTIVE OF A NURSE MANAGER IN HOSPITAL SETTING

Hussna Khan, Sana Sehar, Muhammad Afzal, Dr. Syed Amir Gilani.

A localized damage to the tissues or skin due to poor circulation of blood, usually over a bony prominence and friction.The skin is the major part of the human body which makes up almost 10% of the adult total body weight. It is important and needs to be intact to perform important functions for the survival of the human being(Dougherty, 2015).Rehman (2011) further explore that patient diagnosed with cancer are at high risk of developing pressure ulcers because of poor nutrition, fatigue, and immunosuppression.Pressure ulcers are considered a major burden of hospitalization all over the world, and nurses are considered the first person to prevent Pressure. However, prevention of PUs is essential not only to keep the patients safe from injury but more important is to lessen the financial burden them. Most of the PUs can lead to life-threatening infections if identified at late-stage. Many patients die of complications associated to hospital-acquired pressure ulcers (HAPUs) (Sullivan & Schoelles, 2013). The main objectives of this study are to scrutinize the evidence supporting the use of specific interventions, documentation and on-going staff education to prevent Pressure Ulcers in hospitalized patients. Methodology: Literature was reviewed and searched different articles from PubMed, google and google scholar. Focus article which were published in the English language. and study was only adult patients. Three themes were identified which were skin and risk assessment, the release of pressure, and knowledge & education of the nurses. Implementing 5 steps of Management Process:According to "Thomas J. D'Zurilla 1988 Model", process includes the problem finding or "problem analysis", problem formation, generation of alternative strategies, implementation and verification of chosen solution distinguishing feature of a problem is that, there is a goal to be achieved. Conclusion: pressure ulcers are mostly preventable in any acute or cancer care hospital. However, it needs a proper skin assessment of the patients at the time of admission. Keywords: Pressure Ulcer, Cytotoxic, Evaluation, Friction, Moisture, Incontinence, Intervention, Risk assessment tools.

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