Monday, February 24, 2020

Frequent Manual Repositioning and Incidence of Pressure Ulcers Essay

Frequent Manual Repositioning and Incidence of Pressure Ulcers - Essay Example Longer hospital stays and costs, as well as the substantial pain and suffering on the part of the patient, can be reduced if the focus will be given to preventing pressure ulcers. Frantz, Tang & Titler (2004) stated in their article that the Agency for Healthcare Research and Quality (AHRQ) conducted a literature review in the summer of 1990 and found out that the incidence of pressure ulcers range from 2.7%to 29.5%, 9% of it occur in general population while 66% occur in high risk populations.Based on the results of the statistics, the population at relative high risks for pressure ulcers are more likely to have more incidences of the case.Thus, bedbound patients are at high risks for developing pressure ulcers. Learning the susceptibility of a population to develop pressure ulcers, a number of preventive measures including international and clinical guidelines for pressure ulcer prevention have been recommended; among of which include frequent repositioning of patients with limited mobility. Although repositioning is an accepted and a standard guideline for pressure ulcer prevention, there are limited evidence and studies that would support the effectiveness of repositioning in reducing the incidences of pressure ulcers (Rich et al., 2011, 11). In addition, studies suggest that repositioning should depend on the level of tissue injury or stages of pressure ulcers. Therefore, before accepting repositioning as a standard practice at a national level, guidelines about the appropriate assessment tool to use and the correct number and duration of turns in repositioning must be well-established to render effective and cost-reducing prevention as the Centers for Medicare and Medicaid Services no longer reimburses hospitals for treatment of hospital-acquired stage 3 and 4 pressure ulcers due to the reason that pressure ulcer can be prevented by using the current evidence-based practice guidelines (Cox, 2011, 365). Early studies about preventing pressure ulcers throug h repositioning correlate to the number of movements of elderly at night. Hampton (2009) stated that an elderly make 20-40 full turns with small position changes every 5–10 minutes at night (p. 65). This should be a number of movements an elderly should do in order to prevent pressure ulcers; however, the number of turns is not applicable to bedbound patients as it only applies to healthy adults. Then on, subsequent studies focus on the duration of pressure as the most important indicator of pressure ulcer susceptibility until repositioning every two hours develop and become a ritual practice. Repositioning the patient regularly is proven to reduce the incidences of pressure ulcer, however, turning every two hours can increase the risk of shearing and friction leading to damaged tissues (Hampton, 2009, 65). Thus, turning every two hours could not be effective in preventing pressure ulcer because increased friction is also a contributing factor for pressure ulcer development.à ‚  

Friday, February 7, 2020

Glo bus simulation Essay Example | Topics and Well Written Essays - 750 words

Glo bus simulation - Essay Example technologies ever cognizant that the imaging industry evolves so quickly that emerging technology could easily render a prevailing technology obsolete and irrelevant. A5 Digital Camera Co. also caters to market where it can strategically position its product favorably that would highlight its advantages as a company allowing it to profit and grow while developing new technologies as a foresight to the ever changing future. The markets that A5 Digital Camera identified where it can leverage its position are both the end-user hobbyist and the professional photographer. These markets prove to be favorable to A5 Digital Camera due to its sheer size and relatively new market considering that digital camera industry is still relatively in its nascent stage. The room to explore new market among end users is still considerable allowing further growth for the company. In addition, it can still develop new markets of which A5 Digital Camera could be a pioneer by introducing new technologies that is considered cutting edge in the digital imaging industry. To ensure that the market will remain relevant in the market, A5 Digital Camera will develop its core competencies and product lines to make each and every process in the company create value for the customer. A5 Digital Camera will also continue to seek new markets and identify areas in the market that has not been fully covered or served by the competitors. Better yet, identify markets that have not been discovered by the competitors. These markets will provide invaluable opportunities for A5 Digital Camera to dominate these markets and acquire market share with the least competition. In addition to seeking emerging and unexplored markets, A5 Digital Camera will also identify markets that have few competitions and ventured by small players where A5 Digital Camera can exploit its size and advantages to challenge the existing players. This will allow A5 Digital Camera to acquire new markets and/or widen its market