Guidelines in Treating Ulcers

92). The authors in this study hand over a qualitative research design of a publications review on previously published literature on the treatment and saloon of nip ulcerations to propose a baffle of "clinical guidelines" that can be applied in a variety of clinical settings (Lewis, et al., 2003, p. 92). The significance of this research for the clinician is a puzzle guideline that can be workoutd to undermine the prevalence of rack ulcers.

Lewis et al. (2003) provide a practical model of preventing and treating insisting ulcers. Lewis et al. (2003) provide a model that encompasses risk assessment, nutritional care, discase assessment and inspection, pressure relieving, redistributing devices and other management strategies, seating, pressure ulcer care, infection strategies and education and provision. This model offers risk assessment that is conducted inside unmatchable hour of facility admission, involving both "formal and escaped assessment procedures" that addresses the following aspects: direct of mobility, incontinence, nutritional status, sensory impairment, level of consciousness and neurological status, complete history, and physical and psychosocial examination mensuration mental status and cognitive ability (Lewis, et al. 2003, p. 96). Lewis et al. (2003) recommend the drug abuse of risk assessment scales but only as a guide to augment clinical judgment.

The Lewis et al. (2003) model in like manner encompasses chance(a) systematic

Saliba, D., Rubenstein, L. V., Simon, B., Hickey, E., et al. (2003). Adherence to pressure ulcer prevention guidelines: Implications for nursing home quality. JAGS, 51, 56-62.

Buss, Halfens, Abu-Saad and Kok (2004) conducted a qualitative study with semi-structured, tape-recorded interviews to highlight the views and beliefs of healthcare workers about prevention of pressure ulcers. The researchers found that many of today's practises with regard to pressure ulcer prevention are based on "old traditions in nursing" (Buss, et al., 2004, p. 668). The authors' concluded that a systematic approach is called for to castrate the views and beliefs of practitioners about pressure ulcer prevention.

This research has implications for clinical practice today, because the views and beliefs of nurses regarding prevention of pressure ulcers can be used as a basis for developing effective guidelines for their prevention and treatment. It is also significant for practice in that views and beliefs that are ineffective for preventing and treating pressure ulcers can be modified through education and training programs.

Wolverton (et al., 2005) conducted a survey-based quantitative research study from data peaceful on prevalence on pressure ulcers in one facility's annual survey. The authors maintain that "ongoing assessment, monitoring, and prevention of pressure ulcers in the hospitalized patient are required standards of care for nurses and mandated by regulative agencies" (Wolverton, et al., 2005, p. 56). At this facility, pressure ulcer prevalence had trended to 33% from 13% over a 13-month period, and the authors tracked 5 variables that may wipe out contributed to this increase: Braden Scale score, hospital length of stay, nutritional status, intrahospital transfers, and use of specific pharmacological agents (Wolverton, et al., 2005, pp. 56-57). Data were collected from weekly undress care rounds. An analysis of data demonstrated that the nursing cater needed further foc
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