homework

Response 1

This study tries to see if patients at risk for pressure ulcers will have diminished incidence of pressure sores during the Allevyn (the product in this study) trial period. According to the discussion section of this research, it was revealed during the 7-month period of the study that incidence of pressure ulcers on areas that are more commonly affected like the sacral area have decreased in all 3 ICUs (Byrne et al., 2016, p. 234). This is consistent with the results (Table 3) where the data show a decrease in incidence of pressure ulcers during the trail phase in all Intensive Care Units. Different values of p are calculated on each units (Surgical Coronary Care p = 0.08, Medical Coronary Care p = 0.31, and Medical Intensive Unit p = 0.27); this measures the results’ significance as compared to the incidence rate ratio of each unit.

This study had some instances that could have potentially introduced bias into the results. Due to the design of the study (prospective study/cohort), they were unable to collect demographic data, creating a lack of comparison between pretrial samples and population. There are risk factors that could have been a\unaccounted between these two populations. The study had also used convenience trial that only looked at the feasibility of samples instead of using randomized sampling. A lot of the samples (n = 43) were also eliminated due to incomplete documentation. A lot of interventions by the multidisciplinary hospitals in the study to improve pressure ulcer outcome of patients could have also affected the results of this study. (Byrne et al., 2016, p. 233). These limitations should be accounted for in further studies regarding the use of Allevyn for pressure ulcers to eliminate bias in the results.

Reference

Byrne, J., Nichols, P., Sroczynski, M., Stelmaski, L., Stetzeer, M., Line, C., &Carlin, K. (2016). Prophylactic sacral dressing for the pressure ulcer prevention in high-risk patients. American Journal of Critical Care, 25(3), 228-234.

Response 2

Q2 Quant Data Collection/Analysis

For seven months, a screening tool was developed to determine patients who were at a higher risk of developing pressure ulcers at the sacrum coccyx and buttocks. To prepare a collection of data, each participating ICU evaluated criteria to be used when collecting the data.

Nurses were asked to assess the patient using the screening criteria developed and apply dressing as pressure ulcer prophylaxis. They were later on asked to evaluate the dressing in terms of wear time, the comfort of the patient, and also the ability to reposition it, and lastly, the patient’s safety

 

(Byrne et al., 2016, p.234). The nurses reported that clear fluids and blisters had formed because of the sacral dressing.

The intervention phase occurred in November, where the patients were admitted to the 3 ICUs, and they got assessed by a registered nurse, the dressing used in this study was the Allevyn gentle Border Sacrum dressing (Byrne et al., 2016, p.233). An assessment was conducted by a registered nurse after every 12 hours and documented in the electronic medical record and data collection tool. Skin assessments were conducted and documented on the data tool, and once the data documentation was completed, it was collected weekly by the clinical specialist nurse (Byrne et al., 2016, p.234).  The results of 43 patients were not documented, and their dressing was applied. The data was not documented because there were several initiatives taking place and that they focused on the prevention of pressure ulcers.

Reference

Byrne, J., Nichols, P., Sroczynski, M., Stelmaski, L., Stetzer, M., Line, C., & Carlin, K. (2016). Prophylactic sacral dressing for pressure ulcer prevention in high-risk patients. American Journal of Critical Care, 25(3), 228-234. 

https://doi.org/10.4037/ajcc2016979

 

Response in m..

Did this video change your opinion on suicide?

 

  

    

The video has changed my opinion on suicide in that suicide is just like any other disease that someone may suffer from. The brain is something powerful that without control, it can make you believe something that is not true to others. This video has made me see the fact that there are sometimes regrets when one decides to commit suicide. In the case of Kevin, he remembers after throwing himself from the golden gate bridge, regrets ran into his mind, but it was too late for him to reverse the action.  However, at the time that he vaulted from the bridge, he felt that there was no other way for him to escape the feeling that no one else cared about him. This video also taught me that those who attempt or succeed in the act of suicide do so because the situations they were in compelled them that there was no other way out of their current situation.  

      What did the video teach you about suicide?

   

 This video taught me that the number of suicide cases happening in the world is significantly higher than I first thought. For example, over 2000 people have died, even more have attempted to commit suicide by jumping off the golden gate bridge. This is only one way of attempted suicide, there are many others that have even higher statistics.  Suicide is a result of an individual feeling that there is no other way to correct the problems in their life other than ending it, or that no one cares whether they were to remain alive.  The longer the patient has these feelings and they are not resolved or addressed, they are more likely to end up committing suicide. The victim is often blinded from seeing the true feelings of others or their current situation outside of the fog of severe depression and suicidal ideation.

        

When completing an initial assessment for a client with suicidal ideation, what are the most important pieces of information that should be captured.

 

There are factors considered when conducting an initial assessment of a suicidal patient, the health practitioner should identify the plan, means and time of committing suicide (McCabe et al., 2017).  To be more specific, the healthcare worker needs to identify the lethality of the patient’s plan for suicide, by asking questions to identify specifics about their plan. Also, one should checks if the client has the means to carry out suicide, such as do they have access to the gun or medication they plan to use to kill themselves. Lastly, the medical specialist should identify if the client has a planned time or place to execute the act.  Another important piece of information for the healthcare worker to find out is how long the patient has had these feelings in order to better understand the lethality of the suicidal ideation.

 
 

Reference

McCabe, R., Sterno, I., Priebe, S., Barnes, R., & Byng, R. (2017). How do healthcare professionals interview patients to assess suicide risk?. BMC psychiatry, 17(1), 122. https://doi.org/10.1186/s12888-017-1212-7