Dashboard Analysis and Nursing Plan
Hospital-Acquired Pressure Ulcers
The dashboard from the Adams 5 rehabilitation unit shows data from different quarterly analysis of the health indicators. Some of the indicators include total nursing hours, pressure ulcers, and patient falls. The dashboard shows that some areas require improvement since they present the risk of negative outcomes that can undermine positive patient outcomes. The purpose of the dashboard analysis is to analyze the data and develop a nursing plan to realize improvement.
Analysis of the Data
The data from Adams 5 rehabilitation unit from 2009 and 2010 financial year shows that some areas require improvement. For example, pressure ulcers is a condition that has recorded negative outcomes as a result of staying in an immobile position for a long time. Patients in the intensive care unit are at risk of pressure ulcers. Patients without pressure ulcers during admission are at risk of complications due to a long hospital stay in certain positions. The complications can increase the risk of poor patient satisfaction. I selected pressure ulcers since it a vital issue among patients with long hospital stays or immobile positions. The area requires improvement since patients who develop pressure ulcers are at risk of spending additional funds to treat their conditions. Pressure ulcers can lead to morbidity, reduce the quality of life, and morbidity. Addressing pressure ulcers is crucial in continuing and long-term care.
The nursing plan will involve taking a preventive approach to the healthcare indicator. Healthcare workers have a responsibility to assess the health condition of the patients and determine their risk of pressure ulcers (Jaul et al., 2018). Patients at risk of pressure ulcers include those in the intensive care units or those with mobility problems. The practitioners should provide quality nursing care to the patients affected with pressure ulcers or those at risk of the conditions (Jaul et al., 2018). A healthcare facility such as the Adams 5 rehabilitation unit should develop standard practices that are essential in the prevention and treatment process. Implementation of the standard procedure guidelines is necessary to enhance patient satisfaction among healthcare workers.
The dashboard shows that sometimes the unit recorded zero cases while in others there was a hike in the number of cases. The fluctuation in the number of patients with pressure ulcers shows a change in compliance with the standard guidelines of treating patients (Mervis & Phillips, 2019). One of the solutions to curb the problem early identification, prevention, treatment, and prevention of reoccurrence. Nurses, supervisors, nurse assistants, physicians, and liaison nurses should collaborate to assess, identity, and prevent the risk of pressure ulcers (Mervis & Phillips, 2019). Education of both the caregivers and the patients will improve the response process to alleviate the negative outcomes associated with skin complications.
The team of healthcare givers should study the current patients with pressure ulcers and evaluate the circumstances under which such conditions occurred. An analysis would help understand the current situation and respond appropriately to address future incidences (Gaspar et al., 2019). Some of the factors to consider include the general health status of a patient, friction, skin moisture, nutritional status, and predisposing factors. The medical devices used could increase the risk of pressure ulcers including continuous motion passive devices, braces, and ventilators.
The nurse education process should focus on practical aspects such as how to assess the skin damage and sleeping position of a patient. For example, some of the risks include warmth, redness, pressure, protruding, or excess moisture can increase the risk of pressure ulcers (Gaspar et al., 2019). Education should focus on the nutritional value of the healing process. Nurses have a responsibility to assess the eating patterns to ensure the patients are in good health condition.
Healthcare facilities such as the Adams 5 rehabilitation unit should develop policies to enhance the safety of patients. Some of the policy issues include routine assessment, repositioning patients routinely, utilizing mattresses or materials that reduce pressure (Mervis & Phillips, 2019). A skincare plan is essential for all patients at risk of contracting the skin complication. Nurses should emphasize avoiding wet surfaces and changing the diapers frequently. The prevention strategies should be reviewed constantly to ensure the patients are free of the risk of pressure ulcers.
Hospital-acquired pressure ulcers are common in healthcare units that do not observe prevention mechanisms and treatment. Early identification is essential in the prevention and treatment process. Nurses and other healthcare workers should participate in the treatment process. The dashboard shows that the Adams 5 rehabilitation unit is at risk of reporting more pressure ulcers in the future. Educating the staff is a crucial prevention mechanism including assessment and prevention mechanisms. Implementing the strategies can improve the health of the patients and prevent the complications associated with pressure ulcers. Treatment and prevention will enhance the quality of patient satisfaction and reduce the cost incurred in the treatment of pressure ulcers. Patients can spend fewer days in hospitals when they do not have skin complications. The dashboard analysis and nursing plan are important in enhancing the health of patients at risk of pressure ulcers.
Gaspar, S., Peralta, M., Marques, A., Budri, A., & Gaspar de Matos, M. (2019). Effectiveness on hospital‐acquired pressure ulcers prevention: a systematic review. International Wound Journal, 16(5), 1087-1102.
Jaul, E., Barron, J., Rosenzweig, J. P., & Menczel, J. (2018). An overview of co-morbidities and the development of pressure ulcers among older adults. BMC Geriatrics, 18(1), 1-11.
Mervis, J. S., & Phillips, T. J. (2019). Pressure ulcers: Pathophysiology, epidemiology, risk factors, and presentation. Journal of the American Academy of Dermatology, 81(4), 881-890.