Question

PBE CASE STUDY Pressure Ulcer Case Study A PBE study involving 95 long-term care facilities in the 12-week study. Characteristics and interventions associated United States determined that nursing interventions for preswith higher and lower likelihood of PrU development are sure ulcer (PrU) prevention and management were highly summarized in the following table. arable among facilities and that nearly 30% of patients at risk for developing a PrU developed an ulcer during the

Answer 1

Q. No 1. Answer :

The steps of PBE process includeds

1. By asking questions :

According to this study ask the client or family members regarding his history like severe I'll ness from how many days?

Is there Any eating problems?

Any bed ridden client?

Any changes in weight, or weight loss? Due to weight loss the bony prominence may cause for getting pressure ulcers.

Any history of pressure ulcers in previous 90 days?

2. Second step is find information or search answer for a question.

3. Then third step is appraise the information of the client what ever is collected. And plan the interventions for those.

4. Implement those interventions according to the clients preference. Like provide second hourly ambulation or position changing to reduce pressur ulcers.

5. Then do the evaluation and find the results.

Q. No 2. a) Answer :

The elements are changes in the residents, and nutritional intake, urinary incontinence and mood state.

* And the factors identified in the original study includes ,

Negative association factors and positive association factors.

Negative factors like patient new to long term care, urinary incontinence more than 14 days, patient is on tube feeding, and antidepressant treatment and on iv fluids supplementation.

Positive factors like severe I'll ness, weight loss, oral eating problems, on urinary catheterization,and using position devices it indicates the client is full bedridden.

b) Answer : Clinical decision support tools are very important to maintain computer system.

Through the electric health records system the caring professionals may maintain the clients information in computer system.

Q. No 3. Answer :

Cost effectiveness of the new documentation requirements and standards of care includes, new documentation need more resources like all the clinical information, men, money and materials.

And time also need to documentation.

Sufficient information technology and money should be need to documentation.

So the new documentation is cost effective one

And if documentation is good then only the patients can receives standards of care.