Conduct a critical appraisal of the four peer-reviewed articles  you selected by completing the Evaluation Table within the Critical  Appraisal Tool Worksheet Template. Choose a total of four peer- reviewed  articles that you selected related to your clinical topic of interest  in Module 2 and Module 3.

Part 4A: Critical Appraisal of Research

Conduct a critical appraisal of the four peer-reviewed articles  you selected by completing the Evaluation Table within the Critical  Appraisal Tool Worksheet Template. Choose a total of four peer- reviewed  articles that you selected related to your clinical topic of interest  in Module 2 and Module 3.

Note: You can choose any combination of  articles from Modules 2 and 3 for your Critical Appraisal.  For example,  you may choose two unfiltered research articles from Module 2 and two  filtered research articles (systematic reviews) from Module 3 or one  article from Module 2 and three articles from Module 3.  You can choose  any combination of articles from the prior Module Assignments as long as  both modules and types of studies are represented.

Part 4B: Critical Appraisal of Research

Based on your appraisal, in a 1-2-page critical appraisal,  suggest a best practice that emerges from the research you reviewed.  Briefly explain the best practice, justifying your proposal with APA  citations of the research.

EVIDENCE BASED PROJECT PART 3

CLINICAL ISSUE OF INTEREST

“Bedsores can happen when a person is bedridden or otherwise immobile, unconscious, or unable to sense pain. Bedsores are ulcers that happen on areas of the skin that are under pressure from lying in bed, sitting in a wheelchair, or wearing a cast for a prolonged time. Bedsores are also called pressure injuries, pressure sores, pressure ulcers, or decubitus ulcers.

Bedsores can be a serious problem among frail older adults. They can be related to the quality of care the person receives. If an immobile or bedridden person is not turned, positioned correctly, and given good nutrition and skin care, bedsores can develop. People with diabetes, circulation problems, and poor nutrition are at higher risk” (John Hopkins, 2019),

Bedsores prevention

The reason I chose this topic is because bedsores are very much preventable disease and in the days of technology should be an issue, tomy point of view. I think every healthcare professional should be educated on the topic of bedsores prevention in order to help patient who are fully dependable on us. I also think that we shoulf educate our patient in order to help them prevent bedsores.

BEDSORES TREATMENT

“Specific treatment of a bedsore is discussed with you by your healthcare provider and wound care team and based on the severity of the condition. Treatment may be more difficult once the skin is broken, and may include the following:

Removing pressure on the affected area

Protecting the wound with medicated gauze or other special dressings

Keeping the wound clean

Ensuring good nutrition

Removing the damaged, infected, or dead tissue (debridement)

Transplanting healthy skin to the wound area (skin grafts)

Negative pressure wound therapy

Medicine (such as antibiotics to treat infections)

Healthcare professionals will watch the bedsore closely. They will document size, depth, and response to treatment” (John Hopkins, 2019).

Peer Reviewed Articles

Eljedi, A., ElDaharja, T., & Dukhan, N. (2015). Effect of an educational program on a family caregiver’s prevention and management of pressure ulcers in bedridden patients after discharge from hospitals in Palestine. Int J Med Sci Public Heal [Internet], 4(5), 600.

The educational program elaborates through research on how caregivers should prevent and manager pressure conditions in bedridden patients. Importantly, the material provides overview how home nursing caregivers overcome the potential risks of the pressure in hospitalized patients (Eljedi et al., 2015). The research demonstrated the application of preventive program and its effects on extension to government hospital and rehabilitation health centers.

References

Eljedi, A., ElDaharja, T., & Dukhan, N. (2015). Effect of an educational program on a family caregiver’s prevention and management of pressure ulcers in bedridden patients after discharge from hospitals in Palestine. Int J Med Sci Public Heal [Internet], 4(5), 600.

Kaur, S., Singh, A., Tewari, M., & Kaur, T. (2018). Comparison of Two Intervention Strategies on Prevention of Bedsores among the Bedridden Patients: A Quasi Experimental Community-based Trial. Retrieved July 04, 2020, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5801625/

References continued

Getz, L. (2010, September 01). Eliminating Bedsores. Retrieved July 04, 2020, from https://www.todaysgeriatricmedicine.com/archive/082510p20.shtml

Bhattacharya, S., & Mishra, R. (2015). Pressure ulcers: Current understanding and newer modalities of treatment. Retrieved July 04, 2020, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4413488/