https://padlet.com/jtruxon/a40wfyrk926tn6iz Nursing Issue Timeline Project by Jaclynn Truxon en-us 2023-04-26 17:22:50 UTC 2023-04-27 02:39:33 UTC hello@padlet.com jtruxon https://padlet.com/jtruxon/a40wfyrk926tn6iz/wish/2569193007 A hospital-acquired pressure injury (HAPI) is a localized injury to the skin and/or underlying tissue during an inpatient hospital stay and is associated with longer hospital stays and increased morbidity and mortality. It is the result of pressure, shear, or both, and is additionally a result of other factors such as advanced age, immobility, perfusion, nutritional status, illness severity, and the presence of diabetes (Rondinelli et al., 2018).]]> 2023-04-26 18:07:52 UTC https://padlet.com/jtruxon/a40wfyrk926tn6iz/wish/2569193007 jtruxon https://padlet.com/jtruxon/a40wfyrk926tn6iz/wish/2569553304 Wound care and healing have basically been around since humankind first began. A clay tablet from 2200 BC describes the “three healing gestures”—washing the wounds, making the plasters, and bandaging the wound" (Shah, 2011). Many cultures and countries used different products to promote wound healing such as mud, plant, and herb plasters, oils, beer, honey, grease, lint, wine, vinegar, and water. ]]> 2023-04-27 01:11:17 UTC https://padlet.com/jtruxon/a40wfyrk926tn6iz/wish/2569553304 jtruxon https://padlet.com/jtruxon/a40wfyrk926tn6iz/wish/2569622174 Jean-Martin Charcot discovered and coined the classification of bedsores (Levine, 2019). He classified bedsores into three categories: decubitus acutus, chronicus, and ominosus.]]> 2023-04-27 02:03:21 UTC https://padlet.com/jtruxon/a40wfyrk926tn6iz/wish/2569622174 jtruxon https://padlet.com/jtruxon/a40wfyrk926tn6iz/wish/2569636100 There was an uptick in interest in defining a staging process for pressure injuries in the mid-1900s with World War II and the soldiers that died due to paraplegia and spinal cord injuries. In 1975, Dr. J. Darrell Shea proposed a 4-grade pressure injury staging system which is still in use today. Shea's staging system was adopted by the National Pressure Ulcer Advisory Panel (NPUAP) in 1989 (Levine, 2019).]]> 2023-04-27 02:13:47 UTC https://padlet.com/jtruxon/a40wfyrk926tn6iz/wish/2569636100 jtruxon https://padlet.com/jtruxon/a40wfyrk926tn6iz/wish/2569642152 Dr. Shea's staging system was published in clinical practice guidelines in 1992. The NPUAP, now known as The National Pressure Injury Advisory Panel (NPIAP) is currently in control of defining and updating pressure injury stages and terms. 2016 was the year of their most recent update to the definition and terms of pressure injuries. A portion of their new definition of a pressure injury is “localized damage to the skin and underlying soft tissue usually over a bony prominence or related to a medical or other device” (National Pressure Injury Advisory Panel, 2019). 

]]> 2023-04-27 02:18:15 UTC https://padlet.com/jtruxon/a40wfyrk926tn6iz/wish/2569642152 jtruxon https://padlet.com/jtruxon/a40wfyrk926tn6iz/wish/2569661129 HAPIs are clinically relevant and preventable with many patients throughout the hospital and are also identified as a quality indicator in the National Database of Nursing Quality Indicators (Henry, 2019). HAPIs are also very costly and a study suggested that a HAPI could cost a patient $10,708 on average, which then would cost the United States approximately $26.8 billion annually based on 2.5 million reported cases (Padula & Delarmente, 2019). ]]> 2023-04-27 02:32:30 UTC https://padlet.com/jtruxon/a40wfyrk926tn6iz/wish/2569661129 jtruxon https://padlet.com/jtruxon/a40wfyrk926tn6iz/wish/2569662907 2023-04-27 02:33:37 UTC https://padlet.com/jtruxon/a40wfyrk926tn6iz/wish/2569662907