NURS 170 Nursing


Make sure your paper includes, along with the researched material, a title as well as an introduction and conclusion.

It is important to back up your findings using literature.

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You must include any literature support required by the marking guide. A minimal grade will not be given.

Literature supports should directly apply and be credible (i.e.

Articles, journal articles or texts that have the author’s name should be peer reviewed.

General websites are not considered reliable sources of information.

You should include a section entitled “Resources” at end of the part where you cite at minimum three (3) current resource.

Briefly describe what procedure/trend/issue affects the client in medical-surgical.

The procedure or issue can be compared with the previous practice in medical-surgical nurse

This is the best-evidence supported by literature to describe the procedure/trend/issue which promotes the health and well-being of the medical-surgical client at the hospital.

Literature support the identification of health areas that should be taught to medical-surgical clients.

Answer to Question: NURS 170 Nursing


In any healthcare setting, the potential for skin breakdown poses a major problem for healthcare providers.

Immobile skin can lead to severe problems in skin care, leading to hospitalizations and possible death.

Avoiding complications of skin breakdown is therefore important (Swafford.

Comparison Of The Current And Previous Practice

Prior practice in the prevention of skin damage and complications in immobilized acute care was guided by only nurses and physicians.

In the current care model, a multidisciplinary team works in partnership to provide the best possible care.

The multidisciplinary team plays a crucial role in skin management. They promote open communication between the patient, the care providers, and the patient.

The team includes a dermatologist, nurse, healthcare assistant, registered dieticians, occupational therapists, chiropodists and physicians.

The team includes a nurse, chaplain, pharmacist, dentist and a skin care coordinator. They provide support for the patient to maintain optimum skin conditions, offer consultation services and educate them.

This makes it possible to provide a wide range of services that weren’t possible previously.

An accurate assessment is key to the timely implementation and monitoring of prevention and management strategies.

Collier, 2016. Coordination of care on the basis of best evidence is welcome in the context where immobilised patients are more at risk of skin breaking (Collier).

The Hospital, or the following discharge, provides the best evidence to promote client health

There are many nursing strategies you can use to improve the health of patients in healthcare settings or after discharge.

Kalra et. al. (2014) recommend that patients be monitored for any signs of skin disease.

You should monitor your patient’s skin care routines.

This will prevent skin integrity issues from getting worse.

Sterile dressing reduces the chance of skin infections and maintains skin health.

If the patient is incapacitated, an incontinence management strategy would be beneficial to avoid exposure to dangerous chemicals.

The management of wound infection can be assisted by the administration of antibiotics.

Patients should be encouraged to use pressure-reducing devices, such as foam wedges, pillows, and pillows. This will help prevent pressure injury (Benbow (2016)

After consulting with the dietician patients will be provided with a balanced meal plan.

This would address the nutritional needs of each patient.

For skin damage, a healthy diet is essential.

The body needs to consume enough fluids in order to stay healthy. People who are too thin or overweight will have greater chances of skin breaking down.

The skin is less likely to become damaged and more resistant to infection when it has good nutrition.

Vitamin C and Vitamin A are essential nutrients. Omega 3 fatty oils, Vitamin A, Vitamin C, Vitamin A, Zinc, and Protein are also important.

If a patient has skin loss due to immobilization (Berke (2015)), additional calories are necessary for tissue repair.

The Client’s Heath is Promoted by Health Teaching

Patients must be taught how to keep their skin healthy. They also need to know the importance of establishing a routine that monitors and cares for their skin.

A thorough inspection of the skin should be done regularly and this information must also be communicated to the patient.

The patient must be educated about how to keep the skin healthy.

It is important to teach wound and skin assessment in order to understand signs and symptoms, as well as the possible complications and how they can be treated. A healthy diet is pivotal for preventing skin breakdown.

The client should be informed about the benefits of a healthy diet.

It is important that the client and all family members learn how to properly take care of any wounds.

Patients should be trained to notify their doctor or nurse immediately if there are any complications.

Patient’s self-management skills are improved (Potter et. al., 2016).


Patients with immobilized skin have often been neglected and the appropriate treatment methods not discussed.

For optimal patient care, it is crucial that care providers dealing with immobilized patients consider the latest evidence-based methods.

ReferencesBenbow, M. (2016).

Best practice in wound evaluation.

Nursing Standard, 30-27, 40-47.Berke, C. T. (2015).

Pathology and clinical presentation. Case series and literature review.

Journal of Wound Ostomy & Continence Nursing. 42(1). pp. 47-61.Collier, M. (2016).

Protecting vulnerable skin from moisture-associated damage to the skin.

British Journal of Nursing. 25(20).Kalra, M. G., Higgins, K. E., & Kinney, B. S. (2014).

Secondary skin infections and intertrigo. Am Fam Physician, 89(7), 569-73.Potter, P. A., Perry, A. G., Stockert, P., & Hall, A. (2016).

Fundamentals of Nursing. Elsevier Health Sciences.Swafford, K., Culpepper, R., & Dunn, C. (2016).

Implementation of a comprehensive program that reduces the incidence of pressure ulcers in hospital-acquired units.

American Journal of Critical Care. 25(2), 152-155.