Human Resource and Organisational Development. The first assignment consists of 2 parts. The first
part is “Description of Learning Event” and the second Part is “ Critical Evaluation of Learning
Event”. So I have got the assignment from my friend and I need you to make a comprehensive
paraphrase for the two parts. Also I need you to use another references where possible in part 2.
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Critical…docx 0.02 Mb None 04:38 07 Sep 2015
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Identifying a problem
Introduction
Each day around the globe, there is a soaring number of individuals that often demand various
responsive services as measures to counter various medical conditions that often require prompt and
radical responses. These may include acute exacerbation of chronic illness, and pressure ulcers
among others (Goodman, Schindler, & Washington, 2014).
Description of the problem
Pressure ulcer (PU) is a localized injury to the skin and underlying tissue usually over a bony
prominence, as a result of pressure, friction and shear, and sometimes combination of all (Glasgow,
et al., 2014). The development of pressure ulcerdepends on various factors, such as age, mobility
status, length of stay in the health care facility, continence, initial skin state and other
medical conditions. For instance, an elderly incontinent person with limited mobility is more
likely to develop a pressure ulcer.
Moreover, based on the study held in Germany in 2009findings suggest that immobile patients in
hospitals have a higher probability to develop pressure ulcers than immobile residents in nursing
home.(Kottner et al., 2010). Hence, it is important to determine why the patients with limited
mobility are at higher risk of developing pressure ulcer in acute care settings rather than long-
term care facilities. Furthermore, it is vital to find the best approach in preventing and/or
avoiding pressure ulcer development in these population.
Impact of the problem in the work environment, quality of care and patient outcome
Patients tend to develop PU within the first week of hospital admission (Barton, 2009).Patients in
acute care settings have a higher risk of developing pressure ulcer as compared to patients in long
term care facilities. One of the reasons can be the prioritization of tasks. According to Newham &
Hudgell (2015) in intensive care units (ICUs) stabilizing patient medically, administering
medications, and monitoring vital-signs come before repositioning patients.
Different factors facilitate in increasing the risk of developing pressure ulcers.The risk of the
patient to develop PU also increases with the time spent in the hospital especially those in the
intensive care unit.Patients using respiratory equipment, sequential compression devices and
urinary catheters among others are at higher risk of developing PU as they limit the ability to
reposition them frequently. Mechanical ventilation also increases the risk of developing Pressure
Ulcers in patients. Pressure ulcers secondary to medical devices present a significant health
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