Design for change paper is to convince the nursing team to implement change in the work place. The implemented change is hiring a multidisciplinary wound care team to decrease the number of pressure ulcers, in a long term care facility, compared to having floor nurses with no training provide wound care. This change should save money by not having to treat such strenuous wounds, provide for increased healing and prevent skin breakdown for at risk patients. Attached below for any help is the proposal outline (step by step to type the paper on), the ACE star model (the paper refers back to this), milestone 1 (this gives an outline of the thoughts going into the paper), the instructions of what is to be in the paper and the required article that is to be cited in the paper. The impact of pressure ulcers on the individual is profound, spanning
the physical, emotional and social domains of life (Gorecki
2009). This impact is largely influenced by factors related to the
individual themselves, the healthcare professional and the environment
of care delivery (Gorecki 2012). Fundamentally, people
living with pressure ulcers experience significant anxieties that relate
to their experiences of the ulcer, for example, the presence of
unrelieved intractable pain, in addition to challenges to their ability
to cope with the demands that treatments impose upon them
(Gorecki 2012).
From a European perspective, pressure ulcer management absorbs
between 4% and 5% of the annual healthcare budget, with nurse
or healthcare-assistant time accounting for up to 90% of the overall
costs (Posnett 2009). In the USA, pressure ulcers cost between
USD 9.1 billion to USD 11.6 billion per year (EUR 6.7 billion to
EUR 8.5 billion), with estimates in 2007 that each pressure ulcer
adds USD 43,180 (EUR 31,580) in costs to a hospital stay (Agency
for Healthcare Research and Quality 2011). Within the acute-care
setting in Australia in 2005, median opportunity costs for pressure
ulcers were estimated at AUD 285 million (EUR 202 million)
(Graves 2005). The human and economic drain on healthcare
systems is compounded by the fact that healthcare professionals
and clinicians are often not trained in prevention and treatment of
pressure ulcers or remain in systems where multidisciplinary and
integrated care processes are not in place, or both (Moore 2013b)


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