facilities taking part in inpatient quality reporting to assemble information for serious sepsis
as well as septic shock and through this measure implementation, CMS will be in a position to
assess if severe sepsis care and septic shock clients are getting better (Kuttab et al., 2018). Care
f...
Part A: Population Health Research and PICOT Statement
The condition to focus on is sepsis. It also referred to as blood poisoning and it is a
deadly health condition. It is a serious and sometimes fatal illness that affects millions of people
all over the world despite the developments in technology and medicine the disease outcomes
still is termed as poor. Patient outcomes depends on both controlling the response of the body to
reduce tissue damage, and target treatment concerning the infection process. More than 8
million die from sepsis annually and therefore sepsis is an epidemic that need attention like any
other condition (Arefian et al., 2017). This assignment therefore analyzes sepsis in a selected
population.
Background
Sepsis is generally diagnosed once a client presents to the Emergency Department (ED).
The employees in the ED are well trained to identify sepsis process and start treatment as early
as possible (D’Amore et al., 2015). They understand that early identification of the disease and
treatment can save lives and when sepsis is not recognized it becomes a life threatening
condition. Sepsis require instant treatment to prevent the occurrence of tissue damage, and organ
failure may also occur which may lead to death. Most sepsis clients have infection before they
are admitted to thee care facility which has already grown to sepsis for it was not treated
appropriately. The issue is that not every nursing employee can identify sepsis process or they do
not have the nurse guided process to start treatment early enough.
, EVIDENCE-BASED PRACTICE PROPOSAL 4
PICOT
In adult clients who present with sepsis prior and after sepsis treatment bundle
implementation, does a nurse driven protocol implementation reflect or lead to improve
outcomes?
Patient Demographics
While blood poisoning affects people across all ages, gender, and race, it is largely fatal
and serious among disadvantaged and the underprivileged populations. Variations in age, gender
as well as medical comorbidities such as renal failure and diabetes triggers additional
complications which affects the septic patient outcomes. The disease is among the susceptible
and vulnerable populations predominantly such as the young children, immunocompromised,
and geriatric groups or populations, with old age regarded as an independent factor in sepsis
mortality. People over 65 years with other comorbidities are at great risk of complications from
infections compared to the general population as well as sepsis early presentation is vague in
such age cluster (CDC. 2017). Hence, a decreased threshold and increased suspicion index are
needed to recognize sepsis in older people. In addition, the identification of sepsis can be may be
delayed in clients or people with an immune system that is impaired like those people who are
diabetic, have compromised immune system such as HIV/AIDs and liver failure.
Nursing Science and Sepsis
Information from various sources have demonstrated that early identification through lab
analysis as well as obtained blood cultures before a broad-spectrum antibiotic is offered
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