Abstract on Sepsis reduction of hospitalization and morbidity

Abstracton Sepsis reduction of hospitalization and morbidity

Abstracton Sepsis reduction of hospitalization and morbidity

Identificationof the project

Sepsis remains to be a primary challenge when it comes to thehealthcare industry. The potential threats posed by the conditionnegates the need to come up with ways through which the same can beaddressed. As a registered nurse, it is an opportunity to present tothe scientific community various aspects regarding sepsis. Theopportunity to present the community with the findings regardingsepsis will ensure that knowledge about the topic is disseminated forthe benefit of all those who are affected. Further, the opportunitywill serve to reduce the burden of treatment of the disease with theapplication of the knowledge that would be shared.

Description of the project

The project seeks to disseminate knowledge on how to reduce sepsisand hospitalization resulting from the same. Further, emphasis wouldbe put on coming up with ways that seek to reduce the morbidity ratesbrought about by sepsis. As a registered nurse, incidences of sepsisin hospitals has been on the increase. Patients are readmitted to thehospital for the second time after receiving treatment for aparticular infection (Miller III et al., 2013). The conditions theywere treated for tend to worsen resulting in further hospitalization.Such a measure does present a significant health risk for theparticular patient. They have to pay bills for a condition that hadbeen treated initially with lack of an assurance of the disease beingtreated. Further, sepsis does put healthcare burden to the serviceproviders as they have to attend to patients they had already treatedwhen they should spend time looking after other patients. The projectseeks to find out ways of managing sepsis and reducing morbidityassociated with the same.

Adibi et al (2013) identify that sepsis is a major cause of mortalityespecially among children. In a study conducted the researchersidentified that patients who had severe sepsis died. In another studyconducted by Angus and Van der Poll (2013), the researchers statedthat out of the approximately discharged patients, patients werereadmitted due to septic shock. Those who had been discharged afterundergoing surgical procedures and hospitalized were almost half thenumber of those under study. Such is a reflection of the number ofthe continued health risks posed by sepsis. The detrimental effectspresented by the condition negate the need to come up with betterways through which the condition can be addressed to reduce thecondition. In a different angle of the research regarding the topic,other scientists have looked at the cost effects of sepsis and how itimparts on the healthcare system. Chang et al (2015) state thatsepsis remains to be a leading cause for the excess healthcare costsencountered in the hospitals. The researchers note that the increasein the cost of healthcare can be attributed to the readmissions ofpatients for the condition. Further, Chang et al (2015) suggest theneed to come up with interventions that seek to address the situationas a way of reducing the cost of provision of care. Specifically, theresearchers suggest measures that include coming up with policiesthat will help in reducing readmissions based on sepsis. Kopterideset al (2015) postulate that there are high incidences ofrehospitalization in severe sepsis. In a study they conducted for onehundred and seventy-one patients, 35.6% of the patients werere-hospitalized with an estimation of a third of them being due tosepsis. The researchers reiterated the need to come up with waysthrough which the rationale behind the events. The same needs to befollowed by interventions that will help in reducing the diseaseburdens. Through the same, it will be possible to increase chances ofsurvival of patients admitted for sepsis. Further, in a study carriedout by Liu et al (2014), the researchers focused on understanding thesurvival of sepsis on grounds of age where it was determined thatyoung people were at a greater chance of surviving sepsis compared tothe old. In the study, the researchers did identify the patientfactor to play a role when it came to the entire concept of sepsissurvival. Such is an illustration of the need to come up withinterventions that will help reduce the morbidity and the hospitalreadmissions associated with sepsis (Levy et al., 2014).

The significant health risks likely to be encountered because ofsepsis negate the need to come up with interventions that will helpreduce the same. The first measure to help in dealing with sepsis isthe application of evidence-based care. There is need for thehealthcare providers to be in a position to translate the treatmentknowledge that they have to practice. Patients do present with earlysigns of sepsis (van Zanten et al., 2014). Through the identificationof the same, it could be mandatory for the care providers to work outways through which they can address the same. Next, team workespecially by the care providers needs to be applied when dealingwith sepsis. Entrusting a single healthcare provider to treatment ofsepsis has contributed to the failures realized. Through the same, itcould be mandatory to have a team-work approach when it comes to thetreatment of the condition. Further, awareness should be created inform of campaigns that will help in educating the people about thecondition. The same can be achieved through sharing of informationabout the condition through stories by other patients so that othersget to know about the state. It will be possible to reduce thedangers and rehospitalization of patients due to sepsis (Fairchild,2013).

Analysis of the patient outcomes

The application of the strategies elaborated may serve a great dealin helping reduce the effects of the condition. The paper aimed atunderstanding the effectiveness of the conventions employed to helpin reduction of the re-hospitalizations encountered due to sepsis.Patients will be enrolled for the project and the outcome of theinterventions introduced assessed. In getting more information aboutthe same, the dates of admission will be determined, cause of sepsisassessed and the prevention strategies employed assessed. Theexpected positive patient outcomes will then be assessed.

Significance of nursing and care

Nursing does serve the purpose of employing the theoretical knowledgewhen it comes to sepsis treatment and management. As a registerednurse, the knowledge gained will be translated into practice suchthat it becomes possible to reduce the morbidity and there-hospitalizations encountered with the condition. The primary aimof healthcare is to work out ways of reducing the deaths related tosepsis by employing proven strategies in dealing with sepsis.

References

Adibi, M., Hornberger, B., Bhat, D., Raj, G., Roehrborn, C. G., &ampLotan, Y. (2013). Reduction in hospital admission rates due topost-prostate biopsy infections after augmenting standard antibioticprophylaxis. The Journal of urology, 189(2), 535-540.

Angus, D. C., &amp Van der Poll, T. (2013). Severe sepsis and septicshock. New England Journal of Medicine, 369(9),840-851.

Fairchild, K. D. (2013). Predictive monitoring for early detection ofsepsis in neonatal ICU patients. Current opinion in pediatrics,25(2), 172-179.

Kopterides, P., Diane, I., Lucko, N., Shapiro, N., Hou, P., Filbin,M., … &amp Yende, S. (2015). 1001: REHOSPITALIZATIONS AND FATALOUTCOME ARE COMMON AMONG SEVERE SEPSIS SURVIVORS. Critical caremedicine, 43(12), 252.

Levy, M. M., Rhodes, A., Phillips, G. S., Townsend, S. R., Schorr, C.A., Beale, R., … &amp Dellinger, R. P. (2014). Surviving SepsisCampaign: association between performance metrics and outcomes in a7.5-year study. Intensive care medicine, 40(11),1623-1633.

Liu, V., Lei, X., Prescott, H. C., Kipnis, P., Iwashyna, T. J., &ampEscobar, G. J. (2014). Hospital readmission and healthcareutilization following sepsis in community settings. Journal ofhospital medicine, 9(8), 502-507.

Miller III, R. R., Dong, L., Nelson, N. C., Brown, S. M., Kuttler, K.G., Probst, D. R., … &amp Clemmer, T. P. (2013). Multicenterimplementation of a severe sepsis and septic shock treatment bundle.American journal of respiratory and critical care medicine,188(1), 77-82.

van Zanten, A. R., Brinkman, S., Arbous, M. S., Abu-Hanna, A., Levy,M. M., &amp de Keizer, N. F. (2014). Guideline bundles adherence andmortality in severe sepsis and septic shock. Critical caremedicine, 42(8), 1890-1898.