Assignment: Efficiency of Hyperbaric Oxygen Therapy

Assignment: Efficiency of Hyperbaric Oxygen Therapy

Proposed Solution:The prevalence of diabetic foot cases within the American populace has been increasing at an alarming rate, largely due to the considerable increase in diabetes incidences. Further, the condition has been responsible most cases of non-traumatic amputations, which calls for the adoption of more pragmatic, yet characteristically controversial treatment mechanisms such as the hyperbaric oxygen therapy. Wu (2018) in his review, noted that hyperbaric oxygen treatment significantly decreases the rates of foot amputation orchestrated by diabetic foot ulcers. The treatment mechanism entails the use of a hyperbaric chamber that exposes the patient to 100% oxygen under controlled pressure, which facilitates efficient wound healing. Care however, must be taken to ensure that the patient does not experience a ruptured ear membrane or trauma to the sinus. Since the conditions under which to use this approach are not that complicated given the current setting, it promises better outcomes to patients and hence can easily be adopted.
Organization Culture:The prevailing culture of the organization prioritizes positive patient outcomes and safety. In this regard, the organization only adopts such procedures deemed to have very minimal negative impacts, both short- and long-term, on the patient’s wellbeing. While the hyperbaric oxygen therapy has certain risks, namely the likely pressure damage to the ear which can be short or long term, and the recommendation for non-use in patients with diabetic macro-vascular complications (American Diabetes Association, 2019), these can easily be controlled for within the organization for better outcomes.
Expected Outcomes:The effectiveness of this treatment approach hinges on the fact that adequate wound healing requires enough supply of oxygen. The different processes involved in wound healing, from the inflammatory phase to the remodeling phase,

Assignment Efficiency of Hyperbaric Oxygen Therapy
Assignment Efficiency of Hyperbaric Oxygen Therapy

biochemical processes such as infection control to the remodeling of collagen, all require a good amount of oxygen for optimal outcomes. With this approach, as Aguair, Amaral, Rodrigues and de Souza (2017) notes, it is possible to eliminate repetitive trauma to the wound which may impair healing, as well as problems of decreased oxygen supply to the wound often observed in cases of peripheral arterial disease.

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Method to Achieve Outcomes:Patients presenting with foot ulcers will have to be assessed for the most appropriate treatment approach, and the hyperbaric oxygen therapy will only be applied where it is absolutely necessary. Different approaches can be used to administer the therapy to a patient. In our case, however, patients will undergo continuous assessment to determine the level of need of the therapy, but the most needy cases will only be subject to up to five sessions in a week, each session lasting no more than 90 minutes. Patients will need to be examined for ear discomfort to eliminate possible damage as described earlier. The only feasible limitation is that patients presenting with diabetic macrovascular complications will not be subjected to hyperbaric oxygen therapy given the high risks involved.
Outcome Impact: Hyperbaric oxygen therapy has been shown to significantly improve outcomes in diabetic patients presenting with foot ulcers, and in particular, reduces the incidence of amputation. By alleviating patient worry associated with the likelihood of amputation, patients taken through this therapy have the opportunity to live more fulfilling lives during and after the successful treatment and management of their foot ulcers.

Write a paper of 500-750 words for your proposed evidence-based practice project solution. Address the following criteria:
Proposed Solution: (a) Describe the proposed solution (or intervention) for the problem and the way(s) in which it is consistent with current evidence. Heavily reference and provide substantial evidence for your solution or intervention. (b) Consider if the intervention may be unrealistic in your setting, if it may be too costly, or if there is a lack of appropriate training available to deliver the intervention. If the intervention is unrealistic, you may need to go back and make changes to your problem statement before continuing.
Organization Culture: Explain the way(s) in which the proposed solution is consistent with the organization or community culture and resources.
Expected Outcomes: Explain the expected outcomes of the project. The outcomes should flow from the problem statement.
Method to Achieve Outcomes: Develop an outline of how the outcomes will be achieved. List any specific barriers that will need to be assessed and eliminated. Make sure to mention any assumptions or limitations that may need to be addressed.
Outcome Impact: Describe the impact the outcomes will have on one or all of the following indicators: quality care improvement, patient-centered quality care, efficiency of processes, environmental changes, or professional expertise.
You are required to cite three to five sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.
Prepare this assignment according to the guidelines found in the APA Style Guide.

This is my project: In adult patients with diabetic foot ulcers how effective is hyperbaric oxygen therapy in providing wound healing. (P) Diabetic patients with foot ulcers, (I) hyperbaric oxygen therapy, (O) wound healing.