The document discusses proposed interventions for a capstone project aimed at preventing pressure ulcers among elderly patients and those with decreased mobility. The interventions include implementing the Braden Scale, applying mepilex foam to bony prominence areas, and repositioning patients. The interventions have been shown to effectively reduce pressure ulcer risk and complications like infection. The capstone project will involve implementing the interventions on 30 at-risk patients and comparing outcomes to 30 patients who do not receive the interventions. The goal is to examine how the interventions can decrease pressure ulcer rates and issues in healthcare facilities.

1. 6
Proposed Project Interventions
Name xxx
United State University
Course xxxx
Professor xxxxx
Date xxxxx
The Extent of Evidence-Based Data for Proposed Interventions
In the prevalence of pressure ulcer among the elderly patients
and patient with decreased mobility in the hospital and
healthcare facilities the implementation or use
of Braden Scale, applying mepilex silicon foam, to bony
prominence area and repositioning patients have proven to be
very effective in the prevention of pressure ulcers. As it helps
to reduce the risk and complications that comes with pressure
ulcers leading to sepsis and some other infections (Sving et al.,
2020). The implementation of the above prevalence method will
prevent the development of pressure ulcer and its complications,
promote comfort and better quality of life as well as reducing
hospital stay on patients. The will also save a lot of cost for the
facilities and government for patient on medicare and Medicaid.

2. Developing pressure ulcers in the elderly may make it difficult
to care for themselves. Lack of care on pressure ulcers can lead
to chronic wounds, which heal more slowly. This exposes the
wounds to the risk of infection, which can be toxic to the body
and even fatal. If left unattended, they might lead to further
issues such as blood poisoning. Many people over 60 years may
be unable to take care of themselves thereby imposed with the
problem of decrease mobility which often leads to pressure
ulcers if certain prevalence method is not implemented.
Factors That Might Influence the Use of Proposed Interventions
Two criteria influencing the offered solutions are adjusting
persuasions to increase quality and program adaptability.
Furthermore, while the financial incentive for benefit had
minimal impact on the intervention, stakeholders expected
incentives to be focused on high-quality rebuilding at all times.
Participants should also be flexible to change, as the world is
always changing due to increased diversity and technological
advancements.
The Barriers Related to the Proposed Interventions
The barriers related to the proposed intervention could be
negligence on patients and family, nurses and other healthcare
workers not to adhere to treatment regimen by refusing to
implement the prevalence method introduced above. Ways to
overcome this barrier is through adequate teaching by engaging
educational sections for family and healthcare workers. The
teaching will start by telling them how it works and the need to
implement it and the benefits of doing it, and also the
implications that it brings upon on the parties involved if not
done, it
expose patients to the risk developing pressure ulcers
leading to complex wound infections, and the patient to
complications like bone and blood infections and later sepsis
(Taylor et al., 2021). Since pressure wounds occur mostly at
joints and from tissue tears, they are sometimes deep and may
take time to heal, especially if they keep recurring because the

3. patient may keep the same posture that contributes to the
pressure wounds, especially if they are in a long-term care
facility. Braden scale, use of mepilex foam to protect the bony
prominence areas and repositioning patients in this population
is always recommended.
Required Resources
Implementation guide, AHRQ Pressure Ulcer Tool kit, Fact
Sheet for hospital nursing home staff members, fact sheet for
consumers, pressure ulcer teaching guide, pressure ulcer
collaborative skin and wound handoff tool, and pressure ulcer
admitted vs acquired tracking tool are all needed for the
capstone project.
Implementation Activities
For some patients, the intervention would entail implementing
the use of Braden Scale, applying mepilex foam to bony
prominence areas of at risk patients, repositioning patients.
whereas, for others, no prevalence method would be used
(Taylor et al., 2021). If the group consists of 60 at risk patients,
30 will be subjected to implement this prevalence methods
above, while the other 30 patients will be subjected to use no
prevalence method. This is to compare the effectiveness of the
implementation or use
of Braden Scale, applying mepilex silicon foam, to bony
prominence area and repositioning on patients to prevent
pressure ulcer, with to patients that did not use any prevalence
method for same condition and length of time.
Monitoring, Tracking, and Ongoing Review
This capstone project is significant to healthcare
institutions because it highlights some issues older adults face,
such as higher healthcare bills and longer hospital stays. It's
also significant for healthcare institutions since it emphasizes
the need to implement certain prevalence method to help
prevent the development of pressure ulcer among the elderly

4. and decreased mobility patients in the hospital and healthcare
system (Minteer et al., 2020). The focus of the intervention is to
implement a prevalence method which mechanism of action is
very therapeutic in preventing pressure ulcer development.
Performance of tasks required for implementation
Dealing with pressure ulcers in the elderly is a significant
challenge. Various interventions are available, and some are
being implemented while others are not (Saleh et al., 2019).
Pressure ulcer prevalence through the use of Braden Scale,
Mepilex silicon foam, and repositioning patients. has been
considered effective in preventing the development of pressure
ulcers. Healthcare providers and hospital organizations must
work as a team to ensure the effective implementation of this
intervention.
Strategies That Facilitate the Implementation of the Proposed
Intervention
It is finding ways to reduce the time required for an older
person to heal from pressure wounds, common in a shorter
period. Doing so aids in reducing the risk of infection and the
complications that come with it, like sepsis and bone infections
leading to the need for amputations (Saleh et al., 2019). The
nurse is also responsible for assessing for any signs of pressure
ulcers and providing care to prevent them from developing by
implementing the use of Braden Scale, Mepilex silicon foam,
and repositioning patients. This has proven overtime to be the
most EBP on the prevalence of pressure ulcers among the
elderly and patients with decreased mobility.
Timeline
The timeline is for two weeks.
Expected Outcomes to Be Achieved by My Project
The data will be used to examine the data to examine the
percentage of in-hospital and healthcare facilities problems and
cost caused by pressure ulcers among the elderly and decreased
mobility patients and the need for the prevalence of pressure

5. ulcers through the use of Braden Scale, Mepilex silicon foam,
and repositioning patients within this population in the sample
group, length of stay, and patients at risk that are not included
in the sample group. The study's outcome will reveal that
implementation of the Braden Scale, Mepilex silicon foam, and
repositioning patients among the sample population shows a
tremendous improvement in the prevalence of pressure ulcers
issues and development than patients outside the sample
population with no prevalence method. In this case, a big
change can be anticipated in the number of reported pressure
ulcer incidents and complications resulting from infections due
to pressure ulcers, which reduces the number of deadly
complications like sepsis in older patients due to pressure ulcers
complications. This will help in the reduction of pressure
wound mortality.
Conclusion
In the prevalence of pressure ulcer among the elderly patients
and patient with decreased mobility in the hospital and
healthcare facilities as a sample population that the
implementation or use
of Braden Scale, applying mepilex silicon foam, to bony
prominence area and repositioning patients have proven to be
very effective in the prevention of pressure ulcers on at risk
patients within the sample population compare to the same at
risk patient outside the sample population that no prevalence
method was used. This is because decreased mobility impairs
circulation leading to development of pressure ulcers which in
turn leads to some complications and expose the patients to
infection and problems such as sepsis, bone and blood
infections.

6. References
Saleh, M. Y., Papanikolaou, P., Nassar, O. S., Shahin, A., &
Anthony, D. (2019). Nurses' knowledge and practice of pressure
ulcer prevention and treatment: an observational study. Journal
of tissue viability, 28(4), 210-217.
Sving, E., Fredriksson, L., Mamhidir, A. G., Högman, M., &
Gunningberg, L. (2020). A multifaceted intervention for
evidence-based pressure ulcer prevention: a 3-year follow-up.
JBI Evidence Implementation, 18(4), 391-400.
Taylor, C., Mulligan, K., & McGraw, C. (2021). Barriers and
enablers to implementing evidence‐based practice in pressure
ulcer prevention and management in an integrated community
care setting: A qualitative study informed by the theoretical
domains framework. Health & Social Care in the Community,
29(3), 766-779.