Negative Pressure Wound Therapy for Stage III Diabetic Foot Ulcers: A PICOT-D Quality Improvement Project
Overview
This DNP quality improvement project proposes implementing Negative Pressure Wound Therapy (NPWT) for elderly diabetic patients with stage III foot ulcers compared to conventional saline moistened gauze dressing over an 8-week period. The paper addresses significant gaps in wound care delivery and outcomes, citing high amputation rates and poor quality of life outcomes associated with diabetic foot ulcers in current practice.
What this coursework covers
- PICOT-D Question Template defining population, intervention, comparison, outcome, timeline, and data sources
- Problem Statement establishing prevalence of diabetic foot ulcers, complications, and variation in care quality
- Purpose Statement outlining DNP objectives for quality improvement including risk assessment and patient education standards
Preview
Submit the Completed Template *See Additional Instructions below for completing the Template on Page 2.
Save file as Clarisse. Bethel.PICOT.D Question. DNP820.08.23.2021
PICOT-D Question Template | ||
P | Population | Adult patients with stage III foot ulcers |
I | Intervention | Negative Pressure Wound Therapy (NPWT) |
C | Comparison | Current practice |
O | Outcome | Improving wound healing as measured by pressure ulcer grading system guidelines |
T | Timeline | 8 weeks (all projects are 8 weeks minimum) |
D | Data | Electronic Health Record Quality Manager Data Wound care team report Physician/Register Nurse in Charge for the Patient care Family member |
What is your licensure? |
Is this practice change within the scope of your nursing practice?
By submitting this form, I am attesting I have read my state's Nurse Practice Act, and the project is within the scope of my practice. | |
PICOT | In elderly diabetic patients with stage III foot ulcers, does Negative Pressure Wound Therapy (NPWT) lead to improved wound healing in 6 weeks when compared to conventional Saline Moistened Gauze Dressing (SMGD) therapy? | |
Problem Statement | Diabetes is one of the most prevalent chronic diseases, with about 1 in 10 people in United states currently affected. Diabetic foot ulcers are a serious and common complication of diabetes; 15% to 25% of people with diabetes will develop a diabetic foot ulcer during their lifetime. People with diabetic foot ulcers report poor overall health-related quality of life, particularly in terms of pain, discomfort, and loss of mobility (Goodman, 2018). Diabetic foot ulcers are the cause of about a third of all nontraumatic below-the-knee amputations in USA. More Nursing samples | |
APRN