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The Right To A Safe And Healthy Birth, Rebecca D. Neff, Liz C. Widman, Leslie A. Lopez, Brittany M. Cowart, Rebecca L. Aviles Apr 2015

The Right To A Safe And Healthy Birth, Rebecca D. Neff, Liz C. Widman, Leslie A. Lopez, Brittany M. Cowart, Rebecca L. Aviles

The Research and Scholarship Symposium (2013-2019)

The right to a safe and healthy birth is included in the declaration of human rights- the intrinsic allowances that humans are obligated to be protected by on a global scale. These rights, however, for some pregnant women have been submersed by lack of transportation, education and skilled birth attendants. Financial constraints and difficulty in obtaining adequate healthcare are also issues of concern. A review of literature pertaining to three different countries, the United States, China and India will be examined in light of safe and healthy birthing techniques for women worldwide. These countries were chosen due to their diverse …


Suicide Tourism, Emma L. Anderson, Bethany J. Ebben, Abby L. Sherman, Johnna R. Vanstrom Apr 2015

Suicide Tourism, Emma L. Anderson, Bethany J. Ebben, Abby L. Sherman, Johnna R. Vanstrom

The Research and Scholarship Symposium (2013-2019)

The number of people traveling to other locations, including Switzerland, or different U.S. states, for the sole purpose of receiving assisted-suicide is increasing. This phenomenon is known as suicide tourism. Switzerland is a major destination for recipients globally, as noted by Saskia Gauthier, Julian Mausbach, Thomas Reisch, and Christine Bartsch (2014) in the article, Suicide tourism: a pilot study on the Swiss phenomenon. The influx of recipients travelling to Switzerland for the purpose of committing suicide is largely due to the country’s lack of regulation in who might receive assisted-suicide. This issue is relevant in the United States, as Oregon, …


Finite Element Analysis (Fea) Of The Taper-Trunnion Interface In A Metal On Metal Hip Implant, Kyle M. Bradley, Timothy L. Norman, Thomas K. Fehring Apr 2015

Finite Element Analysis (Fea) Of The Taper-Trunnion Interface In A Metal On Metal Hip Implant, Kyle M. Bradley, Timothy L. Norman, Thomas K. Fehring

The Research and Scholarship Symposium (2013-2019)

Metal on metal total hip replacements are a common procedure in which the hip joint is replaced with a metal stem, a metal femoral head and a metal socket, usually made of titanium or cobalt chromium. The stem has a tapered region (trunnion) where the femoral head is impacted onto. This creates what is known as the taper-trunnion interface within a hip implant. However, these hip implants seem to be very susceptible to fretting corrosion, where the corrosive fluid environment of the body accelerates the process of wear between two contact surfaces. Previous research has suggested that the design parameters …


Asthma Knowledge, Control, And Administration Techniques In Hispanic Caregivers Of Pediatrics, Kelly J. Wright, Joshua Arnold, Rachel Culp, Kyle Hultz, Benjamin Robertson, Jon Wilkie, Amy Wuobio Apr 2015

Asthma Knowledge, Control, And Administration Techniques In Hispanic Caregivers Of Pediatrics, Kelly J. Wright, Joshua Arnold, Rachel Culp, Kyle Hultz, Benjamin Robertson, Jon Wilkie, Amy Wuobio

The Research and Scholarship Symposium (2013-2019)

Objectives: The objectives of this study were to (1) describe asthma knowledge, control, and administration techniques in Hispanic caregivers of pediatric asthma patients in primary care clinics and (2) determine the association between asthma knowledge and control.

Methods: A pilot, cross-sectional study was conducted by administering a survey to Spanish-speaking primary caregivers of children under 12 years old with a current diagnosis of asthma. The survey contained: demographic questions (8 items), a modified version of the Asthma Control Test (ACT, 5 self-assessment items, 5-point, Likert-type scale), knowledge (21 items, correct/incorrect response), and inhaler use (1 item, rank ordering steps for …


The Effectiveness Of The Use Of Probiotics In The Prevention Of Necrotizing Enterocolitis, Luke D. Febrizio, Danae L. Hershberger, Caroline E. Price, Miranda A. Sternsher Apr 2015

The Effectiveness Of The Use Of Probiotics In The Prevention Of Necrotizing Enterocolitis, Luke D. Febrizio, Danae L. Hershberger, Caroline E. Price, Miranda A. Sternsher

The Research and Scholarship Symposium (2013-2019)

PICO Question: In very low birth weight infants (VLBW), does the use of prophylactic probiotics decrease the incidence of necrotizing enterocolitis?

Method: Databases searched include PubMed, Cochrane, Medline, ScienceDirect, UpToDate, and CINAHL databases, resulting in 10 relevant articles (four meta-analyses, two systematic reviews, three randomized controlled trials, and one cohort study).

Results: The review of literature concluded that overall there is a decrease in the incidence of NEC when VLBW infants are given prophylactic probiotics.

Recommendations: In conclusion, probiotics have shown efficacy in preventing NEC with no confirmed reports of adverse effects to VLBW infants. The final recommendation would be …


2015 Symposium Overview, Cedarville University Apr 2015

2015 Symposium Overview, Cedarville University

The Research and Scholarship Symposium (2013-2019)

Click the "Download" button in the top right corner to view the abstract booklet.


The Effects Of Vocational Support Programs On Individuals With Autism Spectrum Disorders, Angel Kester, Addie T. Martin, Ivey M. Mcrory, Marybeth Williams Apr 2015

The Effects Of Vocational Support Programs On Individuals With Autism Spectrum Disorders, Angel Kester, Addie T. Martin, Ivey M. Mcrory, Marybeth Williams

The Research and Scholarship Symposium (2013-2019)

Purpose: The purpose of this review is to examine the effects of vocational support programs versus the absence of vocational support programs on employment rates, social skills, and quality of life of transition-aged youth diagnosed with autism spectrum disorders and related diagnoses.

Methods: The CINAHL, Cochrane Collection Plus, Medline, PubMed, and UpToDate databases were searched for articles pertaining to our purpose statement. Four reviewers analyzed the articles for results and extracted data regarding sample characteristics, treatment characteristics, assessment tools, and outcomes.

Results: Nine studies were included, all of which related to the effects of vocational support programs on individuals with …


Effect Of Continuous Education On Readmission Rates For Chf Patients, Lexie J. Baroni, Becca H. Hughes, Grace A. Wahba Apr 2015

Effect Of Continuous Education On Readmission Rates For Chf Patients, Lexie J. Baroni, Becca H. Hughes, Grace A. Wahba

The Research and Scholarship Symposium (2013-2019)

Aim: To evaluate if continuing the education of Congest Heart Failure patients post-discharge will decrease the amount of readmissions within 6 months of discharge.

Background: Causes for decreased readmission rates in Congestive Heart Failure patients have been evaluated in multiple studies. The evaluation of the current research showed having discharge education and post- discharge follow-ups decreased the rate of readmission within 6 months. There is a sufficient amount of evidence supporting the implementation of education upon discharge and follow-ups of Congestive Heart Failure patients.

Data Source: Databases and search engines used included: PubMed, OneSearch, CINAHL, DogPile, and Google. Of 25 …


Forced Sterilization Of Individuals With Developmental Disabilities: Protection Or Dehumanization?, Kelly J. Schaffter Apr 2015

Forced Sterilization Of Individuals With Developmental Disabilities: Protection Or Dehumanization?, Kelly J. Schaffter

The Research and Scholarship Symposium (2013-2019)

The civil rights of individuals with development disabilities have been a great challenge to protect throughout the United States’ history. The United States has not held the protection of this population’s civil rights with proper priority. The country’s actions towards the population of individuals with development disabilities carried into the 20th century, when individuals with mental disabilities were involuntarily sterilized in the name of eugenics. Currently, the goal of the sterilization of this population is for their protection, yet forced sterilization continues to be a questionable practice in regards to ethics. In this paper, I will claim that the forced …


Cilia Have A Significant Role In Regulating Cell Size In Response To Fluid Flow Induced Shear Stress In A Flow Chamber, Ryan M. Hecklinger, Schuyler E. Price, Matthew B. Welkie Jr., Timothy L. Norman, Elisha R. Injeti Apr 2015

Cilia Have A Significant Role In Regulating Cell Size In Response To Fluid Flow Induced Shear Stress In A Flow Chamber, Ryan M. Hecklinger, Schuyler E. Price, Matthew B. Welkie Jr., Timothy L. Norman, Elisha R. Injeti

The Research and Scholarship Symposium (2013-2019)

Cilia are hair-like protrusions on the apical surface of cells. Their function is to relay mechanical signals like shear stress from extracellular into intracellular environment and thereby maintain cellular homeostasis. Ciliary dysfunctions include polycystic kidney disease and new therapeutic interventions based on ciliary function are under investigation. The current study evaluates the use of a custom designed fluid flow chamber’s ability to study the role of cilia in regulating cell size in response to shear stress.

A fluid flow chamber that continually maintains laminar flow at different flow rates and temperature was designed. Endothelial wild type cells (ETWT) that have …


Physician Assisted Suicide: Promoting Death With Dignity Or Empowering Exploitation?, Laura Klodnicki Apr 2015

Physician Assisted Suicide: Promoting Death With Dignity Or Empowering Exploitation?, Laura Klodnicki

The Research and Scholarship Symposium (2013-2019)

United States health care is intentionally moving in a direction which emphasizes patient autonomy. This mentality has caused some patients to seek control over their own death when faced with a terminal illness. Claiming the right to “death with dignity,” patients exercise the method of physician assisted suicide in order to avoid the inevitable suffering that comes along with certain disease progressions. Is such medical practice ethical? Should a patient have the choice to end her own life rather than experience the devastating pain that comes with a terminal illness? Could physician assisted suicide evolve to encompass putting to an …


Persisting Substance And Human Dignity: When Is A Human A Person?, Jacob Countryman Apr 2015

Persisting Substance And Human Dignity: When Is A Human A Person?, Jacob Countryman

The Research and Scholarship Symposium (2013-2019)

Peter Singer believes that only humans have value when they become self-conscious. This assertion implies that infants, as beings unable to be self-conscious, are acceptable for scientific experimentation. All humans, however, have intrinsic value in every stage of development. Embryos, fetuses, infants, and adults belong to one kind. This kind is rational. Since it is human nature to be rational, humans have greater value than other organisms. When a new person is formed at conception, a new primary substance is made and this substance persists throughout the entire life of the new human. Humans are not made of temporal parts; …


Evaluating Antioxidant Activity Of Selected Plant Species Native To Cedarville, Ohio, Daniel A. Benson, Alexander P. Treide, David Woodfield, Joshua A. Sitler, Denise S. Simpson, Robert L. Paris Apr 2015

Evaluating Antioxidant Activity Of Selected Plant Species Native To Cedarville, Ohio, Daniel A. Benson, Alexander P. Treide, David Woodfield, Joshua A. Sitler, Denise S. Simpson, Robert L. Paris

The Research and Scholarship Symposium (2013-2019)

Over the past several decades, there has been an increase in the number of synthetic drug molecules developed and utilized to treat various conditions. Although these synthetic drugs have proven useful, there has been growing public concern regarding the potentially negative long-term effects of synthetic agents on the body. As a result, there has been an increased interest in identifying and utilizing plant extracts and purified compounds since they are perceived to be a more natural alternative to synthetic drugs. The goal of this study was to evaluate the specific antioxidant properties of alsike clover Trifolum hybridum when produced under …


Interstitial Cystitis: The Estrogen Connection, Heather G. Kuruvilla Apr 2015

Interstitial Cystitis: The Estrogen Connection, Heather G. Kuruvilla

The Research and Scholarship Symposium (2013-2019)

Interstitial cystitis (IC), or painful bladder syndrome, is an autoimmune condition with an unknown etiology. Common symptoms include urinary urgency, frequency, and bladder and urethral pain and burning. This condition, like many autoimmune disorders, disproportionately affects females; therefore, female sex hormones are hypothesized to play a role in the disorder. My hypothesis is that estrogen, both endogenous and synthetic, affects the severity of IC symptoms. Through surveying the available literature on interstitial cystitis, I have found that IC symptoms often correlate with low estrogen. My hope is that by understanding more about how hormones affect IC, we can come up …


Gmo Vs. Non-Gmo: Comparing The Addictiveness Of Corn In Rats, Christian A. Carroll, Sara L. Hill, Kelly A. Huston, Tyler Michael, Courtney Noll, Melissa J. Beck, Ginger D. Cameron Apr 2015

Gmo Vs. Non-Gmo: Comparing The Addictiveness Of Corn In Rats, Christian A. Carroll, Sara L. Hill, Kelly A. Huston, Tyler Michael, Courtney Noll, Melissa J. Beck, Ginger D. Cameron

The Research and Scholarship Symposium (2013-2019)

Genetically modified organisms (GMOs) refer to organisms whose DNA has been altered to produce a certain characteristic. GMOs account for a significant proportion of the crops produced in the United States. Specifically, GMO corn accounted for approximately 88% of all corn grown for human and animal consumption in the year 2012. Previously conducted studies have not uniformly demonstrated the safe use of GMO corn, and no studies have been conducted to analyze the addictiveness of GMO corn.

The idea of addiction refers to more than just a physical dependence, but to a psychological dependence on something as well. Addiction is …


Effects Of Noise Reduction And Care Clustering On Quality Of Sleep In Critical Care Patients, Micaila S. J. Iversen, Natalie L. Neidig, Muriel P. Shannon Apr 2015

Effects Of Noise Reduction And Care Clustering On Quality Of Sleep In Critical Care Patients, Micaila S. J. Iversen, Natalie L. Neidig, Muriel P. Shannon

The Research and Scholarship Symposium (2013-2019)

Introduction: Sleep deprivation has detrimental effects on critical patients’ health. A lack of sleep can affect multiple body systems. There are nursing interventions that can reduce sleep deprivation. However, there is inconclusive evidence on how to properly assess sleep deprivation and implement sleep promoting nursing interventions in clinical practice.

Purpose: The purpose of this literature review is to examine the effects of noise reduction and nursing care clustering on improving the quality of patient sleep in the critical care setting.

Methods: This literature review was conducted using 10 sources published within the last 5 years. Inclusion criteria consisted of articles …


Burnout Rates In Undergraduate Athletic Training Students Compared To The Burnout Rate Of Certified Athletic Trainers: A Comparative Study, Aaron Wass, Michael S. Weller Apr 2015

Burnout Rates In Undergraduate Athletic Training Students Compared To The Burnout Rate Of Certified Athletic Trainers: A Comparative Study, Aaron Wass, Michael S. Weller

The Research and Scholarship Symposium (2013-2019)

Burnout was first described in 1974. Since then, the condition has been researched and studied numerous times. The healthcare field has experienced this condition at a very high rate and Athletic Training, as a profession, has been affected. Burnout has become prevalent in the healthcare field due to highly stressful situations, heavy workload, and emotionally draining work environments. The profession of Athletic Training has been significantly affected by this condition and many Athletic Trainers (AT) experience burnout over the course of a calendar year. Seemingly every AT has been affected by burnout personally, known a colleague who has struggled with …


Ohio Athletic Trainer's Reactions To New Ohio Concussion Legislation, Alexander K. Heaton Apr 2015

Ohio Athletic Trainer's Reactions To New Ohio Concussion Legislation, Alexander K. Heaton

The Research and Scholarship Symposium (2013-2019)

This research examines the effects that concussion legislation has had on how Certified Athletic Trainers practice medicine in the state of Ohio. In the spring of 2009, the state of Washington passed a bill that would change how concussions are handled in youth sports. According to the legislation, all athletes who display any signs and symptoms of a concussion are to be removed immediately from play and are not able to return to play until cleared by a licensed professional health care provider. Since then, concussion legislation of some form has been passed in every state, with Ohio passing its …


Certified Athletic Trainer’S Perceived Comfort Level With Shoulder Reductions, Jessica Pearson, Michael S. Weller Apr 2015

Certified Athletic Trainer’S Perceived Comfort Level With Shoulder Reductions, Jessica Pearson, Michael S. Weller

The Research and Scholarship Symposium (2013-2019)

Joint dislocations are a common injury in the athletic world. The shoulder is the most commonly dislocated joint. It is important for health care professionals to be aware of this injury and be able to treat it. Athletic trainers play a vital role in the immediate care of injured athletes. The purpose of this study was to investigate the perceived comfort level of athletic trainers with reducing a shoulder dislocation. The results showed that there was a significant difference between ATC’s perceived comfort level in the 5-10 and 20+ years of experience groups when reducing posterior dislocations (p=.016). Another significant …


Cognitive Distortions And Institutional Misconducts In Juvenile Delinquents, Shannah C. Gardiner, Jenna Berkstresser Apr 2015

Cognitive Distortions And Institutional Misconducts In Juvenile Delinquents, Shannah C. Gardiner, Jenna Berkstresser

The Research and Scholarship Symposium (2013-2019)

It has been found that juvenile delinquents usually possess inaccurate explanations or thoughts about their experiences, which are called as cognitive distortions. The prior findings also suggested that juvenile delinquents’ antisocial behaviors are associated with their cognitive distortions. Therefore, many juvenile centers utilized cognitive treatment programs and tried to reduce juvenile delinquents’ cognitive distortions. Thus, it is useful to measure the changes of juvenile delinquents’ cognitive distortions in a rehabilitation center to design treatment plans and evaluate its effectiveness.

The present study aimed to measure the changes of cognitive distortions in a group of 43 adolescent juvenile delinquents at a …


Incidence Of Injuries In Collegiate Cross Country, Haley Merical Apr 2015

Incidence Of Injuries In Collegiate Cross Country, Haley Merical

The Research and Scholarship Symposium (2013-2019)

Running is becoming increasingly popular not only recreationally, but also competitively. With the increase in the number of people who are running comes an increase in the number of people who are injured. The purpose of this study was to determine if increasing mileage would result in a greater prevalence in injuries among collegiate cross country runners. Participants for this study included cross-country runners in the Great Midwest Athletic Conference. The hypothesis for this study had two parts: the greatest increase in mileage would be seen between the senior year of high school and the freshmen year of college; and …


Community Education On Mtm Services, Jacob M. Davis, Kristin Lessig, Lindsay M. Mailloux, Samantha A. Smolinski, Stephen K. Yeboah, Aleda M.H. Chen, Ginger D. Cameron, Thaddeus T. Franz, Jenna G. Lawhead Apr 2015

Community Education On Mtm Services, Jacob M. Davis, Kristin Lessig, Lindsay M. Mailloux, Samantha A. Smolinski, Stephen K. Yeboah, Aleda M.H. Chen, Ginger D. Cameron, Thaddeus T. Franz, Jenna G. Lawhead

The Research and Scholarship Symposium (2013-2019)

Background: Medication nonadherence, defined as “the number of doses not taken or taken incorrectly that jeopardizes the patient’s therapeutic outcome,” is a major health problem with about 43% of the general population nonadherent to their medications. Medication nonadherence accounts for an estimated 125,000 deaths per year in the US, 33-69% of medication-related hospital readmissions, and an estimated $100 to $300 billion in direct and indirect medical costs. Medication therapy management (MTM), defined as “a distinct service or group of services that optimize therapeutic outcomes for individual patients,” has been found to reduce medication nonadherence. However, many individuals eligible for MTM …


Effects Of Smoking Vs. Nicotine Replacement Therapy During Pregnancy On Childhood Health Outcomes: An Integrative Literature Review, Andrew J. Mcbride, Kristen P. Sabo, Emily D. Williams Apr 2015

Effects Of Smoking Vs. Nicotine Replacement Therapy During Pregnancy On Childhood Health Outcomes: An Integrative Literature Review, Andrew J. Mcbride, Kristen P. Sabo, Emily D. Williams

The Research and Scholarship Symposium (2013-2019)

PICOT: In pregnant women does the use of nicotine replacement therapy compared to smoking during pregnancy reduce the risk of future childhood health concerns?

Methods: A search was conducted on healthcare literature databases (Alt HealthWatch, AMED, CINAHL, and Medline).The initial search yielded 940 results related to the topic. Initial review narrowed the search to 25 articles. Articles were excluded if published before 2008. After reviewing the full articles and evaluating effectiveness of the studies, 12 studies met the criteria. These 12 articles focused on the effects of smoking and childhood outcomes, NRT, and success of NRT.

Findings: The articles concluded …


Simulation-Based Interdisciplinary Team Learning—Pilot Study, Brian C. Patterson, Adam H. Altman, Brittani H. Purkeypile, Bethany Sibbitt, Zachary Ilgiovine, Nicholaus Christian, Phillip J. Wenzell, Natasha Mehta, Raymond Ten Eyck Apr 2015

Simulation-Based Interdisciplinary Team Learning—Pilot Study, Brian C. Patterson, Adam H. Altman, Brittani H. Purkeypile, Bethany Sibbitt, Zachary Ilgiovine, Nicholaus Christian, Phillip J. Wenzell, Natasha Mehta, Raymond Ten Eyck

The Research and Scholarship Symposium (2013-2019)

Background: Currently, interprofessional education (IPE) is becoming widely integrated into healthcare professional education with regulating bodies including IPE as a curricular requirement. Although recent studies have concluded that students value IPE, there are a number of challenges associated with initial engagement. Many schools are unsure how to approach this interdisciplinary integration. In addition to IPE, simulation has become an important tool in the education of health professionals. As the first exercise at Wright State University involving interprofessional groups composed completely of undergraduates, interested students from the Boonshoft School of Medicine, the WSU College of Nursing and Health, and the Cedarville …


Medication Reconciliation Of Medically-Complex Emergency Department Patients By Second-Year Professional Pharmacy Students, Lauren Haines, Neal S. Fox, Rachel R. Bull, Jeb Ballentine, Thaddeus T. Franz, Zachary N. Jenkins Apr 2015

Medication Reconciliation Of Medically-Complex Emergency Department Patients By Second-Year Professional Pharmacy Students, Lauren Haines, Neal S. Fox, Rachel R. Bull, Jeb Ballentine, Thaddeus T. Franz, Zachary N. Jenkins

The Research and Scholarship Symposium (2013-2019)

Background: There is a high potential for medication discrepancies to occur during patient care transitions. However, health professionals must find ways to reduce these and improve patient care, such as with medication reconciliation. This intervention is used to identify a patient’s most accurate medication list by comparing the medical record to another list obtained from the patient, hospital, or other provider. Pharmacists have a major role in this process because of their medicinal expertise, but paying them is expensive, so using students may be more cost-effective. Research has examined fourth-year professional pharmacy students (P4s) performing medication reconciliation during their advanced …


Prevention Of Hospital-Acquired Pneumonia: An Integrative Review, Taylor M. Craig, Jessica L. Lingaas, Rebekkah C. Reisner, Mary C. Smith Apr 2015

Prevention Of Hospital-Acquired Pneumonia: An Integrative Review, Taylor M. Craig, Jessica L. Lingaas, Rebekkah C. Reisner, Mary C. Smith

The Research and Scholarship Symposium (2013-2019)

Background: Hospital-acquired pneumonia (HAP) not only brings about physical challenges to patients that can lead to death, it also involves financial burdens. Research on how to prevent HAP is a necessity; however, a deficit exists in research concerning prevention of non-ventilator hospital-acquired pneumonia (NV-HAP). The purpose of this study is to synthesize the current research on the nurse’s role in prevention of NV-HAP, identify where additional research is needed, and suggest clinical standards of care to prevent pneumonia in hospitalized patients.

Methods: Data for this integrative review was collected from the following databases: PubMed, Cumulative Index of Nursing and Allied …


Alarm Fatigue, Gretta Weindorf, Jennifer Payne, Justin Eckberg, Hannah Eckberg Apr 2015

Alarm Fatigue, Gretta Weindorf, Jennifer Payne, Justin Eckberg, Hannah Eckberg

The Research and Scholarship Symposium (2013-2019)

Alarm fatigue in hospital nursing settings is characterized and caused by false positive alarms and clinically insignificant alarms, sometimes referred to as the “crying wolf” effect (Gross, Dahl, & Nielsen, 2011; Funk, Clark, Bauld, Ott, & Coss, 2014). The phenomena of repeated false alarms over time causes nursing staff to become desensitized, responding less frequently and less punctually resulting in compromised patient care and safety (Konkani, Oakley, & Bauld, 2012). As estimated by The Joint Commission (2013), hereafter referred to as TJC, 85-99% of sounding alarms are insignificant, reinforced by Graham and Cvach (2010), who estimated less than 1% resulted …


The Use Of Turning And Repositioning Versus Pressure Redistributing Support Surfaces In The Prevention Of Pressure Ulcers, Rachel M. Collins, Ayana A. Kleckner, Brianna P. Sparks Apr 2015

The Use Of Turning And Repositioning Versus Pressure Redistributing Support Surfaces In The Prevention Of Pressure Ulcers, Rachel M. Collins, Ayana A. Kleckner, Brianna P. Sparks

The Research and Scholarship Symposium (2013-2019)

Currently, 1.3-3 million adults in the United States are affected by pressure ulcers, costing $37,800 to $70,000 per ulcer (Smith, 2013). This costs the United States 11 billion dollars annually (Smith, 2013). This review’s PICO question is “In hospitalized critically ill patients, how does turning and repositioning every two to four hours compared to the use of pressure redistributing support surfaces prevent the occurrence of pressure ulcers?” For this review, the articles found were rated as excellent (n=7), good (n=2), and fair (n=1). Appendix A shows the critical appraisal of all pertinent articles used. Findings suggest that there is minimal …