Hypothermia

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Harvard University *

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ACCTG01

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Nursing

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Nov 24, 2024

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docx

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1 Hypothermia Student’s Name Institutional Affiliation Course Name and Number Professor’s Name Date

2 Capstone 1: Literature Review Hypothermia is a state that occurs when the body's internal temperature is consistently below 36 degrees Celsius (96.8 degrees Fahrenheit) (Rugo & Voigt, 2018). It occurs in operating rooms, intensive care units, and emergency departments. This review examines hypothermia, its implications on patient outcomes, and prevention and treatment methods. Hypothermia has been linked to complications like infection at the surgical site, delayed wound healing, extended hospital stays, and even death in the surgical context. According to Mankiewicz et al. (2021), patients at risk of hypothermia must be identified to begin treatment. Several things can put one in danger, such as being older than usual, having a low body mass index, having a lengthy surgery, being exposed to cold settings, and having specific health problems. Higher-risk patients can be identified sooner with the help of standardized risk assessment methods like the Bair Hugger Preoperative Warming Protocol. Results from using active warming strategies in preventing and treating hypothermia have been encouraging. Normothermia can be effectively maintained using forced-air warming systems, circulating water blankets, and warmed intravenous fluids. Perioperative hypothermia can be prevented, and patient comfort can be increased by prewarming patients before surgery (Oshiro et al., 2022). Nurses, anesthesiologists, and surgeons should collaborate to treat hypothermia. Insulating patients properly and closely monitoring their temperatures throughout the operation are two of the most effective methods. In addition, adopting evidence-based therapies depends critically on educating healthcare personnel on monitoring and preventing hypothermia. Capstone 2: Education and Evaluation

3 Education strategies are vital in providing medical personnel with the tools they need to manage hypothermia prevention and treatment properly. Hypothermia's causes, risk factors, and associated problems can all be better understood through a fundamental approach like a didactic presentation. This approach guarantees that medical practitioners thoroughly comprehend the material (Kümin et al., 2021). Education is enhanced by simulation-based training, which offers practitioners the chance to experience assessing and treating hypothermia in simulated but safe settings. Through simulations, they can improve their clinical abilities and gain self-assurance in coping with hypothermia-related issues. Through workshops and hands-on training, medical workers can learn how to use warming devices, monitor patients' temperatures, and insulate them correctly. This practical training method improves technical skills and guarantees intervention competence. As a bonus, healthcare professionals can now engage in self-paced learning and CPD thanks to the availability and convenience of online resources and e-learning programs. These materials have a wider readership and help professionals keep up with the most recent research and best practices for preventing and treating hypothermia. In addition, evaluation methods are essential in determining the efficacy of educational interventions for preventing and treating hypothermia. The effectiveness of educational programs can be gauged by comparing pre-and post-test scores, which reflect students' knowledge levels and ability to retain new material (Kümin et al., 2021). Real-time feedback and identifying skill deficiencies through direct observation is crucial to maintaining procedure adherence. Healthcare providers' perceptions of the efficacy of educational programs are gathered through surveys and questionnaires probing their competence, knowledge, and outlook on hypothermia. In order to pinpoint problem areas, quality improvement programs track KPIs like treatment adherence and patient outcomes (Kümin et al., 2021). Evaluating the efficacy of educational programs to

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4 decrease hypothermia rates and enhance patient care can be done objectively through chart reviews and data analysis. The effects of training on avoiding and treating hypothermia are better-understood thanks to these assessment strategies. Discussion Post Question 1: Healthcare Problem and Issue The healthcare problem/issue I have selected is the occurrence of hypothermia in elderly patients undergoing hip fracture surgery. Hypothermia after hip fracture surgery in older adults is a serious medical issue that can have serious repercussions. The senior population is particularly vulnerable to hip fractures, which are associated with higher rates of disability and death. However, hypothermia is a common consequence in these individuals, with studies indicating high occurrence rates between 50% and 70% (Kümin et al., 2021). Hypothermia after hip fracture surgery can cause infection, prolonged recuperation, and even death. Improving patient outcomes, accelerating rehabilitation, and relieving strain on healthcare systems all hinge on solving this problem. The safety of elderly patients undergoing hip fracture surgery depends on implementing effective interventions and techniques for preventing and managing hypothermia. Question 2: New Approaches and Interventions Evidence-based treatments lower the risk of hypothermia in elderly hip fracture surgery patients. Forced-air warming devices and various forms of active warming are beneficial in preventing and treating perioperative hypothermia (Rugo & Voigt, 2018). Preoperative warming with heated blankets or warming devices has also reduced the risk of hypothermia and increased patient satisfaction (Williams et al., 2018). Surgeons, anesthesiologists, and nurses can also work together by targeting warming measures are implemented after patients at risk for hypothermia are identified early in the surgical procedure through core body temperature monitoring.

5 PICOT Question In the elderly individual under fracture surgery (P), how does the application of the evidence- based intervention such as active warming strategies and multidisciplinary approach (I) related to standard care (C) impact the case of perioperative hypothermia and patient outcomes (O) within the first 24 hours postoperatively (T)?

6 References Dankiewicz, J., Cronberg, T., Lilja, G., Jakobsen, J. C., Levin, H., Ullén, S., ... & Nielsen, N. (2021). Hypothermia versus normothermia after out-of-hospital cardiac arrest. New England Journal of Medicine, 384 (24), 2283-2294. https://www.nejm.org/doi/pdf/10.1056/NEJMoa2100591?articleTools=true Kümin, M., Jones, C. I., Woods, A., Bremner, S., Reed, M., Scarborough, M., & Harper, C. M. (2021). Resistant fabric warming is a viable alternative to forced-air warming to prevent inadvertent perioperative hypothermia during hemiarthroplasty in the elderly. Journal of Hospital Infection, pp. 118 , 79–86. https://doi.org/10.1016/j.jhin.2021.10.005 Oshiro, K., Tanioka, Y., Schweizer, J., Zafren, K., Brugger, H., & Paal, P. (2022). Prevention of hypothermia in the aftermath of natural disasters in areas at risk of avalanches, earthquakes, tsunamis, and floods. International Journal of Environmental Research and Public Health, 19 (3), 1098. https://doi.org/10.3390/ijerph19031098 Rugo, H. S., & Voigt, J. (2018). Scalp hypothermia for preventing alopecia during chemotherapy. A systematic review and meta-analysis of randomized controlled trials. Clinical Breast Cancer, 18 (1), 19-28. https://doi.org/10.1016/j.clbc.2017.07.012 Williams, M., Ng, M., & Ashworth, M. (2018). What is the incidence of inadvertent hypothermia in elderly hip fracture patients, and is it thus associated with increased readmissions and mortality? Journal of Orthopaedics, 15 (2), 624–629. https://doi.org/10.1016/j.jor.2018.05.020

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