Pressure Ulcers: Issue Bullet Points

Definition of the Problem

Patient’s immobility results in strain ulcers
The treatment eliminates health and financial complications
Need to consider ulcers improvement cases
Elaboration of methods to help individuals
Strain ulcers in the critical department

Note: Ulcers result from patients’ immobility and lead to specific complications.

Scientific and Mathematical Analytical Perspective

Evaluation of healthcare services and complications
Patients’ protection against pathogens and microorganisms
Impossibility to eliminate the risks
Accompanying anatomical, economic, and physiological issues
Investigation of statistical information and management

Note: This condition’s statistics add to the necessity to examine it.

Background

High chances of acquiring strain ulcers
Lack of mobility during the recovery
23% of patients in long-range rehabilitation (Ning et al., 2017)
40% of individuals in intensive care (Ning et al., 2017)
60,000 cases of ulcers a year (Ning et al., 2017)

Note: Risk groups consist of patients in long-rehabilitation and intensive care.

Anatomical Issues

Type of lesion characterized by destruction
Skin and underlying tissues are affected
Pain and bleeding as the main symptoms
Necrosis improvement and harm to cells
Should be treated to avoid complications

Note: Anatomical characteristics of ulcers include destruction with pain and bleeding.

Physiological Issues

Presence of uneasy thoughts in individuals
Resulting from continued stress of patients
Deformation stemmed from specific psychological issues
The connection between psychology and physical manifestation
Need for an individualized treatment approach

Note: The psychological underpinning of the matter relates to patients’ stress.

Economic Issues

The result from the lack of treatment
Expensive pharmacological interventions for broken cells
The principal economic problem in healthcare
Nine to eleven billion dollars a year (Meddings et al., 2015, p. 1407)
Includes cash investment and treatment costs

Note: Economic problems are treatment costs and the need for investment.

Management of HAPUs

Improved therapy results and technological innovation
Prevention and timely delivery of care
Decrease in costs of healthcare services
40% of patients in risk groups (Averill et al., 2017, p. 553)
Focus on educating critical department specialists

Note: Proper management primarily addresses the economic implications of the examined condition.

Ethical and Cultural Perspectives of Inquiry

Specialists fail to foresee the outcome
Probability of future interventions for patients
Prevention for individuals in risk groups
Need to consider treatment’s cultural implications
The importance of the ethical perspective

Note: Specialists need to focus on culture and their actions’ ethics.

Questions for Evaluation

Analysis of cultural and ethical perspectives
Three main questions to be answered
Sort of treatment suitable for protection
Honest theories applicable to the intervention
Cultural norms applicable to pressure ulcers

Note: The study aims at suggesting improvements in prevention and treatment.

The Approach of Scholars

Participation of nurses and other stakeholders
Previous definition, theoretical training, and practice
Harm for skin by unchanged strain
This outcome is avoidable through interventions
Need to discover new treatment methods

Note: Scholars highlight the need for interventions for the ulcers’ treatment.

Inquiry Details

Analyze the new technologies for the treatment
Consider their application in clinic environments
Develop multifunctional prevention plans for nurses
Include personal characteristics in the analysis
Protect health costs and reduce damage

Note: New technological solutions and prevention plans seem to be efficient.

Ethical Perspective: Theories for Application

Promote nurses’ knowledge regarding required interventions
Two honest theories were used for consideration
Need for integrity in making decisions
Need for empathy in providing care (Welsh, 2014)
Values of virtue and therapy’s ethics

Note: Ethics consists of the decision-making process and application of empathy.

Cultural Perspective: Cultural Norms and Values

Cultural awareness and sensitivity of issues
Information about their attitudes and family
Effective provision of culturally associated information (Van Dijke et al, 2019)
Consider gender inequalities, relationships, and traditions
Need for information about patients’ lifestyles

Note: Cultural specificities of patients should be considered for better results.

Conclusion

Pressure ulcers affect patients’ treatment outcomes
Investments made to eliminate this problem
Complications of specialists’ work by ulcers
Care decreases the number of patients
Need to save costs of treatment

Note: Prevention and treatment methods and investment schemes should be improved.

Recommendations

Find better methods for ulcers’ treatment
Learn to predict and control complications
Focus on the emergency room patients
Emphasize the nurses’ role in the treatment
Abide by ethical and cultural guidelines

Note: Improvements include predictions and the roles of patients and nurses.

References

Averill, R. F., Hughes, J. S., Fuller, R. L., & Goldfield, N. I. (2017). Quality improvement initiatives need rigorous evaluation: The case of pressure ulcers. American Journal of Medical Quality, 32(5), 552-555.

Meddings, J., Reichert, H., Rogers, M. A., Hofer, T. P., McMahon Jr, L. F., & Grazier, K. L. (2015). Under pressure: Financial effect of the hospital‐acquired conditions initiative–a statewide analysis of pressure ulcer development and payment. Journal of the American Geriatrics Society, 63(7), 1407-1412. Web.

Ning, M., Ren, M., Fan, Q., & Zhang, L. (2017). Mechanism design of a robotic chair/bed system for bedridden aged. Advances in Mechanical Engineering, 9(3), 1407-1412.

Van Dijke, J., van Nistelrooij, I., Bos, P., & Duyndam, J. (2019). Care ethics: An ethics of empathy? Nursing Ethics, 26(5), 1282-1291.

Welsh, L. (2014). Ethical issues and accountability in pressure ulcer prevention. Nursing Standard, 29(8), 56-63. Web.

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