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.