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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.

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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.


  • 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.

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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.


  • 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.

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  • 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.


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. Web.

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. Web.

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

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

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