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.