Description
Diabetic Foot Disease
HQS505-24823
Evidenced-Based Research and Quality Assurance
Module: 4
110 points
G230001302
Abdullatif Mohammed Asiri
February 15, 2024
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Diabetic Foot Disease
Overview
One of the main manifestations of diabetes mellitus is diabetic foot disease. The
problems of the foot, such as neuropathy ulcers, infections, and deformities, become its
essential features (Andrianaki et al., 2020). For people with diabetes, it brings up the risk of
suffering from different health issues. DFD is a complex health problem that involves several
areas. Among them are peripheral neuropathy, peripheral artery disease, diminished
immunity, and foot biomechanics abnormality (Goh et al., 2020). It is crucial to raise
awareness of the inciting factors, risk factors, avoidance options, and treatment of Diabetic
foot ulcers. It provides on-time decision-making by physicians and enhances patients’ quality
of life.
Long-term blood glucose elevations result in diabetic foot disease as the principal
etiology. Thus, these result in disrupted circulation and nerve injuries to the feet (Leibovitch
et al., 2021). Neuritis takes away the feeling in the legs. Individuals reduce their awareness of
sores or injuries where the pressure points are situated. Since peripheral arterial disease
reduces the amount of blood to the feet, the body’s normal response to combating infection
and healing wounds is negatively affected. In addition to smoking and glucose level
management problems, there are additional risk factors for diabetic foot disease (Li et al.,
2020). The presence of a history of foot ulcers or amputations, as well as inappropriate
footwear, is another crucial factor for developing the disease.
Like diminishing intensity and stages of disease, diabetic foot disease presents with
different symptoms, too. Some are paresthesia, peripheral neuropathy, foot ulcers, redness,
swelling, and drainage. This may become infected, leading to gangrene or other serious
problems such as cellulitis or osteomyelitis (bone infection). This could require amputation
(Li et al., 2022). Finally, Charcot neuroarthropathy is more prone to take place in those who
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already suffer from diabetic foot disorder. This disease is characterized by abnormalities of
the bones and joints caused by the development of nerve injury.
Regulation of blood sugar levels and forefoot care practices are needed to avoid the
consequences of diabetic foot disease. Clinic guests should wear snug, comfortable shoes and
check their feet daily for injuries. In addition, they must ensure they take their medications on
time and eat a healthy diet with an appropriate glycemic response (Zhou et al., 2021). In
addition, quitting smoking and doing daily physical activities are the best ways to make blood
travel effectively. If the doctor examines the patient’s feet during the routine checkup, he can
find anything wrong with the feet in the early stages.
The objectives of diabetic foot disease treatment entail treating the underlying causes
and successful wound healing (Reaney et al., 2022). Also, the goal of the project is to prevent
amputations and infections. It could involve removing corrupted tissue and using orthopedic
devices or tailor-made footwear to take the stress off ulcers. Furthermore, the process
includes angioplasty and atherectomy for revascularization to increase blood flow and
antibiotics for infections, as well as resection surgery or amputation as a last resort. Experts
with various specialties communicate to provide an integrated care solution. This is where
every patient’s unique requirement is considered (Wang & Zhang, 2022). The medical
professionals in this group also include podiatrists, endocrinologists, vascular surgeons,
infectious disease specialists, and wound care nurses.
One diabetic foot complication that can deteriorate the patient’s health is diabetic foot
ulcers. Its characteristics are burning, tingling, numbness, sensation loss, infections, and
patient’s syndrome. However, this can cause severe problems such as gangrene and
amputation of the lower limb if not treated (Seng et al., 2022). Limited occurrence of diabetic
foot conditions and their consequences can only be achieved by investing in preventive
approaches such as good foot care, glucose patients, and regular medical tests. In this respect,
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timely diagnosis and quick treatment impact the proper management of diabetic foot disease
and patients’ movement and autonomy (Uçkay et al., 2021). For diabetic foot disease patients,
integrated strategies requiring multi-field care providers are needed to provide comprehensive
care and good results.
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Ethical Decision-Making in Healthcare
Name
Institutional Affiliation
Date
2
Ethical Decision-Making in Healthcare
Overview
The process of making ethical decisions in the healthcare industry is complex and
influenced by several variables, such as patient autonomy, cultural norms, and the moral
conundrums that confront medical personnel (Liu et al., 2022). Several academic publications
clarify various facets of ethical decision-making in the healthcare industry, aiding in the
knowledge of this intricate subject.
Patients’ autonomy and preferences in medical decision-making are essential
considerations in ethical decision-making in the healthcare industry (Morley et al., 2020).
Studies show that patients’ fundamental personal values, which can change throughout age
groups, are strongly associated with their desire for autonomy (Everett et al., 2021). Research
has indicated that whereas elderly patients may cherish autonomy to preserve their sense of
self and independence, younger patients frequently want autonomy to challenge conventional
norms and demonstrate individuality (Ewuoso et al., 2021). Medical personnel can improve
patient care results by developing therapeutic alliances and customizing communication
tactics with patients of varying ages by having a better understanding of these motives.
In addition, ethical decision-making in healthcare considers social values and
preferences in addition to patient autonomy (Clark & Virani, 2021). One study looks at how
Dutch society feels about government policies related to COVID-19. It shows different
viewpoints on trade-offs between health outcomes and other societal effects, like school
disruptions and the economy (Gerritsen et al., 2022). The results emphasize how crucial it is
to consider a broad range of policy outcomes and have open lines of communication with the
public to match policies with social values and preferences successfully.
Furthermore, resolving moral conflicts and problems confronting healthcare
practitioners is common in ethical decisions. Moral distress is a common worry among
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healthcare practitioners (Čartolovni et al., 2021). It is defined as psychological suffering
brought on by experiencing ethically challenging situations. Nonetheless, conceptual
ambiguity in this field of study has frequently arisen, sparking discussions concerning its
significance and definition. A study aims to clarify moral distress and its connection to
fundamental human values by examining critical care nurses’ experiences (Olchowska-Kotala
et al., 2023). The findings underscore the need for treatments to address and ameliorate moral
distress among healthcare workers by indicating that moral discomfort can result from
various moral occurrences, including ambiguity, conflict, and difficulties.
Additionally, weighing conflicting ethical duties and principles, including
beneficence, nonmaleficence, fairness, and autonomy, is necessary while making moral
decisions in the healthcare industry (De Benedictis et al., 2020). Healthcare workers
frequently encounter moral conundrums in which following one morality may contradict
another, making decision-making difficult. Giving patients access to private information, for
example, may respect the autonomy principle but may also violate the principle of
nonmaleficence if doing so puts patients in danger of damage (Naruka et al., 2023).
Healthcare workers can make morally acceptable decisions that promote patient well-being
while upholding ethical standards by being aware of the subtleties of these ethical problems
and using ethical frameworks.
In conclusion, moral quandaries, ethical principles, patient autonomy, and societal
values all play a role in the complicated and dynamic process of making ethical decisions in
the healthcare industry. Through applying theoretical frameworks and empirical research,
healthcare practitioners can investigate these characteristics to negotiate morally complex
circumstances, promote patient-centered care, and maintain ethical standards in clinical
practice.
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References
Čartolovni, A., Stolt, M., Scott, P. A., & Suhonen, R. (2021). Moral injury in healthcare
professionals: A scoping review and discussion. Nursing ethics, 28(5), 590-602.
Clark, B. A., & Virani, A. (2021). This wasn’ta split-second decision”: An empirical ethical
analysis of transgender youth capacity, rights, and authority to consent to hormone
therapy. Journal of Bioethical Inquiry, 18, 151-164.
De Benedictis, A., Lettieri, E., Gastaldi, L., Masella, C., Urgu, A., & Tartaglini, D. (2020).
Electronic Medical Records implementation in hospital: An empirical investigation of
individual and organizational determinants. PloS one, 15(6), e0234108.
Everett, J. A., Maslen, H., Nussberger, A. M., Bringedal, B., Wilkinson, D., & Savulescu, J.
(2021). An empirical bioethical examination of Norwegian and British doctors’ views
of responsibility and (de) prioritization in healthcare. Bioethics, 35(9), 932946.
Ewuoso, C., Hall, S., & Dierickx, K. (2021). How do healthcare professionals respond to
ethical challenges regarding information management? A review of empirical
studies. Global Bioethics, 32(1), 67-84.
Gerritse, K., Martens, C., Bremmer, M. A., Kreukels, B. P., de Boer, F., & Molewijk, B. C.
(2022). Sharing decisions amid uncertainties: a qualitative interview study of
healthcare professionals’ ethical challenges and norms regarding decision-making in
gender-affirming medical care. BMC Medical Ethics, 23(1), 1-17.
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Liu, J., Liu, L., Tu, Y., Li, S., & Li, Z. (2022). Multi-stage Internet public opinion risk
grading analysis of public health emergencies: An empirical study on Microblog in
COVID-19. Information Processing & Management, 59(1), 102796.
Morley, G., Bradbury-Jones, C., & Ives, J. (2020). What is ‘moral distress’ in nursing? A
feminist empirical bioethics study. Nursing Ethics, 27(5), 1297-1314.
Naruka, S. S., Sharma, A. K., & Pahwa, M. S. (2023). Identification of Business Ethics
Variables in Healthcare Functioning An Empirical Analysis of Responses of
Healthcare Professionals in Rajasthan. Parikalpana KIIT Journal of
Management, 19(1), 124-137.
Olchowska-Kotala, A., Strządała, A., & Barański, J. (2023). Patients’ Values and Desire for
Autonomy: An Empirical Study from Poland. Journal of Bioethical Inquiry, 1-11.
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Research on Antibiotic Use Among Children in Healthcare
Name of Student
Institutional Affiliation
Course
Date
2
Research on Antibiotic Use Among Children in Healthcare
Introduction
An increasingly significant topic in the medical field is the investigation into the use
of antibiotics in pediatric patients. This research area delves into the prescribing practices,
usage trends, and outcomes associated with administering antibiotics to children. I selected
this subject due to its profound impact on pediatric healthcare, public health, and the broader
medical sphere. It is imperative to grasp the proper management of antibiotics as they are
frequently administered to children, and their misuse or overuse can contribute to antibiotic
resistance, a pressing global health concern (Bezruk et al., 2023). Consequently, this area of
inquiry plays a vital role in enhancing evidence-based practices and promoting pediatric
antibiotic stewardship.
Overview
The investigation into the usage of antibiotics among children impacts various
stakeholders, encompassing the young patients themselves and their families. The findings of
the research exert both direct and indirect influences on treatment efficacy and healthcare
standards. Blackburn et al. (2021) highlight its repercussions on the overall well-being of
children and their caregivers. Furthermore, it significantly affects healthcare practitioners
involved in pediatric care. Through this study, they can discern optimal antibiotics, dosages,
and therapeutic approaches, thereby enhancing the quality of care they deliver to their
patients.
This study holds significant potential for enhancing public health. According to Blaser
et al. (2021), a crucial initial step in addressing the escalating issue of antibiotic resistance
worldwide involves gaining insight into antibiotic usage among children. The insights
gleaned from this research can contribute to the formulation of policies and regulations aimed
at curbing the overuse of antibiotics, thus aiding in the prevention of the proliferation of
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antibiotic-resistant bacteria. Additionally, as noted by Vieira Filho et al. (2023), hospitals and
healthcare systems stand to benefit from this research through reduced healthcare costs and
mitigation of the challenges associated with inappropriate or excessive antibiotic utilization.
Despite the evident significance of studies regarding antibiotic consumption among
children in healthcare, there exist several ethical and legal considerations that necessitate
attention (Willems et al., 2021). When engaging in research involving pediatric patients,
obtaining informed consent from the patient’s parents or legal guardians stands as the
foremost ethical obligation (Lampi et al., 2020). It is crucial that these individuals are fully
apprised of both the potential drawbacks and advantages of the situation. Additionally, strict
adherence to privacy and data protection regulations is imperative during the collection and
analysis of patient data. According to Luo et al. (2023), researchers bear the responsibility of
safeguarding the confidentiality of patients’ private medical information. Moreover,
researchers are tasked with striking a balance between ethical guidelines that prohibit harm
and the potential benefits of enhanced antibiotic utilization (Nepal et al., 2023). This entails
mitigating the risks faced by children and ensuring they receive appropriate care.
The ongoing and future research in this field holds significant potential across various
applications. Recent studies indicate that improvements in antibiotic stewardship systems
within healthcare settings, including hospitals, can greatly aid physicians in selecting the
most suitable antibiotics and ensuring their optimal usage (Silfwerbrand et al., 2019).
Evidence-based research can lead to the development of guidelines for administering
antibiotics to pediatric patients, thereby standardizing procedures and enhancing the quality
of care provided. Moreover, continuous education and training initiatives for healthcare
professionals, integrating research findings, have the potential to enhance their ability to
assess antibiotics effectively (Wei et al., 2022).
Conclusion
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In summary, exploring the use of antibiotics in pediatric care is an important and
complex subject. It impacts various parties such as healthcare systems, providers, families,
and child caregivers. This research offers potential benefits including enhancing pediatric
patient care, reducing costs, and enhancing accessibility, all while supporting global efforts
against antibiotic resistance. Nonetheless, it’s crucial to confront the ethical and legal issues
raised by such investigations.
References
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HQS505
Module 12: Critical Thinking Assignment
Critical Thinking Assignment: Research Paper (110 Points)
This final Critical Thinking assignment builds on the previous Critical Thinking Assignments
(Modules 2, 4, 10)
You will now write a formal paper on the topic you selected in Module 4. The paper must include the
following elements:
•
•
Title page
Introduction—this should be revised based on the feedback you received for the version you
developed in Module 10.
• Body of the paper that covers the main and subtopics.
• Identify any gaps in the research that you think could be a research topic in the future.
• Conclusion
• References
Your paper should meet the following requirements:
•
Be a maximum of six pages in length, including the introduction, but not including the title or
reference pages.
• Be formatted according to Saudi Electronic University and APA writing guidelines.
• Provide support for your statements with in-text citations from the ten scholarly articles you have
gathered.
The following resources will help you with this assignment:
•
Purdue Online Writing Lab – General Format – scroll down to see the information writing and
formatting Abstracts
• Purdue Online Writing Lab – APA Sample Paper
Review the grading rubric to see how you will be graded for this assignment.
You are strongly encouraged to submit all assignments to the Originality Check prior to submitting them
to your instructor for grading.
CT Assignment Rubric
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