Pressure Ulcers and the Vulnerable Elderly Population

Pressure Ulcers and the Vulnerable Elderly Population

Community needs evaluation is the process of collecting and analyzing public health information using both quantitative and qualitative approaches for a specific population. This discussion will focus on health information about the elderly population with pressure ulcers by concentrating on the public resources available, social health drivers, risk factors, quality of life, as well as how Mary Manning Walsh hospital provides essential services to this population.

Manhattan Borough, New York City

With a promise to give the most astounding quality medical care service to each individual in all the five boroughs in New York City, the NYC Health + Hospitals public healthcare sector is the biggest of its sort in the US (Efraim, 2010). Citizens of Manhattan district get public medical care service from clinics run by NYC. Pressure ulcers (PU) prevalence presents a substantial weight on medical care facilities. Improved therapeutic care and better living conditions have expanded the future of the old populace. Many aging victims experience the ill effects of severe and ceaseless infections, dietary inadequacies, and susceptibility (Issel & Wells, 2017). A major predisposing factor for PU is comorbidities notwithstanding the aging process bringing about idleness. The number of PU victims over the age of 80 years has been increasing due to prolonged life expectancy, leading to higher risk of disability and immobility. Higher mortality rate reported in Manhattan is a result of PU conditions (Barnidge et al., 2013). Another study shows, an average elderly person with stage IV hospital-acquired PU spends an average of $129,248 (Jaul & Menzel, 2014). A review done on repetitive admissions, an average of $124,327 is spent on community-procured PU. The higher appearance of complications and the extended time taken for patients in the facility to heal increases the health cost as the ulcer grade continues to develop. Intricacies, for example, contaminations or osteomyelitis, increase related financial expense altogether. Pressure Ulcers and the Vulnerable Elderly Population

Existing Resources

Some of the available national, regional and local resources found in Manhattan borough to help in battling elderly pressure ulcer are:

Educational institutions

Regional and local community leaders

Federally funded Health Care Centers

Regional Public Health Networks

Local & regional hospitals

Department of Health and Human Services

State & local police departments

Granite State Independent Living

Strengths and weaknesses

A notable shortcoming that may be a hindrance with executing a public wellbeing program on pressure ulcers is the absence of familiarity as well as knowledge with the etiology of the pressure ulcer development, particularly at the community setting. Non-proficient care providers and the primary group have a significant responsibility in prevention. Immobile patients receiving care at home are checked and followed up by nurses and GP to check the underlying signs of the skin to effectively plan proper interventions and medications needed (Issel & Wells, 2017). Occasional training and continuous coherence of training are significant for the primary group, caregiver, and the family. Another shortcoming around community contribution is absent. There is an absence of unity in this community. Strength in the community is improved care delivery on teaching and by avoiding outside pressure, shearing forces, and enhancing the dietary condition of the older just as regard for care and avoiding dampness of the skin.


There is a prospect for community-based associations to make an establishment essential for improving quality medicinal services. The obligation is set on the local setting, such, officials, and public members, to help with building up a productive plan. The possibility to diminish the wellbeing inconsistencies identified with stress-related illnesses is realistic with a focused on project and crafted by the public as a whole. A few vacant structures in the district offer space that could be used to make a counseling therapy unit. The chance to build up an active community wellbeing plan is conceivable. Pressure Ulcers and the Vulnerable Elderly Population



Numerous obstructions can meddle with the fruitful execution of a community wellbeing plan. Perhaps the most significant obstacle for the vulnerable populace in this borough is the geological area. Treatment for pressure ulcers incorporates routine caregiver visits related to regular doses of medicine. Inaccessibility of care means the patient will not receive effective therapy. Availability to treatment centers is frequently restricted; this is highlighted in rural regions. The four other boroughs in NY have numerous therapy hospitals, yet Manhattan has rare treatment offices accessible without traveling.

The local problems are only one boundary. Financial difficulties are likewise a boundary to the effective operation of a public wellbeing program. Empowering nearby organizations, communal associates, as well as regional and local administration cooperates to make a plan that is useful to the public will encourage the accomplishment of the program. Accomplices can improve the accessibility of assets and can bolster and perform central assignments (Efraim, 2010). The lower payment level in rural areas than urban centers contributes to a higher experienced poverty rate that directly affects healthcare service delivery. Pressure Ulcers and the Vulnerable Elderly Population


The higher prevalence of PU among the elderly population has been contributed by the growing number of aging people, as well as coexisting disabilities and comorbidities. Higher immortality and mobilty during hospitalizations is required to prevent this life-threatening ailment. Medical care sectors are feeling the burden of skyrocketing expenses associated with PU management. Awareness and knowledge with preventive perspectives assume a significant function in the counteractive action of PU. Proceeding with instruction with relatives, caregivers, and the therapeutic staff are substantial mechanism employed to counteract and manage PU. Pressure Ulcers and the Vulnerable Elderly Population


Barnidge, E. K., Radvanyi, C., Duggan, K., Motton, F., Wiggs, I., Baker, E. A., & Brownson, R. C. (2013). Understanding and addressing barriers to implementation of environmental and policy interventions to support physical activity and healthy eating in rural communities. The Journal of Rural Health29(1), 97-105.

Efraim, J. A. U. L. (2010). Assessment and management of pressure ulcers in the elderly. Drugs Aging27(4), 311-25.

Issel, L. M., & Wells, R. (2017). Health program planning and evaluation. Jones & Bartlett Learning.

Jaul, E., & Menzel, J. (2014). Pressure ulcers in the elderly, as a public health problem. Journal of General Practice. Pressure Ulcers and the Vulnerable Elderly Population

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