Potential Clinical Problems and Clinical Questions for Massage Therapy in Treating Pressure Injuries

This report analyzes potential clinical problems related to massage therapy for pressure injuries and includes clinical questions based on the PICOT framework. It discusses the impact of pressure injuries on the body, the effectiveness of massage therapy in treating pressure injuries, and different types of massage therapies available. The report also explains the PICOT framework and its importance in evidence-based practices.

Clinical governance
and practice
development

Contents
INTRODUCTION.......................................................................................................................................3
MAIN BODY..............................................................................................................................................3
Potential clinical problems......................................................................................................................3
Clinical questions....................................................................................................................................4
CONCLUSION...........................................................................................................................................5
REFERENCES............................................................................................................................................6

INTRODUCTION
A pressure injury is considered as situation when force is applied on the specific surface
of the skin. The respective force may be determined as constant pressure on particular skin area
or their will be dragging forces among the skin as well as another surface (Mercer and Walker,
2006). The respective type of injuries are generally happen on the bony parts of body such as
heels, tailbone, head, ankles, elbows and so on. It can be recover by adopting several methods
such as message therapy, air bed, standard mattresses and many more. The aim of developing
this report is to conduct analysis based on the potential clinical problems related to massage
therapy as well as it also include clinical question based on the PICOT framework.
MAIN BODY
Potential clinical problems
As per the perspective of Qinhong Zhang, Zhongren Sun and Jinhuan Yue, 2020,
pressure injuries is also known as pressure ulcers and pressure sores which is generally caused
by having constant pressure or friction. It will generally impact on the movement of a person as
they not able to move or feel pain while moving the body parts by themselves (Massage therapy
for preventing pressure ulcers. 2020). This will generally take place at the bony parts of the body
such as heels, hips, head, buttocks and many more. Prolonged pressure at these areas of body
leads to the poor or improper circulation of the blood, leads to cell death, skin breakdown,
development of open wound. The respective types of injuries generally take long time for
healing as well as it is also essential for a person to take care that specific injuries will not
increase. In this case message therapy is effective for the treatment because that help in relaxing
the muscles and curing it from the pressure injuries. Message therapy is determine as treatment
practice in which a parts of body are being manipulated and move as well as provide pressure on
it properly so that person feel relax. In respective therapy the blood volume in the area infected
due to pressure injuries get increase as well as it will also improve the tissue suppleness (Jeong
and et.al. 2006). It also reduce the swelling which occur due to the accumulation of oedema or
fluid as well as it also boost the immune system of a person. In addition to this, according to
some studies it is determined as message may also help in preventing the development of a

pressure injuries in an individual who are at the risk of the developing it (Rubin and et.al. 2003).
This audit researched whether knead treatment is powerful when given alone, or as a major
aspect of a bundle of care, to forestall the advancement of weight ulcers. The audit creators were
keen on rub treatment contrasted and trick (imagine) rub, or contrasted and standard
consideration for anticipation of weight ulcers (that is uncommon sleeping pads, ordinary turning
and decrease of weight on the stationary patient). In order to cure pressure injury a person may
opt from numbers of massage options such as Swedish massage which is based on Western
concept of the physiology as well as anatomy (Kim and et.al. 2006). It is generally work on the
meridians which are in the Chinese massage system. The next types of massage for the pressure
injuries is Chinese massage which is also known as Tui na as well as it is believed that it is
originated in past around 2700 BC. It is generally considered as practices which include
acupressure and acupuncture by using different Chinese medical herbs (Gerrish and Mawson, S.
2005). In addition to this there is several other therapy of massage which a person can go for in
order to treat pressure injuries so it is essential for person to select most appropriate massage for
their treatment successfully.
Clinical questions
PICOT is considered as framework or method used by medical or nursing professional in
order to develop proper questionnaire which will be asked from the patient. This is generally
used to formulate the questions in an evidence based practices. PICOT framework of questions
will include aspects like population/ patient problem, intervention, comparison, outcome and
time (Ladios-Martin and et.al. 2020). In respect of nursing or healthcare industry professional
adopt respective framework because this will help on evaluating effectiveness of evidences
which is selected by professional person in order to treat their patient successfully. In addition to
this PICOT is determined as mnemonic device which is generally adopted by nursing related
person as that help in remember components of the effective focused clinical questions (Elmallah
and et.al. 2016). This framework is generally adopted at the first stage of the EBP (Evidence
based practices) in order to assess as well as ask when the researching for formulating a
searchable questions of clinical which aid in developing key terms. In respect of respective
report, project manager adopt PICOT standard or format because that will help in determining
effective evidences or information related to pressure injuries as well as how it can be cure by
message therapy. As through it medical or nursing professional able to know about its patients as

well as they also able to determine the proper plan in respect of patient situation as well as it also
help in determining the alternative plan for the treatment in effective manner. In addition to this,
it will also help in determining the outcome which professional person as well as its client is
looking for that must be related to the curing form pressure injuries by massage therapy (Campo-
Arias, Herazo and Cogollo, 2010). Moreover it also help in determining the proper time
framework which is required to resolve medical issues of person in effective manner.
CONCLUSION
By analyzing above discussed points it can be summarized that for pressure injury may
take place any time or anywhere. This will generally occur at the bony parts of body like
tailbone, head, ankles, heels and so on. Pressure injury may take place due to anything as well as
it can be recover by several methods such as message therapy, electromagnetic therapy,
hyperbaric oxygen therapy, adopting air beds, standard mattress and so on. So when a person
experience pressure injuries they may select method of recovery accordingly so that recover
quickly and effectively.

REFERENCES
Books and Journals
Campo-Arias, A., Herazo, E., & Cogollo, Z. (2010). Homofobia em estudantes de
enfermagem. Revista da Escola de Enfermagem da USP. 44(3). 839-843.
Elmallah, R. K. & et.al. (2016). New and common perioperative pain management techniques in
total knee arthroplasty. The journal of knee surgery. 29(02). 169-178.
Gerrish, K., & Mawson, S. (2005). Research, audit, practice development and service evaluation:
Implications for research and clinical governance. Practice Development in Health
Care. 4(1). 33-39.
Jeong, S. O. & et.al. (2006). Park CS. Korean J Women Health Nurs. 12(2). 106-114.
Kim, C. J. & et.al. (2006). Email: hryoo@ ajou. ac. kr. J Korean Acad Nurs, 36(4), 596-603.
Ladios-Martin, M. & et.al. (2020). Predictive Modeling of Pressure Injury Risk in Patients
Admitted to an Intensive Care Unit. American Journal of Critical Care. 29(4). e70-e80.
Mercer, R. and Walker, L., A review of nursing interventions to foster becoming a mother. J
Obstet Neonatal Nurs. (2006); 35 (5): 568-82.
Rubin, G. & et.al. (2003). Errors in general practice: development of an error classification and
pilot study of a method for detecting errors. BMJ Quality & Safety. 12(6). 443-447.
Online
Massage therapy for preventing pressure ulcers. 2020. [Online]. Available through:<
https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD010518.pub2/full>.