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All Journal Indonesian Journal of Global Health research Babali Nursing Research
Zainudin, Harsah Bahtiar
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Education Health Professions Languange, Linguistic, Communication & Media Nursing Public Health

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Ethical Dilemma in Diabetes Wound Care: A Literature Review Zainudin, Harsah Bahtiar; Susanto, Tantut
Babali Nursing Research Vol 6 No 1 (2025): January
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2025.61455

Abstract

Background: One of the main complications of diabetes is diabetic foot ulcer (DFU), which often requires intensive care and involves collaboration between various disciplines. In managing diabetic foot ulcers, several ethical dilemmas arise regarding autonomy, beneficence, non-maleficence, and justice. This review of the literature aims to examine ethical dilemmas in the care of diabetic wounds. Methods: A literature review was conducted to analyze articles published over the last five years (2019–2024). The analysis involved a detailed review of healthcare workers' ethical dilemmas, particularly nurses, in managing diabetic wounds. Results: Nurses are crucial in addressing ethical dilemmas in diabetic wound care. They must have a comprehensive knowledge of diabetic wounds, including their pathophysiology, complications, and treatment options. Nurses must also have strong decision-making skills, allowing them to analyze situations, weigh various factors, and make appropriate decisions. Furthermore, they must maintain effective relationships with patients and their families. Conclusion: Ethical dilemmas in wound care present complex and multidimensional challenges. Nurses must possess adequate knowledge, skills, and support to navigate these situations effectively. By doing so, they can provide high-quality, dignified care to patients while protecting their well-being.
Dilemmatic of Management of Wound Care of Diabetic for Risk Amputation in Rural Areas: A Case Report Zainudin, Harsah Bahtiar; Sutanto, Tantut; Suhari, Suhari
Indonesian Journal of Global Health Research Vol 7 No 5 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i5.6893

Abstract

Diabetic wounds are one of the most challenging complications faced by individuals with diabetes. These wounds not only pose serious physical threats, such as infection and limb loss, but also cause significant psychological distress. One ethical dilemma commonly encountered in diabetic wound care involves decision-making about treatment options, especially when patients request amputation due to pain or economic burden, while healthcare providers aim to preserve the limb through advanced wound care techniques. This situation requires careful consideration of both medical and ethical aspects to ensure patient-centered care. The objective of wound care in such cases is not only physical healing but also improving the patient’s psychological well-being. When care is holistic and empathetic, patients are more likely to engage in treatment positively and without fear, especially during painful procedures such as dressing changes. This case highlights a 55-year-old man with a 20-year history of uncontrolled diabetes and a chronic, infected wound on his right leg. The patient's initial desire for amputation was addressed through a multidisciplinary approach using the TIME method Tissue management, Inflammation control, Moisture balance, and Epithelial advancement. The structured, ethical, and compassionate care helped the patient reconsider amputation, demonstrating that rural nurses and health teams can resolve ethical dilemmas and support better patient outcomes.
Co-Authors Suhari Suhari Sutanto, Tantut Tantut Susanto