Miami Dade College Pressure Ulcers and Associated Risks Case Study

After completing the activities in this chapter, you will be able to:

• Describe the etiology of pressure ulcers.
• Discuss the implications and relevance of pressure ulcers.
• Classify pressure ulcers using the staging system.
• Identify key components of pressure ulcer prevention and management.
• List the components of assessment of skin and wounds.
• Identify interventions for pressure ulcer prevention and management.
• Describe critical factors in wound management.
• Describe a care plan for potentially impaired skin integrity.

Instructions:

1. Read the Case Study 18-1 in Chapter 18 of the textbook.
2. PeterDouglas is a 77-year-old nursing home resident with congestive heartfailure and insulin-dependent diabetes mellitus. He is alert andoriented times three and needs maximum assistance with all mobilityneeds. He was recently admitted to the nursing home after a 6-weekhospitalization for pneumonia and congestive heart failure. When he wasadmitted to the nursing home, the nurse admitting Mr. Douglas documentedthat he had a pressure ulcer on his sacrum. She described this pressureulcer as measuring 3 cm by 5 cm by 0 cm. The wound bed presented with100% yellow necrotic tissue, a moderate amount of drainage, and a foulodor. He was underweight, and his albumin level was 2. He was admittedto the nursing home for physical therapy to provide a program to improvestrength, balance, and mobility after his long hospital stay. Anutritional consult and a wound consult were ordered by thephysician.Answer the following questions:
3. 1. What factors put Mr. Douglas at greater risk of developing pressure ulcers?
   2. What factors would delay wound healing for this patient?
   3. What stage would you classify this wound?
   4. What are the signs and symptoms of an active infection in a wound?
   5. What products would you use for this type of wound?
   6. If handled correctly, do you feel like this wound would heal completely?
4. Your paper should be:
   • One (1) page or more.
   • Use factual information from the textbook and/or appropriate articles and websites.
   • Cite your sources – type references according to the APA Style Guide.