Impaired mobility, ALOC, and decreased sensation
Turn Truly Every 1- 2 hours
Shearing and friction
Use a draw sheet
Malnutrition
TPN, Tube Feedings. and oral supplements when ready. Vitamin C, Zinc, Carbs, and protein.
Dehydration
Simple! Keep hydrated
Fecal/Urinary Incontinence
Good pericare. May need a foley or a rectal tube to keep skin clean.
Advanced age
She is lucky she is young
Chronic Conditions
Lucky she is not DIABETIC
Casts, restraints, and tracton devices.
Assess skin under these devices
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The new graduate nurse is caring for a client with a pressure ulcer like the one above. Which of the following statements by the new graduate nurses demonstrates that the nurse understands the proper nursing care for this pressure ulcer?
Studies show that massaging the skin around this pressure ulcer promotes perfusion and healing.
A stage 2 pressure sores needs to be left open to promote healing.
Which of the following help promote tissue healing in pressure ulcers? Select all that apply
Match the description with the stage of the ulcer.
Stage 3
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Stage 1
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Stage 2
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Stage 4
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Unstageable
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