Ericka Pan is a very thin 80-year-old woman who is in the hospital after fracturing her hip. Her hip was surgically repaired four days ago, but her recovery is slower than usual because of her overall fragile health and some post-surgery confusion. One of her nursing diagnoses is self-care deficits related to weakness, pain, alteration in cognitive functioning, and impaired mobility. Her nursing orders (NIC) include self-care assistance: bathing/hygiene/toileting.
Pls respond to each question with a minimum of 3 sentences each question.
What facts and principles do you already know about the causes of pressure injury?
Do you have enough information to provide interventions for Mrs. Peterson’s actual impaired skin integrity? If not, what do you still need to find out?
What do you know about positioning clients? How would you explain to the UAP how to position Mrs. Peterson “to prevent further pressure on her sacrum”?
What reassessments would you make to evaluate Mrs. Peterson’s skin integrity problem? When evaluating the diagnosis of self-care deficit, what reassessments would you make? Who can or should evaluate the issues identified? How often, or when, would you reassess?
What is one problem not described in the scenario that might arise?
