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Posted: October 24th, 2022
Peter Douglas is a 77-year-old nursing home
Read this lesson’s chapters in the textbook to prepare for this discussion.
Geriatric Syndrome problems complicate the health of many elderly adults. In this discussion, you are to read both assigned chapters, and you will be assigned to make an initial post for Malnutrion (ch 17) if your last name begins with an A through L, and you are to make an initial post for Pressure Ulcer (ch 18 if your last name begins with an M through Z. You will then need to follow up with your peers on the opposite topic. For example: last name Santiago will post initially on the Pressure Ulcer discussion, yet follow up on the peers postings for Malnutrition. Follow these guidelines for your assigned chapter:
Pressure Ulcers (Ch 18) Students with last name M through Z)
– Answer questions 1-5 for Case Study 18-1 in the textbook.
CASE STUDY: 18-1
Peter Douglas is a 77-year-old nursing home resident with congestive heart failure and insulin-dependent diabetes mellitus. He is alert and oriented times three and needs maximum assistance with all mobility needs. He was recently admitted to the nursing home after a 6-week hospitalization for pneumonia and congestive heart failure. When he was admitted to the nursing home, the nurse admitting Mr. Douglas documented that he had a pressure ulcer on his sacrum. She described this pressure ulcer as measuring 3 cm by 5 cm by 0 cm. The wound bed presented with 100% yellow necrotic tissue, a moderate amount of drainage, and a foul odor. He was underweight and his albumin level was 2. He was admitted to the nursing home for physical therapy to provide a Hospitalization for pneumonia and congestive heart failure for six weeks. When Mr. Douglas was taken to the nursing home, the nurse who admitted him documented that he had a pressure ulcer on his sacrum. She described the pressure ulcer as 3 cm by 5 cm by 0 cm in size. The wound bed displayed 100% yellow necrotic tissue, considerable drainage, and a terrible odor. He was underweight, with an albumin level of 2. He was admitted to the nursing home for physical therapy in order to provide a better quality of life. program to improve strength, balance, and mobility after his long hospital stay. A nutritional consult and a wound consult were ordered by the physician.
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 on this type of wound?
Use the discussion grading rubric to guide your writing and your responses.
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