Scenario1…

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Question Answered step-by-step Scenario 1Ms. Margaret Cartwright is a 76-year-old female who has been admitted to the Geriatric Evaluation andManagement (GEM) ward for the treatment of her stage III pressure injury on sacrum along with theassessment and planning with her health and social conditions.Her pressure injury appears as in the image 1 below. Some of the assessment outcomes include: Size,10cm x 8cm; Exudate, large amount and serous and there is no undermining/tunnel. Dressing ischanged and the wound is assessed every morning at 10am. Dressing product currently used is a lightlyabsorbent product and tapes and always saturated with exudate at 10am. Exudate is mostly absorbedby the incontinence pad.Image (1): (Caddell 2020)Margaret generally lives alone. Her daughter lives 40 mins away from her house. According to herdaughter’s description, her ability to perform ADL declined drastically for the past month and has becomealmost immobile for the last 2 weeks and spent a lot of time in bed sitting up whenever she visitedMargaret.Her daughter is concerned about Margaret’s psychological status as Margaret used to like seeing her friend for amorning tea but she has not done that for a few weeks by saying “I don’t want to be smelly or in pain while seeingmy friends”.Due to her frail state, she has been ambulating with 4 wheely frames. She has become incontinent of urine due tothe mobility issue. She wears an incontinence pad. Margaret refuses care and states,”I don’t even have energy to eat food. I am not that hungry. My bottom is sore, and I don’t want to move either”.Past Medical HistoryCongestive cardiac failure, Hyperlipidaemia, COPD, T2DM, Anaemia of chronic disease, Malnutrition, OP,anxiety, MDDMedicationAtorvastatin 40mg 1800, Gliclazide 40mg Daily, Metoprolol 50mg Daily, Sertraline 100mg DailyDiclofenac 75mg TDS, Diazepam 2.5mg TDS, Seretide MDI 250/25 1 inh Daily, Arginine 120ml BD Zincand castor oil top TDS, Calcium 1 tab Daily, Vitamin D 1 cap Daily, Ferro-tab 67.5mg DailyQ11. Identify a minimum of five (5) healthcare professionals who can assist in decision-makingfor Ms. Cartwright’s wound care management in the hospital care setting.Ans.Q12. Provide a response to the following:a.           Describe the pathophysiological process and factors associated with Ms. Cartwright’spressure injury.b.           Identify two (2) principles of prevention and treatment for her pressure injury.Q13. In accordance with wound management strategies, create an individualised woundmanagement plan to address Ms. Cartwright’s actual problems that you identified in Question 10 above and meet her comfort needs such as pain relief. Provide the evaluation processes for eachintervention.Q14. Identify five (5) things you will educate Ms. Cartwright and her daughter about managingthe current wound condition and preventing from developing a pressure injury in the future.Q15. Provide two (2) examples of how a healthcare organisation can meet criteria to achieve the Preventingand Managing Pressure Injuries Standard in NSQHS Standards. To answer Health Science Science Nursing NURS 1002 Share QuestionEmailCopy link Comments (0)

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