SOLVED111

Mrs. Evelyn Thompson, an 82-year-old woman, was admitted to the hospital with a chief complaint of worsening pain and skin lesions on her sacral and heel areas. Mrs. Thompson had a history of multiple chronic illnesses, including hypertension, osteoarthritis, and diabetes, which had led to peripheral neuropathy. Upon discussing her medical history, Mrs. Thompson revealed that she had been experiencing difficulty moving around independently due to joint pain and muscle stiffness. She also mentioned a decrease in her appetite and unintentional weight loss over the past few months. Mrs. Thompson resides in a long-term care facility, where she receives assistance with daily activities. On examination, Mrs. Thompson appeared frail and expressed discomfort when repositioned. Inspection of her sacral and heel areas revealed pressure ulcers at various stages of development. The sacral ulcer exhibited signs of tissue breakdown, with erythema, edema, and an open wound. Similarly, the heel ulcer presented as a deep, necrotic lesion. Both areas were surrounded by macerated skin. Vital signs, including blood pressure, heart rate, and respiratory rate, were stable. Laboratory investigations showed mild anemia, and a point-of-care glucose test indicated elevated blood sugar levels, consistent with her known history of diabetes. Mrs. Thompson’s care plan involved wound care interventions, including dressing changes, offloading pressure through specialized support surfaces, and optimizing her nutritional status to support tissue healing. Consultation with a multidisciplinary team, including wound care specialists, nutritionists, and physical therapists, was initiated to address the complex nature of her condition. Measures were implemented to manage her diabetes more effectively, and pain management strategies were incorporated to enhance her overall comfort. Given the chronicity of her conditions, long-term care planning focused on prevention strategies for future pressure ulcers, such as regular repositioning, skin inspections, and ongoing education for both Mrs. Thompson and her caregivers. Regular follow-up appointments were scheduled to monitor wound healing progress and adjust the care plan as needed, emphasizing a collaborative and holistic approach to Mrs. Thompson’s overall well-being.
SCIENCE
HEALTH SCIENCE
NURSING
NUR FUNDAMENTA

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