ScenarioMs. Margaret Cartwright is a 76-year-old female who has been admitted to the Geriatric Evaluation and Management ward for the treatment of her stage III pressure injury on sacrum along with the assessment and planning with her health and social conditions.Her pressure injury assessment outcomes include: Size, 10 cm x 8 cm; Exudate, large amount and serous and there is no undermining/tunnel. Dressing is changed and the wound is assessed every morning at 10 am. Dressing product currently used is a lightly absorbent product and tapes and always saturated with exudate at 10 am. Exudate is mostly absorbed by the incontinence pad.Margaret generally lives alone. Her daughter lives 40 mins away from her house. According to her daughter?s description, her ability to perform ADL declined drastically for the past month and has become almost immobile for the last 2 weeks and spent a lot of time in bed sitting up whenever she visited Margaret.Her daughter is concerned about Margaret?s psychological status as Margaret used to like seeing her friend for a morning tea but she has not done that for a few weeks by saying ?I don?t want to be smelly or in pain while seeing my friends?.Due to her frail state, she has been ambulating with 4 wheely frames. She has become incontinent of urine due to the 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, Sertraline100mg Daily Diclofenac 75mg TDS, Diazepam2.5mg TDS, Seretide MDI 250/25 1 inh Daily, Arginine120ml BD Zinc and castor oil top TDS, Calcium 1 tab Daily, Vitamin D 1 cap Daily, Ferro-tab 67.5mg Daily. Q. Describe the stages of normal wound healing processes that should be expected with Ms. Cartwright and List 2 factors that could impact on her normal wound healing process and briefly explain how they affect the process.Describe the tissue types and characteristics of each that are present in Ms. Cartwright?s wound bed and State the common complications or abnormalities of wounds that you should be aware of when assessing Ms. Cartwright?s wound.State what type of primary dressing product should be chosen to manage Ms. Cartwright?s wound and provide rationale for the selection.Describe briefly how you, as an EN, would update and modify the wound care plan based on the assessment of Ms. Cartwright?s current wound condition; and identify 1 factor caused by the wound that has been affecting Ms. Cartwright?s psychosocial status and her activities of daily living and discuss how it has affected her.Using holistic assessment approaches, identify 4 actual and 2 potential problems affecting Ms. Cartwright?s time frames of wound healing and her comfortable levels; and Identify a minimum of 5 healthcare professionals who can assist in decision-making for Ms. Cartwright?s wound care management in the hospital care setting.Describe the pathophysiological process and factors associated with Ms. Cartwright?s pressure injury and Identify 2 principles of prevention and treatment for her pressure injury.In accordance with wound management strategies, create an individualised wound management plan to address Ms. Cartwright?s actual problems that you identified above and meet her comfort needs such as pain relief.Provide the evaluation processes for each intervention.Identify 5 things you will educate Ms. Cartwright and her daughter about managing the current wound condition and preventing from developing a pressure injury in the future.Provide 2 examples of how a healthcare organisation can meet criteria to achieve the Preventing and Managing Pressure Injuries Standard in NSQHS Standards. Health Science Science Nursing HLT54115 DIPLOMA OF NURSING HLTENN006 Share QuestionEmailCopy link Comments (0)

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