Mr K, 76 years, old male, has a past history of a healed left leg venous ulcer which has left pigmentation from scarring, AF, HT, T2DM, obesity, COPD and depression. He has been on metformin, metoprolol, prednisolone and warfarin

Mr K, 76 years, old male, has a past history of a healed left leg venous ulcer which has left pigmentation from scarring, AF, HT, T2DM, obesity, COPD and depression. He has been on metformin, metoprolol, prednisolone and warfarin.

Mr K is a heavy smoker (two packets of cigarettes per day) and lives alone. His wife, who was the main carer of Mr K passed away six months ago, which impacted  Mr K psychosocially. Mr K has been admitted to the orthopaedic ward following a left total hip replacement six days ago.

His surgical wound looked swollen, red, and hot to touch and inflamed with a moderate amount of greenish ooze alongside the suture line. He has a bellovac drain in situ,with nil output for last 24 hours. During this admission, Mr K developed pressure ulcer on his left heel, and it has been deteriorated to stage III.

Wound characteristics of the pressure ulcer: Small amount of yellowish and odorous discharge from the wound bed and slight maceration to edge, surrounding skin appears red, but there is no undermining noted. Wound bed has areas of 20% devitalised tissue and 80% of granulation tissue.

You are required to provide a holistic assessment (physical, psychosocial and wound assessment) for Mr K based on the information provided above.