Skin Integrity Ulcer Single-Episode LPN Case Study

Skin Integrity Ulcer Single-Episode LPN Case Study

A 72-year-old man is brought to the Emergency Department due to dehydration and
malnourishment.
The daughter called the ambulance when she arrived at the patient’s home and
found him unable to get
out of bed. After a thorough skin assessment, the nurse observes a wound to the
coccyx area of the
patient with muscle, subcutaneous fat, and bone exposed.
Which findings would the nurse expect to see with this stage of decubitus ulcer?
Select all that apply
1. Undermining
2. Blanching
3. Pain of 10/10
4. Sanguineous drainage
5. Slough
6. Tunneling
7. Foul drainage odor
8. Sutures
What stage of pressure ulcer does this patient have?
What are some interventions we could provide this patient to maintain dignity,
healing, and
prevention of further wounds?
What is some teaching you would provide this patient and why? ( at least 3
things)