nursing teaching plan for decubitis ulcer

nursing teaching plan for decubitis ulcer

nursing teaching plan for decubitis ulcer

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1. Impaired skin integrity: stage I or II pressure ulcer.
Related to: physical immobility, mechanical factor (e.g.. friction, pressure,) altered circulation, medication, moisture

2. Impaired Tissue Integrity: stage III or IV
Pressure ulcer
Related to: altered circulation, dehydration, nutritional

3. Imbalanced nutrition: less than body requirement inability to absorb nutrients

4. Risk for infection inadequate primary defenses, (broken skin, traumatized tissue, changes in pH secretions), malnutrition, tissue destruction

5. Acute pain: related to injury agents (physical, biological and psychological

1. Age. The normal aging process changes the skin and the blood circulation. The old person’s skin can be dry and very fragile. It can get irritated; it can break open into a sore and can even tear very easily.

2. Lack of Mobility. Pressure ulcers occur when people are not up walking. They form when a person stays in the bed, chair or wheelchair for a long time.

3. Poor diet. Patients and residents with a poor diet are at risk for pressure ulcers. The skin and other tissue, as well as the rest of the body, does not get the food and nutrition it needs to be healthy and without injury if the diet is not good.

4. Moisture. Patients who are wet are at risk for pressure ulcers. Patients that is incontinent of urine or stool. This softness leads to skin breaks.

5. Mental, neurological and other physical problems. When a patient or resident is confused, very sleepy, they may not turn like other alert patients normally do even when they are sleeping. *Friction and shearing.

6. Friction and shearing. occur when a patients is pulled up in a bed or in the chair. These forces can make the skin irritated. They can cause the skin to break and develop pressure ulcer.

7. Bed sheets and chairs with wrinkled sheets or hard objects. Uneven pressure is created when sheets are wrinkled. This leads to pressure ulcers……………………………..

nursing teaching plan for decubitis ulcer