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    NCP Bed Sores

    Uploaded by

    She Calli
    The nursing care plan addresses a patient with a stage 2 pressure ulcer and risk of infection. The plan includes goals to reduce pressure on the ulcer, promote healing within a week, and help the patient gain weight. Interventions include repositioning, a low-air loss mattress, cleaning and dressing the wound, managing pain, and collaborating on a high-protein diet. The plan will be evaluated based on reductions in wound size and signs of healing over time.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    NCP Bed Sores

    Uploaded by

    She Calli
    165 views3 pages
    The nursing care plan addresses a patient with a stage 2 pressure ulcer and risk of infection. The plan includes goals to reduce pressure on the ulcer, promote healing within a week, and help the patient gain weight. Interventions include repositioning, a low-air loss mattress, cleaning and dressing the wound, managing pain, and collaborating on a high-protein diet. The plan will be evaluated based on reductions in wound size and signs of healing over time.

    Original Description:

    Nursing Care Plan for Pressure Ulcer

    Original Title

    NCP BED SORES

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    The nursing care plan addresses a patient with a stage 2 pressure ulcer and risk of infection. The plan includes goals to reduce pressure on the ulcer, promote healing within a week, and help the patient gain weight. Interventions include repositioning, a low-air loss mattress, cleaning and dressing the wound, managing pain, and collaborating on a high-protein diet. The plan will be evaluated based on reductions in wound size and signs of healing over time.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    165 views3 pages

    NCP Bed Sores

    Uploaded by

    She Calli
    The nursing care plan addresses a patient with a stage 2 pressure ulcer and risk of infection. The plan includes goals to reduce pressure on the ulcer, promote healing within a week, and help the patient gain weight. Interventions include repositioning, a low-air loss mattress, cleaning and dressing the wound, managing pain, and collaborating on a high-protein diet. The plan will be evaluated based on reductions in wound size and signs of healing over time.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 3

    HIGUIT, Jerieley Janzzen H.

    NUR 221A

    NURSING CARE PLAN FOR PRESSURE ULCER (BED SORES)

    ASSESSMENT NURSING PLANNING IMPLEMENTATION RATIONALE EVALUATION


    DIAGNOSIS
    Subjective: Risk for infection Goal: Describe procedure Helps to lessen the The client’s wound
    He was unable to eat Pressure will be steps. client’s anxiety. measures to be 1x1
    and lost more than 20 Imbalance nutrition: reduced to the sacral inch with serous
    lbs over the last 2 less than body area, and the Post and follow a Pressure is drainage and red
    months. requirements wound will show turning schedule. redistributed during color. The tissue type
    movement toward repositioning. improved and the
    He complains that his Acute or chronic pain healing in a week. wound size was
    bottom hurt from Obtain a low-air-loss Reduces the strain on reduced.
    lying in bed. Impaired physical The client will be overlay, and place it the bony prominences
    mobility able to eat a over the patient’s by redistributing it. The skin underlying
    Objective: nutritious meal that mattress. around the wound is
    Impaired skin
    Admitted due to would help in wound intact upon
    integrity
    pneumonia and healing and weight Clean the wound and Eliminate waste and palpation. There is
    pressure ulcer. Risk for impaired gain. the skin around the old drainage from the no advancement of
    skin integrity wound, dry the wound area to stop ulcer and tissue
    Has a history of Mrs. Ahmed is to be periwound after. additional skin damage.
    coronary artery Ineffective taught dressing deterioration or
    bypass surgery. peripheral tissue application. wound advancement. The client denies any
    perfusion new sensation at the
    Has hypertension and Expected outcomes: Assess pain and, if Precise pain affected area.
    type 2 DM. Impaired tissue Wound will decrease necessary, give assessment is required
    integrity in diameter in 7 analgesics such that before proceeding to a The wound
    Ulcer is at stage 2, 1x2 days. their greatest effects step in a procedure as demonstrates
    inch and 1/8 inch deep happen when you it will lessen the progress towards
    partial thickness client’s compliance. healing and there
    wound in the sacral No evidence of change client’s were no other sites
    area. further wound clothes. of nonblanchable
    formation will be erythema.
    No necrotic tissue is noted in 3 days. Administer analgesic Pain relievers like
    present medications 30 to 60 analgesic help Mrs. Ahmed
    The client is able to minutes before improve the client’s performed the
    Wound bed has red gain weight. dressing changes. physical and mental proper dressing
    moist tissue functions. application and
    Mrs. Ahmed was wound assessment.
    Mr. Ahmed is eating able to perform Apply a hydrocolloid Utilizing a hydrocolloid
    fewer than 1600 proper dressing dressing to the dressing will help a
    calories daily. application. wound. moist wound heal
    while also protecting
    it.

    Collaborate with a Wound healing is


    physician to devise aided by proper
    an appropriate diet. nutrition, including a
    high protein diet,
    more calories, and
    vitamins.

    Develop a teaching A thorough dressing


    plan for Mrs. Ahmed application is required
    to let her perform an at home because it
    acceptable return offers the best
    demonstration of conditions for wound
    dressing application. healing while guarding
    the wound against
    microbial infection
    and additional
    damage.
    Devise a care plan A continuous care is
    for when Mr. Ahmed given at home to
    is discharge and is unsure Mr. Ahmed’s
    receiving care at improvement.
    home.

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