Patient was instructed on skin care. Keep the diabetes under control. Follow the doctor and nurse
Patient was instructed on skin care. Look at the body after washing. Make sure there are no dry, red or sore spots that could become infected.
Patient was instructed on skin care. Treat cuts right away. Wash them with soap and water. Avoid antiseptics, iodine or alcohol to clean cuts, because they are too harsh. It is recommended to put antibiotic cream or ointment on minor cuts.
Patient was instructed on factors that contributes to poor skin integrity, such as, immobilization, poor circulation, moisture, heat, anemia, shearing forces poor nutritional status, etc.
SN instructed patient and caregiver that the key difference between a suspected deep tissue injury (sDTI) and an unstageable pressure ulcer is that sDTI involves intact skin, whereas an unstageable ulcer involves a breakdown into at least the subcutaneous tissue. An unstageable ulcer is covered with necrotic tissue, such as slough or eschar, formed from remnants of the collagen matrix of subcutaneous tissue. So it’s always a full-thickness ulcer either stage III or stage IV.