Patient was instructed on pressure ulcer also called decubitus or bed sore. A pressure ulcer is the results of damage caused by pressure over time causing an ischemia of underlying structures. Bony prominences are the most common sites and causes.
Instructed patient about some signs and symptoms of pressure ulcers, such as, skin tissue that feels firm or boggy, local redness, warmth, tenderness or swelling.
Skilled Nurse to educate on S/S of wound deterioration or infection such as: increase pain on wound site, swelling, temperature, and discharge.
Instructed patient all bed-bound and chair-bound persons, or those whose ability to reposition is impaired, to be at risk for pressure ulcers.
Instructed patient reposition bed-bound persons at least every two hours and chair-bound persons every hour consistent with overall goals of care.
Instructed caregiver reduce friction by making sure when lifting a patient in bed that they are lifted, not dragged during repositioning, prevent ulcers from occurring and can also help them from getting worse .
SN instructed patient on wound care. The patient should be sure to have a well-balanced diet. This include protein, vitamins and iron. Note: using a blender or chopping food does not change the nutritional value of the food.
Instructed patient check the wound for increased redness, swelling, or a bad odor. Patient should pay attention to the color and amount of drainage from your wound. Look for drainage that has become darker or thicker.
Instructed patient keep pressure off your ulcer, especially if it’s on your foot. This may mean you need to use crutches, special footwear, a brace, or other devices. Reducing pressure and irritation helps ulcers heal faster.
Instructed patient in position and reposition every hour to prevent skin breakdown.