Preview

nursing teaching plan for decubitis ulcer

Good Essays
Open Document
Open Document
1145 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
nursing teaching plan for decubitis ulcer
Teaching Strategies Plan for Decubitus Ulcer
For Nursing Assistant/UAP
Winward Ganu
NU 2530
July 23, 2014

Learning Needs/ Topics
Diagnosis

Risk Factors

Available Resources

Learning Objectives

Teaching Strategies
Implementation/Rationale

Evaluation

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



References: Ackley, B.J., Ladwig, G. B (2011) Nursing Diagnostic Handbook (9th Ed) St. Louis Potter, P. A., Perry, A. G., Stockert, P.A., & hall, A.M. (2013) Fundamentals of Nursing (8thEd) St. Louis, MO Mosby Inc Preventing Pressure Ulcers. Nursing Assistant Education (2014). Retrieved from http://www.nursingassistanteducation.com/site/courses/eng/nae-pup-eng.php

You May Also Find These Documents Helpful

  • Good Essays

    Not being gentle with clients and if you don’t use the correct moving techniques by moving a client the skin can sheer and damage the underlying skin which then can cause pressure sores. Putting too much pressure on certain areas can cause severe bruising to the skin.…

    • 1371 Words
    • 6 Pages
    Good Essays
  • Good Essays

    Nvq3 Unit 4222

    • 999 Words
    • 4 Pages

    2. The parts of the body most at risk of developing pressure ulcers are in direct contact with a supporting surface, such as a bed or a wheelchair. These might be:…

    • 999 Words
    • 4 Pages
    Good Essays
  • Good Essays

    Unit 229 4

    • 633 Words
    • 2 Pages

    1.3 identify factors which might put an individual at risk of skin breakdown and pressure sores.…

    • 633 Words
    • 2 Pages
    Good Essays
  • Satisfactory Essays

    STAGE 4 - Pressure sores progress, with extensive damage to deeper tissues (muscles, tendons and bones). Serious complications, such as osteomyelitis (infection of the bone) or sepsis (infection carried through the blood) can occur.…

    • 293 Words
    • 1 Page
    Satisfactory Essays
  • Better Essays

    Identify factors which might put an individual at risk of skin breakdown and pressure sores…

    • 1044 Words
    • 4 Pages
    Better Essays
  • Good Essays

    Mattress and Service User

    • 1192 Words
    • 5 Pages

    Identify factors which might put an individual at risk of skin breakdown and pressure sores…

    • 1192 Words
    • 5 Pages
    Good Essays
  • Good Essays

    Pressure Area Care

    • 1008 Words
    • 5 Pages

    Factors which might put an individual at risk of pressure sores are Reduced mobility or Immobility, Acute illness, Sensory impairment, Level of consciousness, Poor nutrition, Poor vascularity, Anaemia, Extremes of age, Weight, Drugs, Infection, Severe, Chronic or Terminal illness, Dehydration and a previous history of Pressure ulcer damage.…

    • 1008 Words
    • 5 Pages
    Good Essays
  • Powerful Essays

    1.3 Factors which might put an individual at risk of skin breakdown and pressure sores are reduced mobility or immobility, acute illness, sensory impairment, level of consciousness, poor nutrition, poor vascularity, anemia, extreme of age, weight, drugs or medication, severe infection, chronic or terminal illness, dehydration and a previous history of pressure ulcer damage, and continence.…

    • 1827 Words
    • 8 Pages
    Powerful Essays
  • Good Essays

    Dashboard Analysis Paper

    • 691 Words
    • 3 Pages

    The area of performance improvement indicator selected from the dashboard, was patients with acquired pressure ulcers in quarter one for year 2010. The target for this quarter was set at 0.00. The Performance improvement indicator of patients with acquired pressure ulcers relates to patients that have acquired a pressure ulcer during their hospitalization. The actual percentage with patients who acquired pressure ulcers was 4.35. The national mean average was set at 6.15 percent. I selected the area of patient’s with acquired pressure ulcers because pressure ulcers cause patients to have longer hospital stays; they increase the mortality rates inpatient. Pressure ulcers also drive health care costs up every year. Pressure ulcers that have been acquired during patient hospitalization are considered a never event. In 2008, the Centers for Medicare and Medicaid Services…

    • 691 Words
    • 3 Pages
    Good Essays
  • Good Essays

    In their article published in the June, 2012 issue of Critical Care Nurse, authors Estilo, Angeles, Perez, Hernadez, and Valdez discuss the issue of pressure ulcers on patients in intensive care units. These patients are high risk for pressure ulcers for several reasons. They usually are unable to turn themselves from back to side to relieve pressure on bony areas of the back such as the tailbone. If caregivers do not turn the patient properly, friction and shearing can occur which can lead to pressure ulcers. Medications could interfere with circulation that supplies oxygen to the skin to keep it healthy. Most patients lose weight while in intensive care, causing bones to be more prominent. Failure of caretakers to keep patients clean and dry from incontinence can also contribute to pressure ulcers.…

    • 417 Words
    • 2 Pages
    Good Essays
  • Powerful Essays

    For the purposes of this assignment, the patients name will be referred to as Mr S. Mr S was admitted from a care home onto our ward as a bed bound patient with a grade four sacral pressure sore which was severely bleeding and at high risk of infection. NHS Choices (2012) shows that this grading is the most severe type of pressure sore. The skin was severely damaged and the surrounding tissue beginning to die (tissue necrosis). The underlying muscles or bone may also be damaged. Pressure sores are a serious problem in health care systems. They cause pain and suffering and can lead to infection, and if not prevented or managed effectively can result in fatality. Nazarko (2005) Current research shows that Pressure sores are a common and often underrated health problem. Focus on disability (2012) estimates in the UK that between 4%-10% of all patients admitted to hospital will form at least one pressure sore. For elderly people with mobility problems, the figure can be as high as 70%. Pressure sores are an area of localized injury to the skin and underlying…

    • 1978 Words
    • 6 Pages
    Powerful Essays
  • Satisfactory Essays

    Pressure ulcers commonly perceived in terms of location and the depth of the location and the deepness of the wound. As we know that pressure ulcers are occur when a person does not move around often. There are a lot of common areas where pressure ulcers develops such as elbow, lower back and the buttocks, hip , inner knees and heels. Figure 1 below will provide further understanding:…

    • 160 Words
    • 1 Page
    Satisfactory Essays
  • Good Essays

    Therefore, identification is the most current best practice recommendation. The most common tool used for identifying patients at risk for developing pressure ulcers is the Braden Scale. However, “quantification of the relationship between Braden Scale score and nursing interventions indicates the need for a more comprehensive and fundamental approach” (JAN, 2010). The Braden Scale is divided into six categories: sensory perception, moisture, activity, mobility, nutrition, and friction and shear. A score of 18 or less indicates that the patient is at risk for pressure ulcers. The rationale for these recommendations is that identifying a patient upon admission for being at risk allows the nurse to begin a prevention plan as soon as identified. The nurse needs to implement interventions to prevent the formation of a pressure ulcer. If the practice of identification upon admission is not followed, prevention is delayed and pressure ulcer formation begins. This causes the patient unnecessary pain, increases their risk for infection, and extends the hospital stay. Pressure ulcers are easier to prevent than to…

    • 636 Words
    • 3 Pages
    Good Essays
  • Good Essays

    Integrity vs Despair

    • 457 Words
    • 2 Pages

    Physical: My patient was in excellent overall physical condition considering his age. Aging adults, especially the very old, are vulnerable to skin breakdown. Pressure ulcers are due to impaired circulation. My patient had a reddened area on his elbow and he said it was from getting in and out of bed and pushing his self up with his elbows.…

    • 457 Words
    • 2 Pages
    Good Essays
  • Powerful Essays

    Reflection-Leg Ulcers

    • 2209 Words
    • 9 Pages

    de Laat, E.H. et al (2005) Pressure ulcers: diagnostics and interventions aimed at wound-related complaints: a review of the literature. Journal of Clinical Nursing; 14: 4, 464-472.…

    • 2209 Words
    • 9 Pages
    Powerful Essays