Managing and caring for a patient with a complicated wound.
The patient discussed in this care study is a 91-year-old woman admitted to hospital from her own home. She presented with reduced mobility, constipation, increased confusion and reduced oral intake. Her history included small vessel disease and a stroke. On admissions she also had a number of grade two pressure ulcers on her buttocks. The surrounding skin appeared macerated and the patient complained of pain when the skin was cleaned after she was incontinent of both urine and faeces. It was expected that the wound would be fast healing, as it was superficial, but the healing rate proved otherwise. This article will focus on incontinence management as well as ways of aiding in healing a pressure ulcer where skin is macerated and the patient has many risk factors.
Stalick
Liora
L
Royal Free Hospital NHS Trust, Staff Education and Development Centre, London.
D000368:Aged; D000369:Aged, 80 and over; D001458:Bandages; D004282:Documentation; D005242:Fecal Incontinence / Q000150:complications / Q000517:prevention & control; D005260:Female; D006801:Humans; D009730:Nursing Assessment; D009737:Nursing Records; D010781:Photography; D003668:Pressure Ulcer / Q000209:etiology / Q000451:nursing*; D012307:Risk Factors; D017592:Skin Care / Q000379:methods / Q000451:nursing*; D020521:Stroke / Q000150:complications; D014549:Urinary Incontinence / Q000150:complications / Q000517:prevention & control; D014945:Wound Healing