Question

The Patient with a Stage IV Pressure Ulcer Nursing Diagnosis Nursing Diagnosis Interventions Interventions Positive Outcomes Positive Outcomes Negative Outcomes Negative Outcomes Evaluation Evaluation

Answer 1

Diagnosis The risk for infection related to Extensive destruction of tissue on the back as evidence by pus formation from the site.	Diagnosis Chronic pain related to extensive destruction of tissue on the back as evidence by restlessness, unpleasant facial expression and pain score 7/10
Intervention - Daily clean the wound with an antimicrobial solution in the aseptic method - Debride dead tissue from a wound to promote healing - Administer topical and oral antibiotics	Intervention - Give psychological support and diversional therapy. - Try to cure the root cause - Administer analgesic
Positive outcomes The risk for infection reduced	Positive Outcomes The intensity of pain reduced
Negative outcomes Depper tissues and blood vessels are already affected, Now it's very difficult to heal the wound so, the risk of infection still there.	Negative outcomes Due to extensive and deeper tissue and nerve damage, a complete reduction of pain is impossible.
Evaluation The wound is clean and pus is totally absent due to aseptic dressing and debridement.	Evaluation The patient is now communicating and his facial expression is now normal.