Question

Scenario: Mercedes Bents is a 56 year old female admitted to the hospital for aggressive treatment of a bone infection that has not responded to usual methods. Her daughter has been taking care of her at home for the past 3 weeks. She stated that the medicines the doctor prescribed made her mother feel sick to her stomach and occasionally made her vomit. She says her mom spent most of her day in bed and has no energy to get up to eat or wash. Ms. Bentz is 5 feet 4 inches tall and weighs more than 300 pounds. During the nursing assessment, she says, "last time I was here, my skin got really irritated and I developed several skin wounds." 1. What nursing intervention would be appropriate to prevent skin irritations and the development of pressure ulcers for Ms. Bentz? 2. What would be a successful outcome for this patient? 3. What intellectual, technical, interpersonal, and/or ethical/legal competencies are most likely to bring about the desired outcome? 4. What resources might be helpful for Ms. Bentz and her daughter?

Answer 1

1. Nurting intervention: to mobilse the patient once in 2 hours, to inspect skin regularly, healthy diet, to relieve pressure, exercise, reduce Body mass index, to treat skin infection
2. Sucessful outcome:To reduce weight, to cure the bone infections, sucessful mobilisation etc
3. Understanding on the root cause that is obesite with fatigue is the readon for pressure sores. This knowledge will aim to hit the target to bring the desired outcome.
4. Resources on obesite, Osteomyelitis,pressure sores will help the patient. Awarenesd program, councelling will help