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Mr. Omar Ahmed, a 76-year-old accountant, has come to the hospital again, this time for pneumonia. Before admission, he...

Mr. Omar Ahmed, a 76-year-old accountant, has come to the hospital again, this time for pneumonia. Before admission, he was unable to eat and lost more than 20 lbs over the last 2 months. Three years ago, he had coronary artery bypass surgery. As a precaution, he is placed on telemetry monitoring. He also has hypertension and type 2 diabetes mellitus. His mobility is limited because of weakness. The nursing assessment and finds that Mr. Ahmed was admitted with a pressure ulcer. The ulcer is a stage II, 3cm x 6cm and 1/8-inch deep partial-thickness wound over his sacral area. No necrotic tissue is present, and the wound bed has red moist tissue.

Q: What risk factors does Mr. Ahmed have for pressure ulcer development?

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Solution:-

Hazard factors for weight ulcer development

Impaired tangible perception

Impaired mobility

Alteration in LOC

Shea

Friction

Moisture

Classification of Pressure Ulcers

Scientific Knowledge Base (Cont.)

Wound classificationsProcess of wound healing•Partial-thickness wounds: shallow inside and out, soggy and difficult, and the woundbase by and large shows up red•Full-thickness wounds: stretches out into the subcutaneous layer, and the profundity and

Hypertension, Diabetic, pneumonia again, bypass surgery, weight loss. Can lead to heart attack and stroke

Skin assessment- malnutrition, immobility, I and O, hydration

Infection- sugars rise
DM less healing

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