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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. Q:As you recall the descriptions of the ulcer stages, do you know why Mr. Ahmed’s ulcer is a stage II? Explain.

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Answer #1

PRESSURE ULCER

injury to the skin and tissue and underlying tissue on pressure points due to prolonged pressure.

Risk factors

  • immobility (those with weakness or spinal cord injury)
  • lack of sensory perception(Spinal cord injuries, neurological disorders and other conditions can result in a loss of sensation.)
  • imbalanced nutrition and hydration (enough fluids, calories, protein, vitamins and minerals in daily diet are necessary to prevent the breakdown of tissues and skin
  • disease conditions affecting normal blood flow like diabetes mellitus and vascular diseases
  • old age- as the adipose tissue deposit, get reduced as age increases

in here,

Mr Ahmed has 76 years old his mobility is limited due to weakness

He has type 2 diabetes mellitus and also he lost his weight 20 lbs( approximately 9 kilograms within 2 months) these factors increases the occurrence of pressure ulcer. as he is aged, his sensory perception may be became compromised and presence of diabetes mellitus also increases the chance.because of that, he might become unaware about the pressure ulcer (due to lack of pain on the area), this may precipitate progression of pressure ulcer from stage 1 to 2.

STAGES OF PRESSURE ULCER

stage i

only affects the upper layer of skin.

symptoms

pain, burning, and itching

stage ii

sore become deeper below the surface of the skin

symptoms

broken skin, open wound pus-filled blisters

stage iii

sores have gone into the fat tissue

symptoms

bad odour from the wound necrotised tissue and drainage from the wound

stage iv

may affect muscles and ligaments

symptoms

necrotised, drainage and pus present and can see tendons, muscles and bone

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