Initial Post
In 2016, the National Pressure Ulcer Advisory Panel (NPUAP) revised terms relating to pressure injuries as well as the staging system.
You have been assigned to one of two case scenarios. Read the following articles then craft a response to your assigned patient scenarios as indicated below. Your initial response should include:
Identify the factors that place this patient at risk for pressure injuries?
Identify the stage of the pressure injury and rationale supporting why.
Is this pressure injury hospital-acquired? Why or Why not? Indicate any reporting actions that need to occur and why as well as any impact payment.
Identify two interventions that can be delegated to a UAP to assist with the management of the pressure injury? Be specific regarding what and how you would communicate to the UAP to ensure clear communication and maintain patient safety.
Related Articles
Joint Commission. (2016). Quick Safety 25: Preventing pressure injuries. Download Quick Safety 25: Preventing pressure injuries.
Joint Commission. (2018). Quick Safety 43: Managing medical device-related pressure injuries. Download Quick Safety 43: Managing medical device-related pressure injuries.
Rowe, A. D., McCarty, K., & Huett, A. (2018). Implementation of a Nurse Driven Pathway to Reduce Incidence of Hospital Acquired Pressure Injuries in the Pediatric Intensive Care Setting. (Links to an external site.)
Remember, of the two links below, do only the one associated with the first letter of your last name:
M3.2 Case Study #1 (last name starts with A-L)
M3.2 Case Study #2 (last name starts with M-Z)
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M3.2 Case Study #1 (last name starts with A-L)
A 65-year-old female is admitted to the hospital after suffering a perforated duodenal ulcer and hypovolemic shock. The patient was in significant distress upon arrival to the Emergency Department and required intubation and admission to the intensive care unit (ICU). She has a past medical history significant for uncontrolled diabetes. The patient’s second day in ICU, she remains ventilated and sedated. The oncoming nurse is performing a full patient assessment including a skin assessment. An open area is noted on the patient’s right heel. There is visible adipose, minimal sloughing, and the wound bed is visible. During handoff, it was reported that the skin was intact. Upon review of the original assessment, there is no documentation of open areas on the heel.
