Continuing care of Rebecca presented in assessment one, she was admitted to hospital after being involved in an automobile accident four weeks ago. She sustained multiple contusions, superficial grazing and a left fractured femur. A surgical site infection has resulted in a prolonged admission. As the registered nurse caring for Rebecca, you note she has becomes less engaged with her care. You also note skin changes on Rebecca’s coccyx and unaffected heel.
In essay format, outline your care of Rebecca focusing on your understanding of pressure injuries within the context of holistic care. Include in your discussion:
Risk factors for pressure injuries including preventative nursing measures that can be undertaken.
The stages of pressure injuries and their assessment. Include information about management of each stage of pressure injury.
Consider in your responses, a holistic approach to Rebecca acknowledging culture, diagnoses, medications and other factors you may consider important. Explicit description of wound products is not required.
Previous case Rebecca
• Mrs Rebecca Brown is a 70 year old indigenous woman experiencing a venous leg ulcer on the inner aspect of the right lower leg. Her husband lives in the dementia unit of a nearby nursing home, so effectively she lives alone.
• Rebecca has smoked five (5) cigarettes a day, long term. She no longer cooks and her only social contact is meals on wheels who visit daily as well as her daughter Jenni who visits once a week.
• A diagnosis of advanced rheumatoid arthritis (RA) has resulted in Rebecca being unable to drive. She is now reliant on the local bus service which stops outside her home. The bus takes her to the local shopping centre, where her doctor is also located.
Her medications are paracetamol which Rebecca takes regularly for pain relief and Adalimumab (Humira), a steroid prescribed to manage her RA.
The images below may assist you in understanding the client from a holistic perspective and for wound assessment [you do not need to refer to them in your essay].
2000 words/double line spacing/ Arial 12 font
Reference list APA minimum 20 (including 7 peer reviewed journal articles) published within the last 5 years.
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