please answer these questions above according to the scenario PURPOSE The follow
ID: 127635 • Letter: P
Question
please answer these questions above according to the scenario
PURPOSE The following information is to be used in guiding your preparation and participation in the scenario for this ll provide applicable course outcomes in preparation for your simulation. SCENARIO OVERVIEW: Maria Hernandez is an 80-year-old Hispanic female. She is widowed and lives alone in a senior housing apartment. Her two children live out of state. She spends most days watching television, rarely leaving her apartment. Mrs. Hernandez was admitted for surgical debridement of a non-healing sacral ulcer, which has been present for several months.Explanation / Answer
1. Non-Pharmacological Measures in Pain Management:
Ice therapy: Ice helps to decrease pain and swelling. Cover the ice with towel and place around the wound to decrease the pain.
Relaxation Techniques: Physical exercises, Deep breathing exercises, helps to relieve pain and the stress.
Music therapy: Music diverts the patient's attention from the painful stimulus; provides reality orientation, distraction, and sensory stimulation; and allows for patient self-expression.
2. The complications are rare. But the surgery creates an extensive loss of blood, based on the length of operating and anesthesia time. The common complications are the pain, infection, bleeding, and delayed wound healing.
Thye nurse assesses the vital signs frequently. Continuous assessment of peripheral pulses is essential for the first few days after surgical debridement while edema continues to increase, potentially damaging peripheral nerves and restricting blood flow.
Early signs of infection include increased temperature, increased pulse rate, widened pulse pressure. Other significant and ongoing assessments focus on pain and psychosocial responses, daily weight check, caloric intake, general hydration, hemoglobin and hematocrit levels for excessive bleeding.
3. Nursing Diagnosis:
Risk for impaired skin integrity related to delayed wound healing with factors such as age, poor nutritional status, decreased blood supply to the wound area.
Goal: Improved skin integrity.
Treatment/ Intervention:
Nursing considerations:
Related Questions
Navigate
Integrity-first tutoring: explanations and feedback only — we do not complete graded work. Learn more.