Wound Care Certificate for Remote Settings - Lesson 2B: Pressure Injuries, Case Example, and Assessments

Instructions: Please watch the following recorded lecture and video, complete the individual exercise and respond to the question posted below.


Pressure Injuries

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Case Study Interaction

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Discussion Questions

What is the frequency of assessment at your practice?

Reflecting on your practice, list three examples of changes that may require reassessment (in short bullet point).

Instructions: You must post your responses in the comments section below before the next live lesson. The instructor will review your comments and have a debrief discussion at the start of the next live session. The comments section will not be moderated otherwise.

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11 comments on “Wound Care Certificate for Remote Settings - Lesson 2B: Pressure Injuries, Case Example, and Assessments

  1. Three changes that would prompt a reassessment in my workplace could include:
    - change in mental status, nutrition, continence, etc. change in substance use
    - hospital discharged to home
    - change in medication such as a diuretic, or addition of an antibiotic

  2. In my practice, three changes that would require reassessment could be:
    -change in nutrition or body mass
    -significant life change (ie move to LTC, loss of spouse, change in activity level during pandemic)
    -change in mobility status

  3. Three changes that would prompt a reassessment in my workplace could include:
    - sobriety->intoxication (change in mental status, nutrition, continence, etc.)
    - hospital discharged to home (different bed, different repositioning assistance, different access to nursing care)
    - change in medication (addition of benzos or a diuretic)

  4. Ongoing assessment of our client's is imperative to ensure the care that we are providing are addressing current needs and concerns.
    -Some changes that may required reassessment is change in cognition They may not be able to voice their pain or discomfort the same as they could before
    -Change in mobility, they may not be able to easily move or reposition themselves, their nutritional intake could have changed.
    -Change of health status- for example a new diagnosis of cancer, new medications, new CHF diagnosis. Medications can impact a client's skin integrity, its turgor, its frailty, or even the vascularity. A new diagnosis such as CHF may indicate increasing edema, maybe a catheter has been inserted, these can all impact a client.

  5. 1.incontinence d/t increased diuretics
    2.new onset lower leg edema causing decreased mobility
    3.new pressure injury from sitting in recliner chair most of day (decreased mobility)

  6. Reassessment indicated with change in:

    - cognition/mental status/mobility/mood

    - change such as increased exudate and other signs and symptoms of infection or no improvement in wound.

    - change with appetite, level of thirst, nutritional status, continence

  7. Three examples that would require reassessment include changes in cognition, nutritional status, and mobility. These changes, and subsequent reassessment results, will most likely lead to amendments in care plans.

  8. Three examples of changes that may require r/a include: 1) wound changes from stage 3 to stage 2 (interventions may include: i) r/a frequency of dressing change; ii) type of dressing change; iii) update care plan with note to r/a in one to two week's time. 2) Change in PPS: For example, a r/a in nutritional level, mobility, skin condition, level of function and cognition will guide clinical practice in subcategories of intervention; 3) Client's mobility decreases and client is spending less time ambulating and more time in recliner: i) r/a skin condition/pressure areas; ii) level of nutrition and hydration; iii) level of function and proportion of time spend sitting vs. mobilizing; iv) cognitive/mental status; v) level of continence -able to mobilize to BR or requiring briefs?

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