Nursing Process Relating To Pressure Ulcers

Assessment

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Subjective Data
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Health History:
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Stroke
Spinal cord injury
Prolonged bed rest
Immobility
Circulation impairment
Altered level of consciousness
Advanced age
Diabetes
Anemia
Trauma

Functional Health Patterns:
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Nutrition-metabolic - Obesity, emaciation, fluid and dietary intake
Elimination - Incontinence
Activity-exercise - Usual daily activities
Cognitive-perceptual - Pain in ulcer area or altered sensation in pressure ulcer area

Objective Data
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General:
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Fever

Integumentary:
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Diaphoresis
Edema
Redness
Staging of the wound

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