Topic 4: Many of you have expressed that you enjoy Dr. Ira Byock’s book. Reflect on two of the stories we have read. What did you learn from them? How can these stories guide us in communicating about death and in affirming the worth and dignity of those who are dying? (Think about the title and why the book is called “Dying Well.”)
Blog
A 58-year old patient who has had type 1 diabetes for 20+ ye…
A 58-year old patient who has had type 1 diabetes for 20+ year’s duration is admitted with bilateral, lower leg venous ulcerations, an ABI two years ago was 1.4. The admitting orders include application of a multi-layer compression wrap. Before applying the wrap, the wound care specialist should:
The advantage of a myelocutaneous flap for a sacral pressure…
The advantage of a myelocutaneous flap for a sacral pressure injury on a patient with paraplegia is that
A patient with diabetic neuropathy has an ulcer on the plant…
A patient with diabetic neuropathy has an ulcer on the plantar surface of the foot. After 15 weeks of proper care, the wound is healed. Which of the following should the nurse include in the teaching plan?
Mr. Simms has dependent rubor and elevation pallor of her ri…
Mr. Simms has dependent rubor and elevation pallor of her right lower extremity. The systolic pressure in his R. arm is 120 mmHg; L arm is 110 mmHg, R. dorsal pedis systolic pressure was 100 mmHg and the posterior tibial pressure was 95 mmHg. What is Mr. Simms ABI for the RLE?
Your patient has a Stage 4 pressure injury that is healing….
Your patient has a Stage 4 pressure injury that is healing. According to the WOCN® Position Statement on staging healing pressure injuries, how would you describe this wound in the chart:
A patient arrives in the outpatient clinic with a lower leg…
A patient arrives in the outpatient clinic with a lower leg lesion that is extremely painful, highly exudative and has blue-tinged (i.e. violaceous) ragged wound edges. These characteristics are typical of:
Which of the following tests will provide an indication of t…
Which of the following tests will provide an indication of the valve function in the veins of the lower leg?
Mr. Simpson has a BMI >40 and is admitted for R. side hemipl…
Mr. Simpson has a BMI >40 and is admitted for R. side hemiplegia due to a stroke. Considering Mr. Simpson pressure prevention redistribution needs, which of the following would be most appropriate?
Of the following, which support surface is most appropriate…
Of the following, which support surface is most appropriate for a patient on bedrest with paralysis, urinary incontinence and a 6×6 cm Stage 4 sacral pressure injury?