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Case Study Peter Douglas is a 77-year-old nursing

Case Study Peter Douglas is a 77-year-old nursing home resident with congestive heart failure and insulin-dependent diabetes mellitus. He is alert and oriented times three and needs maximum assistance with all mobility needs. He was recently admitted to the nursing home after a 6-week hospitalization for pneumonia and congestive heart failure. When he was admitted to the nursing home, the nurse admitting Mr. Douglas documented that he had a pressure ulcer on his sacrum. She described this pressure ulcer as measuring 3 cm by 5 cm by 0 cm. The wound bed presented with 100% yellow necrotic tissue, a moderate amount of drainage, and a foul odor. He was underweight and his albumin level was 2. He was admitted to the nursing home for physical therapy to provide a program to improve strength and mobility after his long hospitalization. A nutritional consult and wound consult were ordered by the physician. 1. Analyze what factors put Mr. Douglas at a greater risk for the development of pressure ulcers. 2. Determine what factors would delay wound healing in this patient 3. If you were asked to stage this ulcer, what would you stage it and why. 4. Describe the signs and symptoms of an active infection in the wound and how would you prevent an infection from occurring 5. Assess what products would effective in treating this type of wound and explain why.

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