A bed ridden patient with edema in their lower right leg develops a pressure induced skin...

A bed ridden patient with edema in their lower right leg develops a pressure induced skin ulcer in the area of the right heel. EXPLAIN what challenges the body has to overcome to fight the infection, how the body would possibly fight the infection and what would be the probable prognosis and why?

Expert Solution

Pressure induced skin ulcers or bed sores or decubitus ulcers are injuries to skin and underlying tissue resulting from prolonged pressure on the skin . These are usually developed on the bony points of the body due to more pressure like heels buttocks shoulders etc.

Pressure induce skin ulcers are bit challenging to heal because it the most distal part of the body which is too far for blood supply and as we know blood carry all the protective cells to carry to the location of infection.

Its also depends on the state of bed sore if it is heel blisters then don't break them elevate the heel and place the leg on a splint relieve it from pressure further.

If ulcer has broken the skin then use the dressing and gauze to make the clean and moist environment to make favourable for healing and do give antibiotics orally in case infection is found to be more according to the symptoms.

Challenges will be mainly due to the most distal part of body and blood need to travel a long path to reach there in circulation.

They use to heal to normal if there is no history of any other metabolic disorder like diabetes.

This are near the heel is always in more danger to ischemia and infarction or gangere because of less blood supply so they need to be treated very carefully and proper care may heal if no such history is present.

Probable prognosis would be that if there is not history of diabetes then it will heal but it will take time and a proper attention and care. Dressing moist environment antibiotics and smart work can heal it in some time because it a ulcer due to pressure and can be treated if treated on time and carefully.

If associated with diabetes then it would be tough to heal them and or in case of negligence..

Do ask if any doubt.

Sydney Mullin answered 1 year ago

An example of process recording between a nurse and a patient with a right leg DVT...

An example of process recording between a nurse and a patient with a right leg DVT in a hospital, include opened ended quesitions, close ended questions and nonverble communication.

A patient is lying on his right side in bed. When turning the patient, you notice...

A patient is lying on his right side in bed. When turning the patient, you notice reddened skin on his right trochanter. How can you determine if this is a stage I pressure injury? What are some risk factors contributing to pressure injuries?

A 33-year-old male patient visits his primary care physician complaining of right buttock and right leg...

A 33-year-old male patient visits his primary care physician complaining of right buttock and right leg pain with no known injury. He is employed as a long-haul truck driver and is healthy. Upon examination by a neurosurgeon, the patient exhibits normal range of motion except when raising his right leg that causes sharp pain. The surgeon orders an MRI that shows an L4-L5 herniated disc. The patient is scheduled for a lumbar discectomy. 1. Discuss the differences between a laminectomy...

TM, a 57-year-old man, has thrombophlebitis in the right lower leg. IV heparin, 5000 units by...

TM, a 57-year-old man, has thrombophlebitis in the right lower leg. IV heparin, 5000 units by bolus, was given. Following the IV bolus, heparin 5000 units given subQ q6h was prescribed. Other therapeutic means to decrease pain and alleviate swelling and redness were also prescribed. An aPTT test was ordered. 1. Was TM's heparin order within the safe daily dosage range? 2. What are the various methods for administering heparin?

T.M., a 57-year-old man, has thrombophlebitis in the right lower leg. IV heparin, 5000 units by...

T.M., a 57-year-old man, has thrombophlebitis in the right lower leg. IV heparin, 5000 units by bolus, was given. Following the IV bolus, heparin 5000 units given subQ q6h was prescribed. Other therapeutic means to decrease pain and alleviate swelling and redness were also prescribed. How does heparin work and why was it prescribed? What laboratory test(s) would be monitored for patients taking heparin? Explain your answer. Explain the differences between heparin and enoxaparin. Are there advantages to either of...

MN, a 57-year-old man, has thrombophlebitis in the right lower leg. IV heparin, 5000 units by...

MN, a 57-year-old man, has thrombophlebitis in the right lower leg. IV heparin, 5000 units by bolus, was given. Following the IV bolus, heparin 5000 units given subcutaneously every 6 hours was prescribed. An aPTT was ordered. Use the drug cards you created and your textbook to respond to the following questions: Was MN's heparin within the safe daily dosage range? ( answer please) Why was an aPTT ordered( answer please) After 5 days, MN was prescribed warfarin 5 mg...

During the examination of the abdomen a patient experiences right lower quadrant rebound tenderness. The nurse...

During the examination of the abdomen a patient experiences right lower quadrant rebound tenderness. The nurse should do which additional assessment techniques for this patient? -Assess the Murphy's sign -Percuss to assess the organ's size -Assess the Rovsing sign -Test for a fluid wave

Patient: Marilyn Jones Medical Diagnosis: Lower Leg Fracture-Compartment Syndrome Brief Summary: This case presents a post-surgical...

Patient: Marilyn Jones Medical Diagnosis: Lower Leg Fracture-Compartment Syndrome Brief Summary: This case presents a post-surgical patient following an open reduction with internal fixation (ORIF) of a left tibia-fibula fracture. The student will be expected to conduct a basic assessment including a pain scale, recognize complications (compartment syndrome), and intervene appropriately. Marilyn Jones is a 45-year-old female who suffered a left mid-shaft tibia-fibula fracture when she slipped on icy stairs this morning. She was taken to surgery for an open...

TM is a 57 year old male. He has been admitted into the hospital thromobophlebitis in the right lower leg. He was given a IV Heparin 5000 unit bolus.

TM is a 57 year old male. He has been admitted into the hospital thromobophlebitis in the right lower leg. He was given a IV Heparin 5000 unit bolus. Following the IV bolus, heparin 5000 units was given subcutaneously every 6 hours as prescribed. Other therapeutic means to decrease pain and alleviate swelling and redness were prescribed, and a aPTT test was ordered. 1.Was TM's heparing order within the safe daily dosage range? Explain. 2. What are the various methods...

Question