A. Harris- 59 yo male; sacral wound

Tissue Integrity

Diabetes type 2

Psychosocial

Mobility

insulin dependant

Poor diet; frozen meals

risk for wounds d/t poor perfusion

current stress

support system

wife died unexpectedly 6 mo ago

daughters live out of state

lives alone

Diabetic

Open sacral wound

IV access

pain 4/10

ankle injury

needs assistance to bathroom

Fall Risk

Chronic comorbidities

pain

nutrition deficit

decreased activity

2 hr turning necessary

diabetes

hypertension

risk for depression

risk for infection

elevated WBC