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