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Decubitus Ulcer - Coggle Diagram
Decubitus Ulcer
Patient Education
Shift weight frequently
Relieve pressure
Seat cushions
Mattress
Elevate head
prevents shearing
Keep skin clean/dry
Limit exposure to urine & stool
Inspect skin daily
Healthy diet
Assessment findings
Skin becomes discolored
Red patch/not blanchable
Skin feels warm, spongy, or hard
Pain and itchiness i n affected area
Swelling
Pus like drainage
Interventions
Reduce pressure
Reposition regularly
support surfaces
air mattress
seat cushion
Unbroken skin
Cleanse & pat dry
Open/broken skin
Cleanse w/ saline solution
Debridement
Wound dressing changes
Ensuring good nutrition
Pathophysiology
Prolonged pressure
reduced blood flow to tissue
Fricton
skin rubs against bedding or clothes
Shearing
force generated when the skin is moved against a fixed surface
Medication
Antibiotics
Amoxicillin-potassium clavulanate
Pain Management
Nonsteroidal anti-inflammatory drugs
Ibuprofen
Naproxen sodium
Aleve