Diabetic Ulcer Case Study

Due to the burden and impact of pressure ulcer development on both the individual and the health service, it is accepted practice that risk assessment should be undertaken on

Pressure injuries are staged to indicate the extent of tissue damage and or the level of improvement.

Pressure ulcers remain a major health problem for many years. However, pressure ulcers have received minimal attention when we talk about patient safety issues. It is no doubt a patient safety issue as it can lead to serious damage such as life-threatening infections (Robyn). On a med/surge unit, individuals may experience long or short hospital stays depending on the situation. For the short stays, the focus of care is often on maximizing regaining activities of daily living and assessment and education regarding pressure ulcers is often minimal or non-existent (RNAO). What we fail to realize is that every patient who is at risk needs to be assessed and educated regarding pressure ulcers and the harm it can cause. During the hospital stay, patients may have limited movement and the pressure ulcers can extend into the muscle, tendon, and bone (RNAO). In many cases, patients do not notice the formation of an ulcer and as it may be in areas that are not as visible such as the coccyx. On a unit where there is short staffing, it is more vital to remember to assess for pressure ulcers and prevent the formation of an ulcer. Often, patients are admitted with the presence of a stage one or two pressure ulcer, whether it was from home or long-term care. In that case, patient education need to take place and teachings should be reinforced regarding the prevention of new pressure ulcers forming. Clients should also receive education regarding how to prevent

Williams, 1992 states that pressure ulcer occurs where there is poor level of nursing care for a long term basis but it is also found with hospitals that offer severe care. We know that a sore healing needs conditions of dietary aspects and it can be reversed. There have been several studies made

The father decided to do the biopsy and they took her back. Studdert removed an inch long ellipse of skin and tissue stretching from the top of the foot to the tendon. Then, he removed some of the muscles at the center of the redness. Both samples were sent to the pathology department where a dermatopathologist had later confirmed their suspicions. When she was taken into surgery, the destruction was obvious and they had questioned the need for an AKA or BKA. However, they decided to trust their guts again and did a debridement and flushed out the muscles. Two hours later, she was transported to another hospital and put in a hyperbaric oxygen chamber for two hours to boost muscle repair. The following day, she was taken back into surgery to remove more of the infected muscle and they decided to increase the oxygen treatment to twice a day for two hours. Twelve days later, she was released from the hospital bacteria free. A patch of skin, about sixty-four-square-inches, had been removed from her thigh and used as a skin

The purpose of this paper is to acknowledge pressure ulcers, including what a pressure ulcer is and what it should look like in each stage of progression. Furthermore, it should educate the reader on how a pressure ulcer is formed. After reading this paper you should see the importance of preventing pressure ulcers altogether. Through review of various peer reviewed articles, as well as credible internet sources, information will be gathered to show statistics of pressure ulcers in the elderly as well as the contributing factors of this problem. There are solid ways to prevent elderly patients from getting pressure ulcers.

Eschar or slough may be existing. This phase regularly incorporates undermining and burrowing. The profundity of this pressure ulcer differs by anatomical area. The framework of the nose, ear, occiput and malleolus do not have fat tissue and these ulcers can be shallow. The fourth phase ulcers can stretch out into muscle and supporting structures making osteomyelitis or osteitis prone to happen. Uncovered bone and muscle is

Stage 2- The skin breaks open, which usually wears away or form an ulcer. It also becomes tender and painful.

A decubitus ulcer, (more commonly known as a bed sore or a pressure sore) is an open wound that forms on the skin that covers bone. Most decubitus ulcers appear on the ankles, back, hips, and butt. This ulcer is common with those people who are wheelchair bound, elderly and remain seated or still for a long period of time or are unable to move parts of their body without assistance. This is condition is treatable and has high recovery rates if diagnosed properly.

These are usually caused by fatty plaque build-up on the arteries, or atherosclerosis. They can also be caused by peripheral artery disease. A small wound or scratch may not heal because of the low blood supply in the area. Cholesterol, which narrow and harden the arteries, resulting in poor circulation. These ulcers are mostly found in the ankle or distal digits. These wounds are very painful.

A decubitus ulcer is a technical term for what is commonly known as bedsores or pressure sores as well. Therefore, a decubitus ulcer is a sore developed by an invalid because of pressure caused by lying in bed in one position. The sores are an injury to the skin and underlying tissue. It can range from mild reddening of the skin to severe tissue damage and sometimes infection that go as deep as into the muscle and bone.

Pressure ulcers are known by many names, such as decubitus ulcer, bed sores, or pressure sores to name a few.

Clinical manifestations include pain, heaviness, inability to bear weight on the affected leg, with redness, swelling. Patient is also above normal body temperature and early signs of fever, positive for Staphylococcus aureus at the site of the wound with clear signs of progressive infection (high neutrophils and WBC count).

Grade two pressure ulcers can be identified by the damage of the skin. There will be skin

he foot of a diabetic patient has the potential risk of developing complications such as infection, ulceration, and/or destruction of deep tissues associated with neurologic abnormalities, various degrees of peripheral vascular disease, and/or metabolic complications of diabetes in the lower limb. The lifetime risk of a diabetic individual having a foot ulcer could be as high as 25%. As indicated by the International Diabetic Federation in 2005, 85% of diabetes-related amputations in the lower extremity are preceded by a foot ulcer. Diabetic foot ulcers result from the simultaneous action of various contributing causes. The main causes are said to be peripheral neuropathy and ischemia from peripheral vascular disease. The gold standard for