Associated problem one
Due to Beryl not being very mobile, having a poor diet and being incontinent she is at risk of developing pressure ulcers. A pressure ulcer is the localised injury to the skin or underlying tissue usually over a bony prominence as a result of pressure (Delves-Yates, Everett & Wright, 2015). All patients regardless of age are potentially at risk of pressure ulcers (Myers, 2014). There are around 410,000 people who develop pressure ulcers a year which costs the NHS £1.8-£2.6 billion annually (Posnett & Frank, 2008).
During the initial assessment, the nurse collected information regarding the integrity of Beryl’s skin such as; skin diseases, previous bruising, usual wound healing and any skin lesions. The nurse then examined …show more content…
When a patient is admitted to hospital, screening for the risk malnutrition should be undertaken within the first twenty-four hours of admission, and then on a continual basis (Malavolta & Mocchegiani, 2016). Beryl’s nutritional needs were first assessed using a physical and psychological assessment. The physical assessment involved finding out about any history of recent weight loss, whether Beryl had any dentures and if they fitted properly and if she could feed herself. The psychological assessment involved assessing her cognitive abilities to see if she had any impairments that may hinder her getting the nutrition that she needs. Additionally, her medical status was considered as she has had a stroke which could have affected her ability to swallow food. The main assessment tool used to assess Beryl was the Malnutritional Universal Screening Tool (MUST) (Bapen, 2003). This tool is recommended by the National Institute for Health and Clinical Excellence (2014) and the British Association of Parenteral and Enteral Nutrition (2003). They recommend this as it has proved to be a valid reliable and suitable tool for use in all healthcare settings, and it can be used as a self-assessment tool (Peate, Wild & Nair, 2014). MUST is the first step in identifying patients who may be at risk of malnutrition. It is a five-step assessment tool that calculates the patient’s risk score and therefore their level of malnutrition risk (Koizer, Erb, Berman, Shirlee, Harvey & Morgan-Samuel, 2012). Beryl’s MUST score was four which means she falls under the high-risk category. In addition to this tool; Beryl was asked questions on her diet to which she gave off the impression that she wants to lose weight. Beryl was then referred to a dietician and speech and language therapist (SALT). The
Due to Beryl not being very mobile, having a poor diet and being incontinent she is at risk of developing pressure ulcers. A pressure ulcer is the localised injury to the skin or underlying tissue usually over a bony prominence as a result of pressure (Delves-Yates, Everett & Wright, 2015). All patients regardless of age are potentially at risk of pressure ulcers (Myers, 2014). There are around 410,000 people who develop pressure ulcers a year which costs the NHS £1.8-£2.6 billion annually (Posnett & Frank, 2008).
During the initial assessment, the nurse collected information regarding the integrity of Beryl’s skin such as; skin diseases, previous bruising, usual wound healing and any skin lesions. The nurse then examined …show more content…
When a patient is admitted to hospital, screening for the risk malnutrition should be undertaken within the first twenty-four hours of admission, and then on a continual basis (Malavolta & Mocchegiani, 2016). Beryl’s nutritional needs were first assessed using a physical and psychological assessment. The physical assessment involved finding out about any history of recent weight loss, whether Beryl had any dentures and if they fitted properly and if she could feed herself. The psychological assessment involved assessing her cognitive abilities to see if she had any impairments that may hinder her getting the nutrition that she needs. Additionally, her medical status was considered as she has had a stroke which could have affected her ability to swallow food. The main assessment tool used to assess Beryl was the Malnutritional Universal Screening Tool (MUST) (Bapen, 2003). This tool is recommended by the National Institute for Health and Clinical Excellence (2014) and the British Association of Parenteral and Enteral Nutrition (2003). They recommend this as it has proved to be a valid reliable and suitable tool for use in all healthcare settings, and it can be used as a self-assessment tool (Peate, Wild & Nair, 2014). MUST is the first step in identifying patients who may be at risk of malnutrition. It is a five-step assessment tool that calculates the patient’s risk score and therefore their level of malnutrition risk (Koizer, Erb, Berman, Shirlee, Harvey & Morgan-Samuel, 2012). Beryl’s MUST score was four which means she falls under the high-risk category. In addition to this tool; Beryl was asked questions on her diet to which she gave off the impression that she wants to lose weight. Beryl was then referred to a dietician and speech and language therapist (SALT). The