Process information:
Interpret and discriminate
Mrs. Checketts’s paper thin skin is observed. Normal skin varies in thickness from 0.2 to 1.5 mm depending on individual’s age (Estes 2013). As the skin ages, the thickness of the dermis decreases and becomes translucent due to loss of the rete pegs (McCance & Huether 2010), Mrs.Checkett’s thin skin is therefore a normal biological process and an anticipated age related change.
A small pressure injury is noticed on Mrs. Checketts’s coccyx. Pressure ulcers are usually caused by the interruption of blood flow between the skin and the deeper tissue (McCance & Huether 2010). Skin condition (thin, dry, frail), poor nutrition, position, mobility etc. could contribute to pressure ulcer (Costa 2013). …show more content…
Checkett’s coccyx region by being confined to the chair.
Dementia contributes to cognitive deficits such as memory loss. Mrs. Checkett’s odour smell could be caused by impaired memory and poor insight, thereby she could not remember if she has had a shower or washed clothes.
Numerous reasons could result in unsteady gait and impaired balance. It could be associated with the weakness resulted from Mrs. Checkett’s fractured wrist. Dementia is also linked to apraxia (Edward et al. 2014). In the elderly, behavioural, physical and environmental factors are linked to the impaired balance (Terroso et al. 2014). Unwell supported ambulatory aid could lead to unsteady gait and impaired balance. Alternatively, as Mrs. Checkett’s blood pressure is relatively low, for instance, orthostatic hypotension may result in dizziness (Berman, Kozier, & Erb 2015), which might consequently cause fall.
Match and …show more content…
Checketts’s skin lesion on her coccyx will not increase during her respite in two to three weeks’ time and ensure no new skin will breakdown.
Long-term goal: Mrs. Checketts’s pressure injury is healing, the size becomes smaller, and the status of the damaged skin is improving. She is promoted and assisted to achieve healthy skin integrity.
2) Fall prevention
Short-term goal: Mrs. Checketts will not experience fall during each shift. She will be familiar with the new environment by the end of the day. She will be safely using ambulatory aid in two or three days.
Long term goal: Mrs. Checkett will not experience fall during her respite care. She will be educated to increase the awareness of the potential fall risks. She will remain free from falls during the transitional period between her respite and going back
Interpret and discriminate
Mrs. Checketts’s paper thin skin is observed. Normal skin varies in thickness from 0.2 to 1.5 mm depending on individual’s age (Estes 2013). As the skin ages, the thickness of the dermis decreases and becomes translucent due to loss of the rete pegs (McCance & Huether 2010), Mrs.Checkett’s thin skin is therefore a normal biological process and an anticipated age related change.
A small pressure injury is noticed on Mrs. Checketts’s coccyx. Pressure ulcers are usually caused by the interruption of blood flow between the skin and the deeper tissue (McCance & Huether 2010). Skin condition (thin, dry, frail), poor nutrition, position, mobility etc. could contribute to pressure ulcer (Costa 2013). …show more content…
Checkett’s coccyx region by being confined to the chair.
Dementia contributes to cognitive deficits such as memory loss. Mrs. Checkett’s odour smell could be caused by impaired memory and poor insight, thereby she could not remember if she has had a shower or washed clothes.
Numerous reasons could result in unsteady gait and impaired balance. It could be associated with the weakness resulted from Mrs. Checkett’s fractured wrist. Dementia is also linked to apraxia (Edward et al. 2014). In the elderly, behavioural, physical and environmental factors are linked to the impaired balance (Terroso et al. 2014). Unwell supported ambulatory aid could lead to unsteady gait and impaired balance. Alternatively, as Mrs. Checkett’s blood pressure is relatively low, for instance, orthostatic hypotension may result in dizziness (Berman, Kozier, & Erb 2015), which might consequently cause fall.
Match and …show more content…
Checketts’s skin lesion on her coccyx will not increase during her respite in two to three weeks’ time and ensure no new skin will breakdown.
Long-term goal: Mrs. Checketts’s pressure injury is healing, the size becomes smaller, and the status of the damaged skin is improving. She is promoted and assisted to achieve healthy skin integrity.
2) Fall prevention
Short-term goal: Mrs. Checketts will not experience fall during each shift. She will be familiar with the new environment by the end of the day. She will be safely using ambulatory aid in two or three days.
Long term goal: Mrs. Checkett will not experience fall during her respite care. She will be educated to increase the awareness of the potential fall risks. She will remain free from falls during the transitional period between her respite and going back