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What should the nursing interventions be in case of high risk for decubitus ulcers




Nursing Care Plan

Nursing Diagnosis Nursing Orders (Interventions) Goal
High risk for decubitus ulcers due to poor mobility and emaciation
  • Turn patient every two hours
  • Keep skin clean and dry
  • Immediately remove excrement and clean the skin with antibacterial soap in case of incontinence
  • Provide routine skin care and massage bony areas every eight hours or more often as needed
  • Place heel pads
  • Place sheepskin under buttocks
  • Place drawsheet
  • Use drawsheet to move patient up in bed
  • Never allow any part of skin to drag on the sheet
  • Obtain antipressure mattress
  • Provide fluids for adequate hydration
  • Provide nutritional counseling and supplements for adequate nutrition.
No bedsores
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