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Tom Sharon
Nursing interventions in case of decubitus ulcers high risk


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Nursing Care Plan

Nursing Diagnosis Nursing care plan 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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