1.Assessment should address complete history and physical health.
2. Complications associated with pressure such as: Amylodosis,endocarditis, heterotopic bone formation, maggots infestation, meningitis,perineal urethral fistula. Pseudo aneurysm. Septic arthritis, Sinus tract or Abcess, Squamous cell cancer. Systemic Complications.
3.Nutrition assessment and management. Nutritional screening initiatives should be performed every three months for an individual at risk for malnutrition. Positive nitrogen balance. Approximately 30 to 35calories,vitamin and mineral supplements if deficiency are confirmed or suspected.
4.Pain assessment and management. Patient concerns about the level of pain ,is it persistent or temporary. Condition of the surrounding skin.It is normal ,swelling or edema ,erytherma, or warmth?.
5.Psychosocial assessment and management. The psychosocial impact of the wound can be overwhelming depending on the location and size of the wound. The impact of the wound on the quality of life should be assessed.
Apply information gathered to the clinical practice.
Nurses You Move Me 