Roper-Logan-Tierney Care Plan

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A pressure ulcers is ‘ a localised area of cellular damage resulting from direct pressure on the skin causing ischawmia, or from shearing or friction forces causing mechanical stress on the tissues’ (Chapman and Chapman 1981). Common places for pressure ulcers to occur are over bony prominences, such as the sacral area, heels, hip, and elbow. (NICE 2005)

Initially to maintain confidentiality the patient will be referred to as Mr Brown. Mr Brown has given permission for his nursing notes and details to be referred to through out this assignment. He is also aware that is identity will remain unknown and that a false name was chosen for assignment purposes. This can be identified in the NMC Code in ‘respecting people’s right to confidentiality.’(NMC Code 2008)Moreover the workplace will remain anonymous and be referred to as Ward 1.

Mr Brown is 90 years of age, he lives alone in sheltered housing and has careers three times daily to maintain housework and basic care needs. He has a past medical history of angina and is a non insulin dependent diabetic.

Initially Mr Brown was admitted to hospital via A and E due to chest pains, which indicated Acute Coronary Syndrome.Mr Browns cardiac issues have been resolved in another ward prior to his referral to Ward 1.However Mr Brown needs help with improving mobility caused by the cardiac problems therefore he has been moved to Ward 1 which is a rehab ward to help Mr Brown to improve his mobility and analyse if his care package needs to be increased.Prior to admission to Ward 1 Mr Brown had pressure ulcers present on his left and right buttocks. From the Priliminary Pressure Risk Assessment carried out on admission to ward 1 it can be identified that Mr Brown has seven broken skin ares on his sacrum,which have a EPUAP grade of 2.(Tissue Viability 2009). When using the Adapted Waterlow Pressure Area Risk Assessment Chart, Mr Browns initial score was 12 putting him on treatment plan B when admitted to hospital....
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