Discuss best approach for patients multiple skin injuries


Assignment Task:

An 86-year-old man undergoes evaluation because he has several pressure injuries. He has end-stage cancer with bone metastasis and is on home hospice; he does not want further cancer treatment or hospitalization. He has lost 27.2 kg (60 lb) over several months and refuses food. Liquid intake is minimal, and urinary catheter yields minimal output. On physical examination, there is a stage 3, necrotic, draining pressure injury measuring 8.5 × 3 × 0.4 cm, on the left great trochanter. A breakdown is starting on the left shoulder, and there are skin tears on the arms. A large butterfly discoloration on the sacral area, measuring 9 × 10 cm, appears to be new, within the past week according to his wife. The patient and family understand that maintenance wound care is the treatment of choice. No other aggressive treatments are being done. The family has removed the specialty mattress from the patient's bed at his request. He does not want to be turned and wants to be left to just rest. Which one of the following is the best approach for this patient's multiple skin injuries? Group of answer choices Debride the necrotic pressure ulcer. Provide comfort wound care. Order specialty

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