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Next of kin: Daughter- Sandra Hughes
Situation: Mrs. Morrow is an obese, 80-year-old white female who developed a venous stasis ulcer on her right
medial malleolus while still living at home. She moved into our skilled nursing home care facility 3 days ago.
The current plan of care is focused on promoting wound healing, improving venous return, and preventing skin
Background: Mrs. Morrow has a past medical history of chronic obstructive pulmonary disease (COPD),
chronic venous insufficiency, and deep vein thrombosis (DVT). Peripheral arterial disease is ruled out by
duplex ultrasound. Her daughter had her admitted to this skilled nursing home care facility due to concern for
her safety with impaired mobility, an unhealthy diet, and inability to adequately care for herself at home.
Assessment: Mrs. Morrow is alert and oriented, but sometimes forgetful of recent events. Vital signs have been
within normal limits and are performed weekly. Results from yesterday’s labs are in the chart. She is on a
regular diet with nutritional supplement and has been eating the majority of her meals since admission. She
requires assistance with positioning in bed and assistance times 1 to get out of bed to the chair or ambulate.
Her gait is unsteady, and she is easily fatigued. Her Braden Scale score is 16, and her skin is intact except for
the venous stasis ulcer on the right medial malleolus. She has brown hyperpigmentation on both lower legs
with +2 edema. The venous stasis ulcer is covered with a hydrocolloid dressing, which is due to be changed. In
preparation for her dressing change, she was medicated for pain half an hour ago.
Recommendation: You should complete a basic assessment, review the labs, perform a wound assessment
and dressing change, and then reposition the patient to optimize venous return. Please provide patient
education on improving venous return to prevent further stasis ulcers, and continue compression therapy with
the use of elastic bandage and an antiembolism stocking.
Taylor, C., Lynn, P., Bartlett, J. (2019). Fundamentals of Nursing: The Art and Science of Person-Centered
Care, 9th Edition.
Factors Affecting Skin Integrity, Chapter 32, pp. 1045-1047
Types of Wounds, Chapter 32, p. 1048, Table 32-1
Principles of Wound Healing, Chapter 32, p. 1049, Box 32-1
Factors Affecting Wound Healing, Chapter 32, pp. 1050-1052
Pressure Injury, Chapter 32, pp. 1053-1059
Wound Assessment; Pressure Injury Assessment, Chapter 32, pp. 1062-1066
Preventing Pressure Injury, Chapter 32, 1068-1070
Documentating Wound Care; Evaluating, Chapter 32, pp. 1082-1085
Expert Clinical Content from Lippincott Advisor
Albumin level test Albumin level test
Prealbumin test Prealbumin test
Expert Clinical Content from Lippincott Advisor
Aspirin Aspirin
Acetaminophen Acetaminophen
Signs and Symptoms
Expert Clinical Content from Lippincott Advisor
Edema (leg) Edema (leg)
Expert Clinical Content from Lippincott Advisor
Wound care (irrigation) Wound care (irrigation)
Wound care (pressure ulcer) Wound care (pressure ulcer)
Expert Clinical Content from Lippincott Procedures
Antiembolism stocking application, knee-length Antiembolism stocking application, knee-length
Assessment differences in the older adult, long-term care Assessment differences in the older adult, long-term

Sample Answer

Compelling correspondence is essential to the achievement all things considered but since of the changing idea of the present working environments, successful correspondence turns out to be more troublesome, and because of the numerous impediments that will permit beneficiaries to acknowledge the plan of the sender It is restricted. Misguided judgments.In spite of the fact that correspondence inside the association is rarely completely open, numerous straightforward arrangements can be executed to advance the effect of these hindrances.

Concerning specific contextual analysis, two significant correspondence standards, correspondence channel determination and commotion are self-evident. This course presents the standards of correspondence, the act of general correspondence, and different speculations to all the more likely comprehend the correspondence exchanges experienced in regular daily existence. The standards and practices that you learn in this course give the premise to additionally learning and correspondence.

This course starts with an outline of the correspondence cycle, the method of reasoning and hypothesis. In resulting modules of the course, we will look at explicit use of relational connections in close to home and expert life. These incorporate relational correspondence, bunch correspondence and dynamic, authoritative correspondence in the work environment or relational correspondence. Rule of Business Communication In request to make correspondence viable, it is important to follow a few rules and standards. Seven of them are fundamental and applicable, and these are clear, finished, brief, obliging, right, thought to be, concrete. These standards are frequently called 7C for business correspondence. The subtleties of these correspondence standards are examined underneath: Politeness Principle: When conveying, we should build up a cordial relationship with every individual who sends data to us.

To be inviting and polite is indistinguishable, and politeness requires an insightful and amicable activity against others. Axioms are notable that gracious “pay of graciousness is the main thing to win everything”. Correspondence staff ought to consistently remember this. The accompanying standards may assist with improving courtesy:Preliminary considering correspondence with family All glad families have the mystery of progress. This achievement originates from a strong establishment of closeness and closeness. Indeed, through private correspondence these cozy family connections become all the more intently. Correspondence is the foundation of different affiliations, building solid partners of obedient devotion, improving family way of life, and assisting with accomplishing satisfaction (Gosche, p. 1). In any case, so as to keep up an amicable relationship, a few families experienced tumultuous encounters. Correspondence in the family is an intricate and alluring marvel. Correspondence between families isn’t restricted to single messages between families or verbal correspondence.

It is a unique cycle that oversees force, closeness and limits, cohesiveness and flexibility of route frameworks, and makes pictures, topics, stories, ceremonies, rules, jobs, making implications, making a feeling of family life An intelligent cycle that makes a model. This model has passed ages. Notwithstanding the view as a family and family automatic framework, one of the greatest exploration establishments in between family correspondence centers around a family correspondence model. Family correspondence model (FCP) hypothesis clarifies why families impart in their own specific manner dependent on one another ‘s psychological direction. Early FCP research established in media research is keen on how families handle broad communications data. Family correspondence was perceived as an exceptional scholastic exploration field by the National Communications Association in 1989. Family correspondence researchers were at first impacted by family research, social brain science, and relational hypothesis, before long built up the hypothesis and began research in a family framework zeroed in on a significant job. Until 2001, the primary issue of the Family Communication Research Journal, Family Communication Magazine, was given. Family correspondence is more than the field of correspondence analysts in the family. Examination on family correspondence is normally done by individuals in brain science, humanism, and family research, to give some examples models. However, as the popular family correspondence researcher Leslie Baxter stated, it is the focal point of this intelligent semantic creation measure making the grant of family correspondence special. In the field of in-home correspondence, correspondence is normally not founded on autonomous messages from one sender to one beneficiary, yet dependent on the dynamic interdependency of data shared among families It is conceptualized. The focal point of this methodology is on the shared trait of semantic development inside family frameworks. As such, producing doesn’t happen in vacuum, however it happens in a wide scope of ages and social exchange.

Standards are rules end up being followed when performing work to agree to a given objective. Hierarchical achievement relies significantly upon compelling correspondence. So as to successfully impart, it is important to follow a few standards and rules. Coming up next are rules to guarantee powerful correspondence: clearness: lucidity of data is a significant guideline of correspondence. For beneficiaries to know the message plainly, the messages ought to be sorted out in a basic language. To guarantee that beneficiaries can without much of a stretch comprehend the importance of the message, the sender needs to impart unmistakably and unhesitatingly so the beneficiary can plainly and unquestionably comprehend the data.>

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