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What facts and principles do you already know about the causes of pressure injury?
Do you have enough information to provide interventions for Mrs. Peterson’s actual impaired skin integrity? If not, what do you still need to find out?
What do you know about positioning clients? How would you explain to the UAP how to position Mrs. Peterson “to prevent further pressure on her sacrum”?
What reassessments would you make to evaluate Mrs. Peterson’s skin integrity problem? When evaluating the diagnosis of self-care deficit, what reassessments would you make? Who can or should evaluate the issues identified? How often, or when, would you reassess?
What is one problem not described in the scenario that might arise?
