Areas Of Skin Breakdown

This patient has several areas of skin breakdown. This is why the nurse should include impaired skin integrity in the plan of care. The first site of skin breakdown is located on his buttocks. It is a stage three pressure ulcer with sloughing and eschar present. While assessing this wound, the nurse should observe for any new signs of infection such as new odor, changes in discharge, and changing of wound appearance while informing the patient and care giver to report any of these symptoms. Wound care should be performed with dakin’s solution. Another wound is located on the upper back. This wound is from the thoracotomy that was performed on 08/05. The third wound is a small skin tear located on the left arm. The nurse should dress these wounds