Ulcer Case Study

A Sacral decubitus ulcer is used interchangeably as a pressure ulcer or pressure sore, which is commonly diagnosed by prolonged pressure to the skin. A decubitus ulcer forms when constant pressure is put on skin and can damage the underlying tissue (Mayo Clinic, 2014). For example, persistent sitting in a wheelchair. It is an injury to the skin that is usually over a bony prominence like the sacrum (Kirman, C. et al. 2014). The National pressure ulcer advisory panel (NPUAP) explains that these sores result in ischemia, cell death, and tissue necrosis to the skin. The categories include four stages and two which are deep tissue injuries (NPUAP). Patients that use a wheelchair and have other disabilities have a higher chance developing pressure sores which limits their opportunity to position themselves (Mayo Clinic, 2014). These specific sacral ulcers limits the patient to perform many activities of daily living (ADL). Patients who are elderly in an acute hospitalization or have a different impairment are at risk to suffer from ulcers (Kirman, C. et al. 2014). Also, these ulcers can happen from laying down in a constant position. According to Hartmann, a pressure sore is one of the most severe complications

While reviewing the OTPF, there are specific areas to address for the patient. Sean is a veteran, has been widowed for 15 years, lives alone. His past medical history entails alcohol abuse, depression and a post status right toe amputation. He has poor hygiene, nutrition and positioning. Also, complete immobility and continues to grieve his wife. First and foremost, Sean usually does not care for himself properly. His main goals are to be independent and live with his daughter, Mary. He fatigues which results in not caring for himself, the housekeeping, and