Question

After the unlicensed assistive personnel (UAP) bathed the patient, she reported a reddened area on the patient's coccyx to the nurse. After assessing the area, what should be included in the plan of care?

Reposition every 2 hours.
Measure the size of the reddened area.
Massage the area to increase blood flow.
Evaluate the area later to see if it is better.

Answer 1

The plan of care after uncovering a reddened area on the coccyx includes repositioning the patient every 2 hours, measuring the size of the reddened area, refraining from massaging the area, and regularly evaluating the area for changes.

Step-by-step explanation:

After the unlicensed assistive personnel (UAP) reports a reddened area on the patient's coccyx, it is crucial to include several steps in the plan of care:

• Reposition the patient every 2 hours to reduce pressure on the affected area and prevent further skin breakdown.
• Measure the size of the reddened area to document and track any changes in size, shape, or color.
• Avoid massaging the area, as this can cause further damage to fragile tissues under pressure.
• Evaluate the area at regular intervals to monitor for any signs of improvement or deterioration.

The plan of care should aim to reduce pressure, monitor the progress of the area, and prevent the development of pressure sores or ulcers.