Question

A nursing-home resident with functional incontinence has a stage II pressure ulcer. Treatment should focus on which of the following (choose all that apply)?

A. Debriding necrotic tissue and obtaining wound cultures
B. Developing a repositioning schedule
C. Applying a hydrocolloid dressing
D. Protecting the skin around the ulcer
E. Optimize nutritional status

Answer 1

Effective treatment of a stage II pressure ulcer includes protecting the skin, debriding necrotic tissue, establishing a repositioning schedule, applying hydrocolloid dressings, and optimizing nutritional status.

Step-by-step explanation:

The treatment of a stage II pressure ulcer in a nursing-home resident with functional incontinence should focus on several key areas:

• Protecting the skin around the ulcer to avoid further damage and assist in the healing process.
• Debriding necrotic tissue, which is the removal of dead tissue to promote the healing of the remaining healthy tissue.
• Development of a repositioning schedule to alleviate pressure and improve blood flow to the affected area, preventing further progression of the pressure ulcer.
• Using a hydrocolloid dressing on the wound. These dressings can provide a moist environment conducive to healing while also protecting the wound from bacteria and other contaminants.
• Optimizing nutritional status is crucial as good nutrition supports the body's ability to repair tissues and maintain a healthy immune system to fight infections.