Question

Which goals are examples of goals related to skin integrity and wound care?

Select all that apply.
a) Patient will participate in position changes within 24 hours.
b) Patient will show signs of wound healing, as evidenced by presence of granulation tissue in the wound within 1 week.
c) Patient will maintain a normal heart rate and blood pressure during rest.
d) Patient will remain free of infection during hospitalization.
e) Patient will show acceptance of the change in body image by helping with dressing change within 48 hours.

Answer 1

The goals related to skin integrity and wound care include prompt position changes, signs of wound healing within a specific time frame, and prevention of infection during hospitalization.

Step-by-step explanation:

The goals related to skin integrity and wound care include:

• a) Patient will participate in position changes within 24 hours: This goal aims to prevent pressure ulcers and promote blood circulation to the wound site.
• b) Patient will show signs of wound healing, as evidenced by presence of granulation tissue in the wound within 1 week: Granulation tissue is a sign of healing, and this goal indicates that the wound is progressing towards recovery.
• d) Patient will remain free of infection during hospitalization: Infection can delay wound healing and increase the risk of complications, so preventing infection is an important goal in wound care.