Nurses Compass
Care Plan for Pressure Ulcer Management
Category: Injury Management
Assessment
Patient presents with a stage II pressure ulcer on the sacrum, with surrounding erythema and tenderness.
Diagnosis
Impaired skin integrity related to prolonged pressure and immobility.
Goals
Patient will demonstrate improved skin integrity and understanding of pressure ulcer prevention strategies.
Interventions
Assess and document the condition of the pressure ulcer regularly. Reposition patient every 2 hours to relieve pressure on affected areas. Provide a pressure-relieving mattress or cushion. Educate patient and caregiver on proper skin care and the importance of mobility.
Rationale
These interventions aim to promote healing, prevent further skin breakdown, and reduce the risk of infection.
Evaluation
Patient’s skin condition and adherence to repositioning schedule will be monitored during follow-up visits.