Reference no: EM133529906

Case Study: Mrs Grace Abbott is a 72-year-old female admitted to hospital following a motor vehicle accident 1 week ago resulting in a fractured L) tibia and fractured R) radius and ulna. Both her leg and arm are currently in plaster casts. Grace also suffered a small laceration under her R) eye caused from her glasses hitting her face during the accident. The wound was dressed during her hospital stay and is no longer requiring wound dressings.

Grace is usually independent with her activities of daily living but has been requiring some assistance due to her limited mobility and right-hand dominance. She requires glasses to correct vision impairment.

Grace has Type II diabetes and demonstrates a good understanding about managing her condition. She has been receiving a diabetic diet while in hospital which will continue in rehabilitation.

Grace today, has been transferred to the rehabilitation unit for 1 week, following which her daughter will move in with Grace for the remainder of her recovery.

The following multidisciplinary interventions were initiated while Grace was in hospital which will continue in rehabilitation

Grace has been prescribed oral analgesia and Oral hypoglycaemic agent for diabetic medications
Grace is to remain non-weight bearing on her L) leg for 6 weeks and physiotherapy have assessed her as safe using a forearm support frame which has been provided to Grace.
Care Plan entry Pressure injury prevention and wounds:

Questions:

1. Looking back over the past few weeks. How will Grace's mobility, hygiene and nutrition impact her skin integrity?
2. Which nursing assessments/cues will you complete to identify Grace's risk if developing pressure injuries?
3. Identify two (2) problems associated with preventing pressure injuries in Grace. They can be actual (3-part) or potential (2-part) problems.
4. Plan at least 2 nursing interventions, with relevant rationales, you will implement to assist Grace with your 2 identified problems above. Remember! Nursing interventions must be supported using current best practices and references no more than 7 years old.
5. How will you evaluate the effectiveness of your care?