I think I'm losing my mind because I can not seem to figure this one part of my care plan out tonight. Just some history, we do FULL care plans (10-15 pages each week) all semester for every patient. It usually takes on average 10-20 hours to produce something decent. So trust me when I say that I'm not just trying to get the answers without looking.
Okay, my patient is in the hospital for a Decub Ulcer on his sacral coccyx (stage 3). He also has dementia, alzheimers, DM, HTN, urosepsis, GERD, COPD, depression, anemia, seizures and a whole host of other problems. Primarily what I'm dealing with though is the decub.
So, using Impaired Skin Integrity as my NANDA ... my goal is "the patient will demonstrate progressive healing of tissue by discharge" .. but what is my "as evidenced by"? I can come up with goals and rationales but the AEB is killing me. The wound is covered by Tegasorb so I haven't even seen it in the past two days as the nights have been changing it. Can anyone help with the AEB part?
Thanks for any help/suggestions/funny stories .... my head and neck are killing me!