Quote from Finallydidit
Seems to me that this was missed on numerous occasions. It did not happen overnight, has been there for while.
Thats what I thought too, and it just burns me up!!
What I don't get is how can a person, if they are doing their job at all miss something like that.
because they're not
doing their job, that's why.
sadly, you will find example after example of txs being charted as done, when it is clear they haven't been.
i've seen all types of neglect and it sickens me.
this thread reminds me of times i've been on interviews, and the interviewer asks me my weakest quality.
i always answer: "i get extremely upset when others do not live up to my high standards."
when they ask me my strongest quality?
"my high standards of care".
it's a win/win every time.
back to the question:
wounds deteriorating to eschar will be hastened by circulatory problems (dm, pvd), malnutrition, immunocompromised, etc.
not knowing the pt's past and current medical condition, there still would have been a stage 1-2 on admission.
i'm not going to blame the aides who give the showers.
even when washing their feet, it's easy to overlook the heels.
it should have definitely been caught on admission.
a thorough skin check is important to do, and it wasn't done.