At risk for pressure ulcers...

[Julie Reyes, DNP, RN]

Care plan idea??

At risk for pressure ulcers related to bony prominences.

Intervention - candy corn, jelly bellies, butter popcorn

Outcome - decrease in bony prominence....and happy patient!

If you are ever my nurse, please consider this plan for me!!

[amoLucia]

You omitted the most important intervention - reese's peanut butter cups. Esp nutritious at this time of year!!!

[poppycat, ADN, BSN]

I would also add Birthday Cake Oreos. Those are my current obsession!

[No Stars In My Eyes]

When I worked at MGH in the early '70's, Dietary Dept. made up fresh, REAL ingredients Milk Shakes and Egg-Nogs every single morning. We'd get quarts and quarts of them delivered to our floor fridge. They were soooooo delicious, it's a wonder we weren't all 300 lbs. They knew staff would also partake and thoughtfully accounted for that in the amounts delivered. No patient ever wrinkled up their noses at those drinks, like many do now with the offering of or order for Ensure and the like.

[Here.I.Stand, BSN, RN]

For my care plan, I'd like the following added:

cake batter ice cream w/ gummi bears from Cold Stone

Egg nog lattes

Godiva chocolates--preferably truffles or anything with a nut-based filling

Cake with REAL buttercream, not that commercial bakery stuff. Any flavor. I'm not picky.

And I WOULD like a specialty mattress thrown in there. Those things look comfy!! I'm good with a Kin Air LAL or a Tempur-Pedic topper. Whichever can be delivered faster. :)

Being that I'm in the ED, I'll go straight to the big guns: Haagen Daz

[No Stars In My Eyes]

Also at MGH, we had a very, very, very large patient who had numerous "deficits in skin integrity". She had to have two beds rigged together to accommodate her considerable bulk. Though she was huge, she was also malnourished, and the doctor wanted to build her up, so to speak, to help her wounds heal. So she had orders for shakes, egg-nogs, and enriched from-scratch custards, etc, and was on a diet that would put 50 lbs of weight on the skinniest , scrawniest super-model in a week's time.

I understand the rationale behind the whole thing, but it took 4 nurses to do her dsg. changes, and boy-oh-boy did it ever make my wrists, elbows and shoulders just scream when pushing or pulling portions of her body so the various folds would be 'open to air' and accessible.

She quite literally was a prisoner in her own body, and instead of being allowed to lose weight like she would've liked, she "had to" take in all those calories just to get to the point where she could heal, before she could ever deal with weight loss. I will always remember her because I had never seen a person crying​ while drinking the egg-nog and milk-shakes.

[duskyjewel]

How sad, No Stars. Honestly, seeing what very overweight patients go through helped motivate me to lose weight and get healthier.

I will, however, accept Reese's peanut butter cups, Twix, and Dove dark chocolate in moderate amounts in my own care plan, to prevent bony prominences.

[No Stars In My Eyes]

Give me crusty rolls slathered with butter! My mother used to say that was better than dessert, and I am truly my mother's daughter!

[firstinfamily, RN]

Chocolate, just chocolate. If I ever reach the point where I cannot have chocolate, then it is time to inject me with potassium!!!

[No Stars In My Eyes]

Maybe chocolate-flavored glycerin mouth swabs? That'd get your saliva flowing!

[DaniV.]

Care plan throwing pillows at staff PRN....