Well I finally broke down and decided to post after watching this board for quite some time. I have been a nurse for nearly 10 years and I have a question that needs answering if anyone can help or has any input.
I know that a pressure ulcer can result in as little as 8 hours. My question is ---- pt. presents with a 1cm broken blister and the area around it is darkened (not red): how long does it normally take for this to form????? (well hydrated, good nutrition status, alert & oriented but has some confusion and is non-complaint at times.)
And yes I love motorcycles. My husband and I are building our own choppers (fabricating, etc) and not using factory add-on parts except for a few essential parts i.e. the engine.
Another intervention for a patient refusals (of any thing) that is often over looked is document that the risks of refusal have been explained, and that the patient acknowledges the risks and continues to decline (I got dinged by a State MDS nurse for it once).
I was also told it is better to document things like "declines" and "chooses" rather than "refuses" (no rationale was given).
More EXCELLENT advice! I am learning so much for y'all...THANKS for sharing.
NurseAngie
357 Posts
Youda Rocks.....excellent advice!
~Angie
:)