Pressure Ulcer, CHF, & UTI r/t Foley

Nurses General Nursing

Published

Hello,

I have a pt. who was just told by her doc that they can't do anymore for her heart, she has to leave our med/surg floor and go to hospice. My question is:

Does anyone have any ideas on how to help a pressure ulcer (coccyx region) heal and a UTI? Pt. is 90 y.o. and bed ridden. Cannot switch to diapers b/c urine and BM would cause further skin break down on already lesioned skin.

Pt. also has COPD and pitting edema everywhere...:(

Thanks!

1st semester BSN student

(WildFlowers84)

The Hospice agencies in my area don't put a lot of effort into healing wounds in terminal patients in the late stages. The goal switches to treating the wound to promote comfort. Thick occlusive dressings changed on a prn only basis, turns and position for comfort and pain meds.

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Specializes in Acute Care Cardiac, Education, Prof Practice.

I believe you have been given a great deal of wonderful suggestions and tips on caring for your patient!

Best of luck!

Tait

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Specializes in RETIRED Cath Lab/Cardiology/Radiology.

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