Week 4
Week 4: Wound assessment and monitoring of blood sugar levels
Mrs. Jones remains on bedrest. She has been commenced on oral antibiotics for a urinary tract infection. She is eating and drinking well and passing satisfactory amounts of urine via her IDC. This morning she had her bowels open for the first time since admission. Her observations at 0600hrs were:
- temp 36.3 C po
- pulse 74/min
- resps 12/min
- BP 116/65
While helping Mrs. Jones with her morning wash you notice that she has a broken area on her right heel. You perform a pressure risk assessment for Mrs. Jones and then assess the wound on her heel and document your findings on the wound care chart.
As she is a Type 2 diabetic, Mrs. Jones has been having her blood sugar level (bsl) checked four times a day since her admission. You check it prior to her breakfast.
This week in the nursing laboratories students will:
- Complete a pressure risk assessment for Mrs. Jones using the Waterlow, Braden, and Norton Scales and compare and contrast findings.
- Using the wound assessment charts perform a wound assessment on the pictures and scenarios displayed around the lab.
- Practice measurement and documentation of blood glucose.
- Document Mrs. Jones’ Nursing care in the progress notes.
