Wound care management

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Mrs. Stanley (a pseudonym) is a 65 years old lady admitted from a care home with a chest infection, and she is frail and emaciated. She had a stroke at nine months ago. She developed left side hemiplegia. At present, she is able to sit on a wheelchair and needs help with activities on daily living.


She also has type 2 diabetes, which is controlled with oral hypoglycaemic drugs. She developed pressure ulcer at sacral area over 2 - 3 week period. She was treated by a clinic doctor who instructed the home care nurses to do daily povidine gauze dressing. Mrs. Stanley is a retired school teacher and an extremely proud lady. She insists on maintaining her dignity at all times and she refused to accept that she had a pressure ulcer. She has a married daughter who stays in Singapore with her own family. She flew back from Singapore to accompany Mrs. Stanley on the day of her admission to hospital.√
On testing, she was discovered to have a pressure ulcer at her sacrum. When the wound was examined, she groaned with pain and tried to stop the nurses from touching the wound. The pressure ulcer to her sacral was measured approximately 10cm by 12 cm with a central area of slough which was surrounded by softer yellow tissue and some necrotic tissue. ...
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