讀hku nursing都要公開請槍

為咗份人工可以去到幾盡讀唔掂就搵人幫你做，屌你老母啲女人真係恐怖，希望佢過唔到實習

唔係實習就冇所謂（？）
Theory應該唔太重要（？）
唔熟nursing course

其實全部都重要

放蛇收集資料email去hku先

直接send la有圖，至少知係hku學生

年年都大撚把啦 Professor都知隻眼開隻眼閉
最多咪出過通告邊撚個咁得閒捉你
睇你都未讀過大學

想問下佢Care plan有幾難寫… 幾日都嘔到份出嚟喇

醫護呢啲應該要嚴謹處理啦，人命關天你連common sense同道德都無，你似無讀過書多啲

佢道德上應唔應該處理同佢會唔會處理係兩回事撈埋嚟講只係顯得你無知

正常人都會處理啦，好似你呢啲生滋狗當然咩都唔理都啱嘅你做開7仔嘅都無乜道德可言，連自己都顧唔掂

正常人會處理洗撚你講咩唔夠人講而家喺度發爛渣你老母死前知唔知你咁戇鳩

型到，開始攻擊埋屋企人，唔知邊個嬲啲

成家垃圾物以類聚都唔講得咩

你真係喪家犬一隻

搵人去收完錢玩失蹤

做得好

唔記得咩事block咗

好奇caring plan寫啲咩
有冇sample睇吓

//Pressure Ulcer / Decubitus Ulcer Nursing Care Plan

Subjective Data:

Tender areas of skin
Pain, burning of the skin
Itching
Objective Data:

Changes in skin color or texture
Swelling
Drainage from wounds
Stage 1 – non-blanchable redness
Stage 2 – open skin, pink/red, blister
Stage 3 – Exposed subcutaneous tissue
Stage 4 – Exposed muscle/bone

Nursing Assessment for Pressure Ulcer / Decubitus Ulcer (Pressure Injury)

Pressure Ulcer Characteristics:
Assess the location, size, depth, and stage of the pressure ulcer.
Document the presence of undermining, tunneling, or any signs of infection.
Pain Assessment:
Evaluate the individual’s pain levels associated with the pressure ulcer.
Use a pain scale to quantify pain and determine the effectiveness of pain management interventions.
Wound Bed Assessment:
Assess the characteristics of the wound bed, including tissue color, moisture, and the presence of necrotic tissue.
Monitor for signs of granulation tissue and epithelialization.
Infection Signs:
Monitor for signs of infection, such as redness, swelling, warmth, increased pain, or purulent drainage.
Assess vital signs for systemic signs of infection.
Nutritional Assessment:
Conduct a nutritional assessment to identify deficiencies and support individualized nutritional interventions.
Monitor serum albumin, pre-albumin, and other relevant nutritional markers.
Mobility and Repositioning:
Assess the individual’s mobility and ability to reposition independently.
Identify any barriers to mobility and collaborate with the healthcare team to implement repositioning schedules.
Skin Assessment:
Evaluate the overall skin integrity, assessing for other areas at risk of pressure ulcers.
Identify any factors contributing to skin breakdown, such as moisture or friction.
Psychosocial Assessment
Assess the individual’s psychosocial well-being, including emotional responses to the pressure ulcer.
Identify coping mechanisms and provide emotional support.
Implementation for Pressure Ulcer / Decubitus Ulcer (Pressure Injury):

Wound Care:
Implement a systematic wound care plan based on the pressure ulcer stage and characteristics.
Use evidence-based practices for cleaning, debridement, and dressing changes.
Pressure Redistribution:
Utilize pressure-reducing support surfaces, such as specialized mattresses and cushions, to redistribute pressure.
Establish a regular turning and repositioning schedule to relieve pressure on vulnerable areas.
Infection Prevention:
Adhere to strict infection prevention measures during wound care procedures.
Administer antibiotics as prescribed for confirmed or suspected infections.
Nutritional Support:
Collaborate with a dietitian to optimize nutritional intake, focusing on protein, vitamins, and minerals.
Administer nutritional supplements as needed to address deficiencies.
Pain Management:
Implement pain management strategies, such as analgesics or topical agents, to alleviate pain associated with the pressure ulcer.
Monitor and reassess pain levels regularly to adjust interventions as needed.//

//Nursing Interventions and Rationales

Assess skin for signs of hydration pressure injury, and note areas of increased risk
Get a baseline of skin status to compare changes; note areas that are at risk for developing pressure injuries such as heels, sacrum or shoulder blades
Monitor for signs of infection
Note odor and appearance of exudate
Fever
Warmth to touch
Obtain wound cultures as needed
Monitor white blood count (WBC)
Administer antibiotics as required
Not all pressure ulcers/Pressure injuries are infected. Know and monitor for signs and symptoms of developing an infection. Treat current infections appropriately to avoid systemic complications.
Reposition patient at least every 2 hours or more frequently as needed
Use and reposition pillows under arms, between knees (if side-lying) and behind back to reduce pressure and friction
Place rolled sheet or towel under ankles (not heels) to reduce the pressure of heels against bedding
Provide cushions and padding on assistive devices such as wheelchairs, walkers, crutches, etc.
Redistribute weight to remove pressure and prevent tissue injury. Provide for comfort.
Assess the patient’s level of sensation
Patients with pre-existing conditions, such as diabetes, will be at greater risk of developing pressure injuries but may have decreased sensation. Assess sensation to know if the patient will be able to feel pain or discomfort before a pressure injury occurs.
Assess for incontinence of bowel or bladder
Provide perineal care
Assistance with toileting
Apply barrier cream
Incontinence increases the risk of skin breakdown and risk of pressure injury. Protective devices such as diapers and incontinence pads/liners withhold moisture which can speed up breakdown.
Assess patient’s mobility and assist as necessary
Patients with limited mobility require extra assistance to relieve pressure points
Assess and manage pain
Positioning
Administer analgesics, opioids
Prophylactic pain management may be necessary
Provide appropriate wound care
Cleaning
Debridement
Dressings
Emollients
Skin barriers
Negative pressure wound therapy
Treat current wounds and prevent localized or systemic infection. Promote wound healing.
Promote nutrition and education
Consult dietitian
Offer high-protein, high-calorie diet
Encourage hydration
Optimal nutrition helps aid in wound healing and strengthens tissues to prevent further injury; hydrated skin is at slightly less risk for injury than dry, dehydrated skin.
Evaluation of Nursing Care Plan (NCP) for Pressure Ulcer / Decubitus Ulcer (Pressure Injury)

Wound Healing Progress:
Evaluate the progress of wound healing, assessing changes in wound size, appearance, and the development of granulation tissue and epithelialization.
Compare current assessments with baseline measurements.
Complications Prevention:
Monitor for signs of complications such as infection, cellulitis, or osteomyelitis.
Assess the effectiveness of interventions in preventing and managing complications.
Pain Management Effectiveness:
Evaluate the effectiveness of pain management strategies in reducing pain associated with pressure ulcers.
Adjust pain management interventions based on the individual’s pain levels.
Nutritional Status:
Monitor nutritional markers and assess for improvements in protein and caloric levels.
Evaluate the impact of nutritional interventions on wound healing and overall nutritional status.
Psychosocial Well-being:
Assess the individual’s psychosocial well-being, including emotional responses to the pressure ulcer and its impact on daily life.
Evaluate the effectiveness of psychosocial support interventions.//

https://nursing.com/lesson/nursing-care-plan-for-pressure-ulcer-decubitus-ulcer