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George Thoroughgood is 78 years old and lives on his own in a small flat. He has weekly visits from the community nurse. This week the nurse is required to administer his yearly flu vaccination and prior to this the nurse checks his vital signs. The results are recorded on the observation charts posted on the assignment page. George tells the nurse that he has been having difficulty breathing and that he has been coughing up thick yellow sputum. George tells the nurse that he cut his leg against a rose bush and that it is painful. The nurse inspects the skin tear on his left shin and notice that it is red, warm and swollen and there is a lot of bruising around the site. George is also medication that lowers his platelet levels.
Questions
1. What is the inflammatory response and how will it assist with healing of the skin tear George has sustained?
2. What advice should the community health care nurse give George in regards to the skin tear to ensure effective healing?
3. Explain how skin is able to provide protection against damage?
4. Why do you think the nurse checked his vital signs before administration of the flu vaccine? Do you think the vaccine should be administered? Why or why not?
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