Reference no: EM133849974

Problem

An 85-year-old woman is in the last stages of metastatic lung cancer. She is receiving oral pain medications to control pain associated with the metastatic involvement of her spine. She is in the hospital after falling at home but has not suffered a fracture; her length of stay is estimated to be no more than 3 to 4 days. She eats very few calories, but she is able take in about 250 kcal in supplemental nutrition. You assess her risk for pressure ulcers, and she is at high risk due to her nutritional status, time spent in bed, and need for assistance to move in the bed. She has no breaks in her skin at this time, and she is on a regular hospital mattress. She has been incontinent of urine. I. Use higher-specification foam mattresses rather than standard hospital foam mattresses for all individuals assessed as being at risk for pressure ulcer development. II. Avoid use of urinary catheters in patients and nursing home residents for management of incontinence. Category 1B: A strong recommendation supported by low-quality evidence suggesting net clinical benefits or harms or an accepted practice Inappropriate catheter use includes "a substitute for nursing care of the patient or resident with incontinence". Get the instant assignment help. If you are going to take a patient-centered approach to caring for this patient, what further information do you need?