What options are there to treat a Stage II pressure ulcer?

Bo O. Boo- Age 72 years old
Female/African American
Atheist/Do not Resuscitate
Vitals:
BP-92/52
HR-55
RR-15
SPO2-98% on Room Air
Temp-99.0 F
Awake, Alert, and Oriented

You are assuming care of Bo O. Boo. She is an patient of an your Home Health team. She has a stage II pressure ulcer on her sacrum. She requires wound care every 3 days. You have arrived at her home to perform the wound care.
1. What is a stage II ulcer? What characteristics does this ulcer have?
2. What options are there to treat a Stage II pressure ulcer?
3. You are starting to prepare for the dressing change. Is this a sterile or clean procedure?
4. Do you need a sterile field for this? What solution will you use for the dressing change? What supplies do you think you will need for this dressing change?
5. During the dressing change what actions need to be taken and documented?
6. How do you think Ms Boo acquired her pressure ulcer?
7. What teaching can be done to help Ms Boo with her ulcer?
8. If a drain is involved in a person’s wound care routine, what steps need to be taken in regards to the drain care?
9. What are the benefits of hot and cold therapy? The disadvantages?
10. Before inpatient dressing changes what steps should be taken to ensure patient comfort?

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