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Josephine Morrow
Course: Fundamentals Of Nursing For Practical Nurses (PNU 120)
20 Documents
Students shared 20 documents in this course
University: Suffolk County Community College
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Josephine Morrow
Documentation Assignments
1. Document the findings of a focused skin assessment of Ms. Morrow, including any
findings that identify the presence of chronic venous insufficiency.
Skin intact exceot for the venous stasis ulcer on the right medial malleoulus
She has brown hyperpigmentation on both lower legs with +2 edema
The venous stasis ulcer is covered with a hydrocolloid dressing, she was
medicated for pain half an hour ago. The patient showed no sings of sweating and
skin’s elasticity and color were normal. A dressing covered skin lesion on lower
leg that was changed, the wound assessment was made for any changes noted.
Pt’s pedal pulses and radial pulse were palpable with a strong rate of 95/min
2. Document any abnormal laboratory results that are associated with the presence or status
of Ms. Morrow's stasis ulcer.
Document any abnormal laboratory results that are associated with the
presence orstatus of Ms. Morrow's stasis ulcer.albumin labs test result: normal
range levels of 3.4 to 5.4 g/dL (SI, 34 to 54 g/L) arenormal for adults. Ms.
Morrow were 14.7 mg/dL (Low)Albumin lab test result: Values of 19 to 38
mg/dL (SI, 190 to 380 mg/L) are seen. Ms.Morrow were 14.7 mg/dL (Low)
which indicate mild protein depletion.3.Record the results of Ms. Morrow's
Braden Scale assessment.Braden Scale score provides a baseline for
comparison of increased or decreased risk of development of pressure ulcers.
3. Record the results of Ms. Morrow's Braden Scale assessment.
Braden scale of 16, which is very high and alerting. This puts her at a mild risk
for a pressure ulcer, the rest of skin is intact except for the venous stasis ulcer on
her right medial malleoulus
4. Document the characteristics of Ms. Morrow's venous stasis ulcer.
The venous stais ulcer is shallow, 1 inch in width, looks mostly pink to red, no
signs of necrosis or infection.
5. Document the dressing change and irrigation of Ms. Morrow’s wound.
First assessed the current dressing and saw that it was clean, dry and intact.I
Livermore the dressing and assess the current status of the ulcer and saw that it
was an ancient with, color was mostly pink to red and had no signs of necrosis or
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