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Original Question

James is an 84-year-old black male admitted to the hospital for surgical repair of a fractured right hip. He lives alone and his neighbors found him lying on his bathroom floor around 8 p.m. James told them he had been lying there since the afternoon but could not reach the phone to call for help and was unable to move. James has a history of hypertension and diabetes. As the nurse is performing an assessment on the second postoperative day, he documents an area on James’s right heel that is purplish in color and appears to be a bruise. The area is cooler to touch than the surrounding skin. There is no redness and there are no open areas; James denies any pain in the heel. 1. What risk factors for PI are present in the nursing study presented above? 2. How does skin color affect the presentation of DTI? 3. What areas of the body are susceptible to PI development and why? 4. What education needs to be provided to the patient, staff, and family? 5. When James returns home, what interventions to enhance his safety would be appropriate? 1. What is the most effective strategy to inform younger people about the risk of skin cancer from sun and tanning bed exposure? 3.What are the major barriers identified by nursing staff to implementation of preventive interventions for PIs? 4. How effective are current patient education materials in enhancing knowledge of PI risk among racially and culturally diverse older individuals? Image transcription text James is an 84-year-old black male admitted to the hospital for surgical repair of a fractured right hip. He lives alone and his neighbors found him lying… Show more

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