Get Answer: Supporting Document Patient Question Guide

This type of question evaluates analytical and critical thinking skills.

What This Question Is About

This question relates to supporting document patient and requires a structured academic response.

How to Approach This Question

Use appropriate theories and support your answer with clear reasoning.

Key Explanation

This topic involves supporting document patient. A strong answer should include explanation, application, and examples.

Original Question

Supporting document Patient Details : Mrs. Miriam Gold, 85 years’ old Presenting Problems : Fluids overload (dialysis will be ceased due to palliative approach), Pneumonia & metastatic cervical cancer Past history : COPD, GORD, CABGs Cognitive : drowsy and vague Social : lives home with husband. Patient and family want no further treatment Diet : mild thick fluids (as tolerated) Continence : incontinent, pad in situ Mobility : RIB Medications : patient is receiving medication via a syringe driver: Fentanyl 200 mcg + Midazolam 10 mg (24/24 PRN medication: Fentanyl 25-50 mcg (S/C), Midazolam 2.5-5 mg (S/C) Mrs. Gold was admitted to the ward for palliative treatment. Husband and children are not coping at home and she was in a lot of pain due to her malignant wound on her L) groin. The malignant wound on her groin is purulent and it has developed a sinus. The odour coming out from the wound is offensive. The patient requires pain relief before dressing changes and for any pad changes/hygiene care. It was reported that her groin and peri-anal area is red due to bowel incontinence & discharge from her cervical cancer. Mrs Gold is complaining of burning pain in her groin and perianal region. Mrs Gold’s history notes state that she has developed a rectovaginal fistula as a result of the disease progress and radiotherapy. Mrs Gold also has a long standing venous ulcer that is not healing. Picture 1: Malignant wound on groin Picture 2: Venous ulcer QUESTION 1 Holistic assessment of the patient including: medical history and examination of the patient and the wounds type of wounds with definition and the causes of wounds -example, injury, fungal infection, micro-organism, viral infection, disease. any investigation required for the wound wound management principles QUESTION 2 Evaluation of the wound including wound bed status (include colour/s) & characteristic: Wound bed status (include colour/s) Wound characteristics Wound measurements Condition of surrounding skin (example- intact, breaking down) Wound exudate (colour, consistency, odour) Any further assessment – example; Doppler, wound swab. PLEASE INCLUDE REFERENCING

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