A 23-year-old Caucasian male with paraplegia as

A 23-year-old Caucasian male with paraplegia as a result of a spinal cord injury from a car wreck at the age of 16. He lives at home with his parents while attending college online. He visits the Health Clinic for a regularly scheduled skin assessment, where the nurse observes a reddish area on his sacrum. The RN observes that the red area is round and directly over the sacrum. The skin is intact. The sacral area has remained red for two hours and does not blanch. Using the above information what are your thought about the nurse’s next steps. The nurse’s next steps should be to take a closer look at the reddish area on the patient’s sacrum. If the area is still red after two hours and does not blanch, it is possible that the patient has a pressure ulcer. The nurse should then assess the patient’s skin for any other signs of pressure ulcers and documents the findings. What stage would you suspect the wound is and include a written description of that stage? SCIENCE HEALTH SCIENCE NURSING NUR 111

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