Case Scenario: Mr K, 76 years, old

Case Scenario: Mr K, 76 years, old male, has a past history of a healed left leg venous ulcer which has left pigmentation from scarring, AF, HT, T2DM, obesity, COPD and depression. He has been on metformin, metoprolol, prednisolone and warfarin. Mr K is a heavy smoker (two packets of cigarettes per day) and lives alone. His wife, who was the main carer of Mr K passed away six months ago, which impacted Mr K psychosocially. Mr K has been admitted to the orthopaedic ward following a left total hip replacement six days ago. His surgical wound looked swollen, red, and hot to touch and inflamed with a moderate amount of greenish ooze alongside the suture line. He has a bellovac drain in situ,with nil output for last 24 hours. During this admission, Mr K developed pressure ulcer on his left heel, and it has been deteriorated to stage III. Wound characteristics of the pressure ulcer: Small amount of yellowish and odorous discharge from the wound bed and slight maceration to edge, surrounding skin appears red, but there is no undermining noted. Wound bed has areas of 20% devitalised tissue and 80% of granulation tissue. Can you please re-answer according to the teacher’s comment and the case scenario, and answer it correctly. This would be a great help!!! Image transcription text R2: Mr K has a history of the venous ulcer on his left leg, which was healed but MR FER remained a dark scar surrounding his ankle. Compare the pathophysiology and characteristics of both venous and arterial ulcers. A blockage or narrowing o… Show more Image transcription text b) State which of Mr K’s wounds is going to heal by which intention — When a wound is treated with primary aim, the skin edges are joined with stitches or staples and the wound is left to heal from the bottom up. Surgical incisions are frequently the site of… Show more Image transcription text R6: The Doctor has ordered the removal of the sutures from Mr K’s left hip following the completion of antibiotic treatment. Explain what would potentially happen to the suture line if you removed the sutures and why? What strategy in the removal of sut… Show more Image transcription text R9: Describe 5 contributing factors that relate to Mr K’ wounds including one psychosocial factor that may inhibit Mr K’s wound healing and explain how each factor results delayed wound healing The following five reasons all played a role in … Show more SCIENCE HEALTH SCIENCE NURSING HEALTH HLT54115

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