the Skin Breakdown

on the 13th, I took care of 23021/F.
I knew she is a shy person, I gave her chances to do her own ADL (activities of daily living) with assistance larr, of course. Know what.. I can't detect that she has a slight redness on the lower back, which is the lumbar sacral region. It is sign of skin breakdown, must write incident report already. She initially only ada few Nursing Intervention like 1.)O2 2L/min via nasal prong 2.)RIB 3.)4H neuro obs. Now...added 1.)2H neuro obs 2.)ripple mattress 3.)2H turning... arsh~

Firstly, because she is a shy person, she wanted to wear hospital gown with her own pants inside but family members did not bring enough pants for her, she wore the wet pants for some time. When I did her a sponging with my colleague, noticed it was wet+ hmm, it made skin soggy. Soggy skin appeared in red and easily breakdown if proper pressure area care doesn't carry out like 1.)good back rub while sponging to improve bld circulation 2.)clean and make sure affected area dry 3.)sleep with different position to reduce pressure on one area.

She looks very good but obs quite unstable, BP suddenly can shoot up to very high level. It may indicates something occured. Close monitoring her condition is very important.

Today, I introduced her to her neighbour...but she claimed that she doesn't know how to speak Cantonese..luckily neighbour what language also know... hehe =p Happy larr~ Oh, she will discharge soon... =)