Dietary interventions aimed at maximizing caloric and protein intake as well as hydration were initiated. The resident's wife would not permit tube feedings. The care team included the resident's wife at conferences to help identify specific care goals outcomes that respected the resident and his family's wishes. Summary In spite of continuing poor nutritional intake and resulting malnutrition, KM showed significant improvement in the condition of the coccyx wound. Analyzing the wound healing progress must include the assessment of the periwound tissue.
Wound healing is demonstrated by the initial tissue response observed in the periwound region.
However, the resident spent increasingly longer periods of time out of bed in the chair. Using the optimal therapy for this resident while in a chair or the bed changed this resident's potential outcome for healing from low to high probability and assured quality patient care shown by specific wound healing parameters. Treatment of Pressure Ulcers . Clinical Practice Guideline, No. 15. Health and Human Services.