DIRECTIONS: Review the following case scenario # 2, and answer questions 7-20 based on…

DIRECTIONS: Review the following case scenario # 2, and answer questions 7-20 based on the information presented in the case scenario # 2. CASE SCENARIO # 2: You are the wound treatment associate in an acute care setting. A78-year old patient is admitted for sepsis and malnutrition. The patient has been cared for in his home by a family member. The patient has poor eyesight and rheumatoid arthritis. Assessment: The patient is bed-bound; is thin and contracted; makes eye contact and moans when repositioned; but is unable to communicate. Skin turgor is diminished, and a urinary catheter is in place. The patient two pressure injuries: (1) right trochanter wound—4 x 7 cm; the wound is covered with dry eschar and is not draining; and (2) left trochanter wound— 8 x 12 cm with copious amounts of drainage. All other pressure points are intact. The patient is receiving parenteral tube feedings (1 calorie/cc; 44 gm protein per liter) through his PEG tube; the infusion rate is 50 cc/hr. The patient’s current weight is 132 lbs. and “usual weight” is 150 lbs. (the Caregiver reports the patient has been losing weight for several months).. The patient has a temperature of102.4 °F and is frequently diaphoretic. Lab Data: WBC = 22,000; Prealbumin = 10; HbA1c = 8.5; fasting blood sugar (FBS) = 285. Past Medical History: Cerebral vascular accident (CVA) 6 years ago; myocardial infarct (MI) x 2; 45 pack year smoking history (no longer smokes); chronic obstructive pulmonary disease (COPD); Type 2 diabetes; atherosclerosis; and lower extremity arterial disease. Questions; 7-12: Using the Braden Scale for Predicting Pressure Sore Risk, identify this patient’s risk factors for pressure injury development, and choose the correct numeric score for each of the following Braden Subscales. What is the numeric risk score for each of the following Braden Subscales? WTA final exam II answers