Identify the Individual at Risk of Skin Breakdown and Undertake the Appropriate Risk Assessment Essay

Upon arriving at the con fountr home, I shut the door behind me, clocked in use my time card and traited the staff log book which is a requirement of the fire safety indemnity. Prior to starting my shift, I attend the hand over held in the staff office with closed doors to throw confidentiality and privacy of the residents. The hand over gives me important changes in the residents health and social allot needs, requirements and procedures that need implementing during the shift.One of the residents I commonly care for is Mrs H who has just come back from a infirmary admission. According to her care plan Mrs H was diagnosed with Type 2 Diabetes Mellitus and continuing Kidney Disease Stage 4 which are predisposing factors for pressure sores. She is bed bound, cannot system of weights bear and had just underg iodin Open Reduction and Internal Fixation (ORIF) for fissure on her left tibia fibula which left her immobilised. She is also incontinent of urine and faeces which are all predisposing factors to sore development.As one of her primary carer, I was assigned to withdraw out a endangerment assessment for whittle breakdown with the use of the Waterlow Scale. I knocked on Mrs Hs direction before entering as a sign of respect for her privacy and greeted her good morning. I asked how she is and she smiled which means she is fine as she has difficulty speaking. I asked her if she would like to have her bed showy and she tell yes please. I certain her that I also need to carry out a risk assessment for skin breakdown to make out if she is at risk of developing a pressure sore.I explained the procedures that she pull up stakes expect, the reasons behind these and I asked for her permission to carry on. She obliged by thinly saying ok in a really low voice. to begin with starting the assessment, I gathered all the things that I need. I notice standard precautions for infection control by washing my workforce with liquid ecstasy and water and drying them with disposable paper towels. I wore a disposable fictile apron and donned a pair of disposable gloves to prevent the disruption and communicate of infection from one person to another.With the help of my colleague, I gently and carefully took off Mrs Hs night dress informing her all(prenominal) step that I make to make her aware and to encourage her cooperation. I kept it in yellow laundry bag as per organisational policy on infection control and prevention. I covered her eubstance with bath towels to maintain her privacy and keep her warm. I washed her face and body with the use of disposable Mediwipes with soap and warm water. I modify her up using the towel to keep her from freezing. I took off her nappy pad and washed her private front part properly and dried her afterwards. wherefore I informed Mrs H that I need to turn her on her side so that I can wash and examine her back. With unified movements from my colleague, we gently and carefully turned her on h er side, taking special care not to present each undue pressure on her self-aggrandising leg to prevent any further injury. I examined her back side taking note of pressure points or bony prominences on her shoulders, sacrum, elbows, ankles and heels. Her skin on her shoulders, spine, elbows and heels look fine but there is a lighting on her sacral area which feels hotter than other areas of her skin.I asked Mrs H if she feels any pain in her bottom and she said yes in a very low voice. On her left heel is an abrasion which she developed piece she was in the hospital. I washed her back and her bottom gently and dried them up properly as excess moisture can modify her skin condition. I tack her soiled nappy pad in a plastic bag to be given over of in the clinical waste bag. I applied aqueous creme on her skin specially on bony prominences to prevent drying. I applied sudocrem on her sacral area to soothe and to protect and help heal her skin.I put on a brush nappy pad on he r, put on clean clothes and positioned her on her right side to rationalise the pressure on her sacral area, using cushions to make her comfortable. The nurse-in-charge came inside the room to check on her left heel wounding and I asked her how to clean it and what training should I use for it. She said I can clean it with sterile water and sterile gauze, dry it up and apply Versiva dressing for protection as advised by the tissue viability nurse. I given up of my gloves and donned on a clean pair.I washed Mrs H wound on her heel with sterile water and sterile gauze, dried it up and applied Versiva dressing. I put on a pressure abatement cushion on her left foot to relieve pressure, kept it support and in a comfortable position. I thanked Mrs H for her cooperation during the procedure. I informed her about the condition of her skin and reassured her that it is well taken care of. I disposed of my apron, gloves and soiled dressings in the plastic bag, tied it and disposed it in a clinical waste bag. I washed my hands with soap and water again and dried it up to prevent the spread of infection.