Respond to the Following Questions

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Oval wound on person with deep wound bed. Overall skin color is lightly pigmented. Yellow fatty

tissue noted in part of wound bed. Remainder of wound bed is red.

1. View the picture to help you assess the wound. What are the "clinical findings" and how

would you stage Millie's wound?

2. What would be included in the plan of care for treatment of Millie's wound? Please

include all aspects of a team-based approach that will be utilized in a successful treatment

plan.

3. What are three (3) nursing interventions that the nurse would incorporate into the plan

of care? Give a rationale for each intervention.

4. If the wound nurse orders a dressing change for this wound, what technique would be

appropriate? (Medical asepsis, clean technique? Or surgical asepsis, sterile technique)?

Describe the procedure and give a rationale for your choice.

5. What are some of the risks that Millie demonstrates for forming a pressure injury? Using

the Braden Scale, how would you score Millie at this time?