Roper-Logan-Tierney Care Plan

In this section we show how you plan to evaluate your approach to food and drink provision throughout the setting and review the food policy. For example: using the Code of Practice Checklist to evaluate the setting’s approach to food and drink provision, feedback from parents, carers, keeping up to date with current good practice on meeting the welfare requirements for food and drink, regularly review staff training, reviewing the food policy at least once a

Pressure ulcer develops as a result of the skin that is over bony prominence. The pressure impairs blood flow leading to tissue necrosis and ulceration. Pressure ulcer can develop in several areas of bony prominence of the body such as the sacrum, greater trochanter, ankles, shoulders, head and ischia. It can develop quickly and difficult to treat, it ranges from mild to skin redness to severe tissue damage, development of infection and damage to muscle. Older people are most at risk due to thin and fragile skin,

What nutrients are and how they affect our body, malnutrition, deficiency etc. The guidelines which determine nutritional health including dietary reference values (DRV), what a balanced diet is and how to maintain this, what BMI is and how to calculate it, the eat well plate, I will explain possible influences on dietary intake, assess how these influences may affect the nutritional health of individuals and I will also make realistic recommendations for minimising the impact of negative influences on individuals in a specific health and social care setting.

Pressure Ulcer is a breakdown of skin appears on the skin over a very thin or bony prominence

A pressure ulcer is localized in some part of the skin that break down when it stays in a same position because is pressing the skin or rubbing with something for a long time. Pressure ulcers have symptoms but it depends on the category, first category looks redness at the skin and the skin is not yet broken, second starts to look pink, like a blister and break the skin, the third may have some parts badly damaged that look yellowish, and fourth in the ulcers can have dead skin can be dark color that can expand to the bone and requires surgery to move the damaged parts. A patient that suffer pressure ulcer describe the color of the ulcer, how feel around the area and if they have a little bit of pain. Some patients say that ulcer look horrible,

Pressure ulcers are one of the most common problems health care facilities often face which causes pain and discomfort for the patient, cost effective to manage and impacts negatively on the hospital (Pieper, Langemo, & Cuddigan, 2009; Padula et al., 2011). The development of pressure ulcers occur when there is injury to the skin or tissue usually over bony prominences such as the coccyx, sacrum or heels from the increase of pressure and shear. This injury will compromise blood flow and result in ischemia due to lack of oxygen being delivered (Gyawali et al., 2011). Patients such as those who are critically ill or bed bounded are at high risk of developing pressure ulcers (O'Brien et

Do they have a history of medical problems and how old is the person there may be an underlining Biological condition they may have an issue with ingestion or digestion they may have a disability making it difficult to cut up or prepare their own food, can they chew and swallow effectively do they a food or fluid allergies that would limit their options? Sociocultural factors need to be considered also, is there any cultural or religious food and fluid requirements they need to abide by is there any allergies limiting food and fluid intake. These factors all need to be considering when assessing ability to maintain healthy nutrition and fluid intake. There are also other factors to consider such dependence or independence , do they have access to fresh food is this readily available can they access this themselves or do they have family members or carers to do this for them(Holland, 2008). Psychological factors may be an intellectual disability or memory problems also environmental factors such as the type of housing they live in the facilities for safe and suitable food preparation and storage. Offering politico economic resources to help them manage in hospital or at home so to insure they are aware of benefits that are available also finding out if their financial problems that could hinder recovery these are all things that this model support in person centred

Intrinsically linked to oral health, nutrition and hydration can be influential to a patient’s recovery and overall disposition during care. Encouraging a patient to participate in healthy nutrition and hydration supports person-centred care. A carer’s priority is safeguarding against malnutrition, dehydration and overhydration, but a patient’s wellbeing depends on a comprehensive view of nutritional care. To deliver person-centred care in this situation requires appropriate systems and protocol in place as a first measure (BAPEN REF). Many vulnerable populations are either currently afflicted with or at risk of malnutrition or improper hydration, which can have serious repercussions on their health (BAPEN REF). By having procedures to monitor

When we find an enclosed damage to our skin as well as tissue that is usually over the skeletal protuberance caused by some sort of pressure, we call it a pressure ulcer. This may be caused by some sort of pressurized rubbing or cut. This type of ulcer is of chronic type that inherently carries impaired healing at physiological level. In this paper I am going to discuss the prevention measures of this ulcer and treatment options.

The common cause of pressure ulcers are related to unrelieved pressure to bony prominence. Pressure ulcers form where bone causes the greatest force on the skin and tissue and squeezes them against an outside surface. Common bony prominences are sacrum, trochanter, lateral foot/heel, and ischium. This can occur highest among the elderly especially in patients over the age of 70. The hip and buttock regions account for 67% of all pressure ulcers, with ischial tuberosity, trochanter, and sacral locations to be the most common. The lower extremities account for an additional 25% of pressure sores, with malleolar, heel, patellar, and pretibial locations being most common. The remaining 10% may occur in any location that experience long uninterrupted

In order to understand further how pressure ulcers can be form, we need to understand the structure of the skin. The system that involved are integumentary system. Integumentary system is makes up about 16 percent of our total body weight. This shows that even a healthy person can develop pressure ulcers if they are left in only one position for long time period. The integumentary system is place where inside of our body and outside world meet. It works as a barriers and known as body’s first line of defense against an often hostile environment. The integumentary system divided into 2 parts which are cutaneous membrane and accessory structures that include the hairs, nails and exocrine glands. Moreover, blood vessels and nerve fibers also support

The purpose of this classification system is to standardize record-keeping and provide a common description of pressure ulcer severity for the purposes of clinical practice, audit and research (Nixon et al.

1. Pressure ulcers, also known as bed sores or pressure sores are injuries of the skin and underlying tissue. They appear when the affected area of skin is under too much pressure. Due to the pressure the blood flow is disrupted, the area does not irrigate, therefore nutrients and oxygen do not reach the skin cells. The skin then breaks and pressure ulcers form

A common health concern seen in the elderly, especially those within institutions, are pressure ulcers. A pressure ulcer is defined as a localized injury to the skin or underlying tissue that occurs when something keeps rubbing or pressing against the skin. Pressure on the skin causes a decrease of blood flow to that area and as a result, an ulcer may form because of the skin dying due to the lack of blood in that region. They generally occur over bony prominences such as, the buttock, elbow, hip, heel, back of the head and ankles. An ulcer has a greater chance of forming if the person uses a wheelchair or stays in bed for a long period of

Pressure ulcers (PU) are defined as the localized injury to the skin and/or underlying tissue usually over a bony prominence, as a result of pressure, or pressure in combination with shear and/or friction (NPUAP, 2014). PU is a common condition in long term care facilities (LTCF) and affects about affect 1.3 million to 3 million adults in the United States and are associated with decreased quality of life; impaired function; complications, such as infection; poorer prognosis; and increased costs of care (Chou et al., 2013). PU mainly affects individuals who are of older age, with cognitive impairment, physical and mobility limitations, with comorbid conditions and who are malnourished.