Adequate Nutrition and Skin Integrity Essay Example Paper
Adequate Nutrition and Skin Integrity Essay Example PaperConsidering the client's age and
weight, what physiological changes put her at risk for pressure injury?Due to the rate with
which the damage of tissues happens, shearing is presumably the most prevalent of the risk
factors. Therefore, shearing is among the factors that put the client at risk for pressure
injury. In elderly patients, the impact of shearing may be intensified by weak, brittle skin, in
which the elasticity of the thinning epidermis has reduced, and dermal blood vessels have
been lost, resulting in skin being sheared from its bone and local blood vessels being altered
(Cox, Roche & Murphy, 2018) Adequate Nutrition and Skin Integrity Essay Example
Paper.ORDER A PLAGIARISM-FREE PAPER HEREThe pressure is another physiological
change. When external pressure reaches internal capillary pressure over the pelvis' bony
prominences, like the sacrum, patients who are unable to shift position are at risk of
sustaining a pressure injury. An immobile patient, as in our situation, the client spends most
of the day in a wheelchair, is at risk as they cannot feel pain pressure and begin
movement.Do you think the client's nutritional status had any impact on the development of
a pressure injury? Why or why not?The client's nutritional status has had an effect on the
development of pressure injury. This is because the client claims to be regularly eating
macaroni and cheese, which cannot provide all the nutrients that the skin requires. The skin
relies on nutrition so it can stay healthy and repair itself. When the diet is insufficient, the
skin becomes less resistant, thus raising the risk for pressure injury (Cox, Roche & Murphy,
2018).What can you (the LPN) do to help promote skin integrity and wound healing for this
client?As an LPN, I would turn the client every two hours to redistribute pressure and assist
prevent pressure damage as evidence by nursing documentation. I would also encourage
the client to eat a healthy balanced diet and have regular drinks by ensuring she has a
choice and variety available. Additionally, it is good practice to refer them to the dietician to
ensure their diet is sufficient to enable the pressure injury to heal (Lichterfeld-Kottner et al.,
2020) Adequate Nutrition and Skin Integrity Essay Example Paper.ReferencesCox, J., Roche,
S., & Murphy, V. (2018). Pressure injury risk factors in critical care patients: a descriptive
analysis. Advances in skin & wound care, 31(7), 328-334.Lichterfeld-Kottner, A., El Genedy,
M., Lahmann, N., Blume-Peytavi, U., Büscher, A., & Kottner, J. (2020). Maintaining skin
integrity in the aged: a systematic review. International Journal of Nursing Studies, 103,
103509.Module 03 Discussion - Adequate Nutrition and Skin IntegrityInitial PostAfter
reading Chapter 12 in Williams’ Basic Nutrition & Diet Therapy, Nutrition for Adults, please
reflect on the nutritional requirements for wound healing as well as the physiological

changes that occur with aging. Your original post will address the following scenario:A 78-
year-old female client is admitted to the unit on which you are working. You (the LPN) are
assisting the RN with data collection for the admission assessment. The client reports
spending most of the day in a wheelchair. She reports she can go to the bathroom
independently, but is sometimes incontinent. She also reports that she is unable to cook her
meals, and is dependent on family to do this for her, adding that she is getting tired of
macaroni and cheese from a box.The RN’s assessment reveals a small pressure injury on the
client’s sacrum. The pressure injury measures approximately 2 cm in diameter.Your data
results are as follows:Blood pressure- 100/ 60Heart rate- 88Respiratory rate- 16Oxygen
saturation- 96%Height- 5’9’Weight- 100 poundsPlease respond to the following questions
in your original post.Considering the client’s age and weight, what physiological changes
put her at risk for pressure injury?Do you think the client’s nutritional status had any
impact on the development of a pressure injury? Why or why not?What can you (the LPN)
do to help promote skin integrity and wound healing for this client?ORDER
TODAYResponses to Peers: This discussion requires a response to two of your peers. In
your response, please expand upon and/ or add to the information given by your peers.
Reflect on how the responses are similar and/ or different from your
response.References:Nix, S. (2017). Williams' Basic Nutrition and Diet Therapy Fifteenth
Edition. St. Louis: Elsevier.Touhy, T. (2018). Ebersole and Hess' Gerontological Nursing &
Healthy Aging. St. Louis: Elsevier Adequate Nutrition and Skin Integrity Essay Example
Paper