[Susan]

Lesion type: Soft Part Infection in Pressure Ulcer
A 45-year-old paraplegic patient with stage IV sacral pressure ulcer admitted to the hospital for treatment of severe infection on the site, using venous antibiotics, already undergoing debridement. Lesion measuring about 10 × 10 cm, 6 cm deep, with bone exposure. In use of activated carbon and silver.

Criterion in DUT ANS:
Criterion H - patients with necrotizing fasciitis, cellulite or myositis (including surgical site
infection), with severity classification II, III or IV;

[swagfr0g]

[Lil_Lisa]

Sadly, I’ve seen TOO MANY of these. Patients not being turned and or moved.

[justjux2]

yup, part of the reason I wanted OUT of the nursing home. its an uphill battle getting CNAs to turn patients. if they only knew how important movement was they'd prioritize turning their patients over all. but yet even after patients had bad sores it was hard to get CNAs to turn them......so annoying.

[WhatHaveIBecome]

Clearly not his first pressure injury. So much scar tissue he doesn't even have an intergluteal cleft (aka butt crack).

As a nurse, just want to say if you had any concept of the horrible CNA and nurse ratios, you might understand a little more about why these things happen. Sure, it's not acceptable and I feel for this poor soul, but with so many patients and so little time, it can be a total uphill battle to turn people frequently enough to avoid these outcomes, especially if they are malnourished and/or incontinent of bladder or bowel.

There are many ways we could begin to solve the issue of staffing and better health outcomes, but none of it involves simply blaming the nurses and aides, but people find it easier and simpler to just do that.