Professional Documents
Culture Documents
Subjective Data: Decrease sensory Short Term: Independent: -Px experience normal skin tissue
“matagal na yung perception related -In 20-30 mins, the -Assess patient's sensation
sugat” as to sensation patient will have a numbness and relief
verbalized by alteration relief from -Px maintains adequate nutritional
patient referring to secondary to numbness after -Provide compression intake as evidenced of being relief
ulcer leprosy taking up Niacin therapy service from pressure ulcer
“kahit hawakan (vit B) as ordered
walang by the physician -Perform leg elevation -Px maintains activity level within
pakiramdam” or capabilities as evidenced of being
numbness -Asses patient's pain free of pressure ulcer
“mahirap and relief
makalakad”
-Cleansing of the leg
Long Term: ulcer with warmed tap
Objective Data: -After 4-6 months water or saline is usually
Edema on right of medication by sufficient
foot applying PHMB
Pus in ulcer on the antimicrobial to the -Provide clean and
right foot ulcer as ordered by simple dressing
the physician, the technique using a
ulceration is dry stocking or bandage
and healed
Dependent:
-Topical administration
of Polyhexanide
(Lavasept) as ordered to
fasten healing
Dependent:
-Encourage to ma-
intain regular med-
ical by applying
Polyhexanide
(Lavasept)
antimicrobial as
ordered by
physician