Nursing Care: Making a Big Difference in Stage 3 Bed Sore

Abstract

Efficient nursing care with regular assessment, positioning, exercises and the prescribed treatment improved the condition of the patient and it took 4 months for healing of bed sores. This case report concerns a 78-year-old bed-ridden elderly woman, diagnosed with Parkinson’s disease, rheumatoid arthritis and stageIII bed sore. The patient was admitted to the special ward of Hakeem Abdul Hakeem Centenary Hospital (HAHC), New Delhi, with the chief complaints of poor intake of food, pain in legs and back, fatigability since one month and a sore in the buttock and the right iliac spine region as she was bed ridden. During physical examination, the patient was conscious and oriented but the slurring of speech was present, tremors were there, lead pipe rigidity was present, gait could not be assessed, the GCS score was 15/15. She had stage 3 bed sore [6 cm*8 cm]. Contractures in elbow, wrist hand, and knee were present. After all the investigation, she was diagnosed with malnourishment with Parkinson and rheumatoid arthritis and stage 3 bed sores in right iliac region and sacrum region.