MULTIDISCIPLINE CARE PLAN - MCP
STAGE 1 PRESSURE ULCER

DATE

PROBLEM OR NEED

MEMBERS GOAL

STAFF APPROACHES/IMPLEMENTATION

RESPONSIBLE
DISCIPLINE
  Impaired skin integrity
Stage 1 ulcer location:
______________________
 Erythema will resolve by ___________________

 

 1.  Use & follow also akin care protocol Braden Score 16 or less
(preventative measures) and re-evaluate every two weeks.		  
  (Non-blanchable erythema
of intact skin, not resolving
within 30 minutes of
pressure relief.		   2.  Assess pressure ulcer by using wound assessment form
weekly or if significant change.

 

  
      3.  Avoid positioning patient on the pressure ulcer.  
      4.  Do not massage pressure area or bony prominences.  
      5.  Patient should consume 75% of the meals from the basic Four Food Groups  
      6.  Inclue 1/2 cup orange juice daily or similar high vitamin source.  
      7.  Consult with physician about consideration of Multi-vitamin/mental supplement.  
      8.  Prevent pain related to pressure ulcer or its treatment.  
      9.  Provide analgesic as needed.  
      10. Leave pressure area open to air or select and apply transparent film dressing, foam dressing, or hydrocolloid dressing
- change every 3-7 days and prn.		  
      11.  Provide patient education materials as indicated.  
1.  Nursing
Signatures:		 2.  Physical Therapy 3.  Dietary 4.  Activities 5.  Social Services 6.  Spiritual 7.  Member
1. ______________ 2. _____________ 3. _____________ 4. _______________ 5. _____________ 6. _______________ 7. ___________
1. ______________ 2. _____________ 3. _____________ 4. _______________ 5. _____________ 6. _______________ 7. ___________
MEMBERS NAME: _________________________________ DATE: ____________ REVIEW DATE: ___________________ R# ___________

ACWCP - 1998