He is incontinent of bowel and bladder.

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Please read case study and answer the question at the end of the case study by supporting the answers with in-text citations from the material provided in the attachment labeled Chapter 5.
Situation
Stanley George is an 84-year-old male who was admitted to the Dementia Unit at a long-term care facility in Brooklyn, New York. Mr. George’s next of kin is his daughter, Sharon Pryce. His medical diagnosis included advanced dementia, hypertension, type 2 diabetes, and hypercholesterolemia. Mr. George required one person to assist him with all his activities of daily living (ADLs), except bed mobility and transfer in and out of bed. With these tasks he required two persons to assist him. He uses a wheelchair as his mode of mobility and needs to be wheeled. He is incontinent of bowel and bladder. He is able to feed himself after his meal trays are set up, but requires encouragement or assistance to complete his meals.
Two months after Mr. George was admitted to the facility as a resident, he was observed to have a pressure ulcer in his mid-sacrum. The wound-care team was called to assess the ulcer and make clinical decisions as necessary. The multidisciplinary team included the wound-care nurse, unit physician, unit nurse, nursing supervisor, dietition, and occupational therapist. On assessment by the wound-care nurse, the ulcer bed was covered approximately 75% yellowish tissue called slough and 25% pink tissue. The ulcer was identified as a stage 3 pressure ulcer. The physician ordered immediate treatment for Mr. George, and pressure-relieving devices were put in place. The dietitian evaluated Mr. George’s recent blood test results and recommended supplements that would aid in the healing of the ulcer. Sharon his daughter, was notified of the ulcer development.
Background
Sharon was unable to provide for her father’s needs due to his advancing medical diagnosis of dementia. Sharon wanted to select a facility for her father located in a neighborhood close to where she lived in Brooklyn, and decided to use the website Nursing Home Compare to help her evaluate potential long-term care facilities. The website gave the nursing home she selected a five-star rating, which made her feel comfortable with her decision to admit her father there.
The Nursing Home Compare website is an official U.S. government site for Medicare (www.medicare.gov/nhcompareLinks to an external site.). The website provides detailed information on all Medicare and Medicaid-certified nursing homes in the country. It compares the quality of nursing homes, using a five-star rating system based on health inspection results, nursing home staff data, quality measures, and fire safety inspection results.
The standard protocol for a long-term care facility is that all residents should have a complete assessment, which includes a body assessment by a nurse and a physician upon admission. After investigation, one nurse recalled the Mr. George’s sacral area was purplish in color when he was admitted, but there was no documentation in his files to corroborate this assertion. A purple discoloration on a pressure site can be evident of a deep tissue injury, which indicates that there is injury to the underlying soft tissue due to pressure.
Next Steps
Sharon is scheduled to meet with the administrator of the facility to discuss the development of her father’s stage 3 ulcer. Sharon would like to answer as to why her father developed this ulcer after only two months in the facility. Sharon plans to bring her lawyer to the meeting. Prior to the meeting, the administrator will consult with the wound-care team to better understand Mr. George’s condition and the circumstances behind the development of the pressure ulcer.
Discussion: Answer and respond to the following questions.
(1) As the administrator, how would you respond to this situation?
(2) How should the administrator work with the wound-care team in developing a response?
(3) What programs should the administrator consider implementing to avoid the development of pressure ulcers in high-risk residents? Please note: Please use materials in attachment as references to be used to support the answers to the questiobcins of this case study please.

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