Case Study, Chapter 10 Failure to document in admitting nurse’s assessment notes and effect on the outcome

 
My main concern is whether the nursing home laid out guidelines on managing bedridden patients and whether there are strategies to provide special mattresses for non-ambulatory clients to curb and care for pressure ulcers. I think that lack of documentation of the patient’s necrotic grade III pressure ulcer on the coccyx and particular care like the need for a special mattress could or could not have affected the patient outcome. Firstly, it can be termed a missed diagnosis that the nurse overlooked while attending to the patient. In this case, the unnoticed diagnosis could not have been documented. The professionalism of the nurses in the nursing home should also be questioned. There is a likelihood lack of experience results in the inability to detect the pressure ulcer during the examination and the importance of having a mattress. There was a need to detect the task for the pressure ulcers hence indicating the urgency of having a particular mattress to avoid worsening the condition. I would also highlight that if the diagnosis was developed but no documenting was done, this would affect the failed outcome of the patient. If a recording was done, then it could aid in ensuring positive patients outcomes.