[Expert Solution]: CASE SCENARIO: You are the wound treatment…

CASE SCENARIO: You are the wound treatment associate in an acute care setting. Mr. Jones, a 78—yr. old male, is admitted for sepsis and malnutrition. He has been cared for in his home by his 75—yr. old wife. Mrs. Jones has poor eyesight and rheumatoid arthritis. Assessment: Mr. Jones is bedbound. He is thin and contracted. He makes eye contact and moans when repositioned, but is unable to communicate. His skin turgor is diminished and he has a Foley catheter in place. He has two pressure ulcers/injuries: (1) right trochanter, 4 x 7 cm; the wound is covered with dry eschar and is not draining; and (2) left trochanter, 8 x 12 cm, with copious amounts of drainage. All other pressure points are intact. He is receiving tube feedings of Jevity (1 calorie/cc; 44 gm protein per liter) through his PEG tube; the infusion rate is 50 cc/hr. His current weight is 132 lbs. (His wife states he has been losing weight for several months – his “usual weight” is 150 lbs). His temperature is 102.4 CF and he is frequently diaphoretic. Lab Data: WBC 22,000; Prealbumin 10; Hgb A10 8.5; FBS 285. Past Medical History: Cerebral vascular accident (OVA) 6 yrs ago; myocardial infarct (Ml) x 2; 45 pack year smoking history (no longer smokes); chronic obstructive pulmonary disease (COPD); Type 2 diabetes; atherosclerosis; and lower extremity arterial disease