1. Intugumentary system
1.1. Pressure Injury
1.1.1. Consult NSWOC Integrity
1.1.2. Cellular Injury
1.1.3. Secondary Intention Healing
1.1.3.1. Inflammatory Response
1.1.3.1.1. Inflammatory Mediators
1.1.3.1.2. Dysplasia
1.1.4. Ischemia
1.1.5. Older Age
1.1.6. Chain of Infection
1.2. Positive wound C + S for ecoli
1.2.1. Cetrifaxone - wound CNS says resistant- reassess?
1.2.2. Healthcare Acquired Infection
1.2.3. Secondary Intention Healing
2. Immune System
2.1. Temperature of 38.3 °C
2.1.1. Elevated white blood cells, neutrophils, and monoccytes
2.1.2. Acute stage of infection
2.1.3. Humoral Immunity
2.2. Older Age
3. Muskuloskeletal System
3.1. Recent fall
3.1.1. Consult PT/OT for mobilization
3.1.2. Muscle Atrophy
3.1.2.1. Discomfort when changing positions
3.1.2.2. Deterioration in Self Care
3.1.2.3. Decreased Mobility
3.1.2.4. Poor Food Intake
3.1.3. Osteoarthritis
3.1.3.1. Nociceptive Pain
3.1.3.1.1. Acetaminophen
3.1.3.1.2. Naproxen
3.1.3.1.3. Morphine
3.1.3.2. Neuropathic Pain
3.1.3.2.1. Gabapentin
4. Client Information
4.1. Refugee
4.1.1. Depression
4.1.1.1. Consult Social Worker
4.1.2. Failure to Thrive
5. Endocrine System
5.1. Type II diabetes
5.1.1. Hyperglycaemia
5.1.1.1. Cellular Adaption
5.1.1.2. Apoptosis
5.1.2. Delayed wound healing
5.1.3. Diabetic Diet 1500kcal
5.1.4. Metaformin
5.1.5. Ischemia
5.2. Dyslipidemia
5.2.1. Risk Factor for Heart Attack
5.2.1.1. ASA
5.2.2. Decreased GFR
6. Gastrointesinal System
6.1. Decreased Albumin
6.1.1. Poor Food Intake
7. Cardiovascular System
7.1. Hypertension
7.1.1. Ramapril
7.1.2. Furosemide
7.2. Smoker
7.2.1. Risk Factor for Heart Attack
7.2.1.1. ASA
7.2.2. Nicoderm
7.2.3. Cellular Injury
8. Genitourinary System
8.1. Dark Urine
8.1.1. Dehydration