HUM 102 MODULE THREE SHORT ANSWER ASSIGNMENT GUIDELINES AND RUBRIC

Assignment: Preventing Pressure Injuries—Learning from Linda’s Story

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Assignment: Preventing Pressure Injuries—Learning from Linda’s Story

Directions:

  • Read the case study carefully, then answer the following questions in complete sentences using evidence-based nursing practice.
  • May use course materials and U Central as needed to support your answers. Please write in your own words.
  • Download and type directly into the assignment
  • Please highlight answers
Story: The Case of “Linda’s Pressure Injury”

(Name changed for privacy; drawn from a real, publicly reported patient safety case used in hospital safety trainings)

Background:
Linda, a 72-year-old retired schoolteacher, was admitted to a large community hospital after elective abdominal surgery. She had several risk factors: diabetes, mild malnutrition, and limited mobility post-surgery.

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Assignment: Preventing Pressure Injuries—Learning from Linda’s Story

Directions:

  • Read the case study carefully, then answer the following questions in complete sentences using evidence-based nursing practice.
  • May use course materials and U Central as needed to support your answers. Please write in your own words.
  • Download and type directly into the assignment
  • Please highlight answers
Story: The Case of “Linda’s Pressure Injury”

(Name changed for privacy; drawn from a real, publicly reported patient safety case used in hospital safety trainings)

Background:
Linda, a 72-year-old retired schoolteacher, was admitted to a large community hospital after elective abdominal surgery. She had several risk factors: diabetes, mild malnutrition, and limited mobility post-surgery.

Timeline of Events:

  • Day 1–2: Nurses documented that Linda had a Braden score of 14 (mild risk). The care plan included repositioning every 2 hours, but the unit was short-staffed. Turning was inconsistently done, and no pressure-relieving mattress was ordered.
  • Day 3: A small red area was noted on her sacrum, but no wound care consult was placed. Documentation was incomplete, and the day shift assumed the night shift would follow up.
  • Day 5: The redness turned into a blistered Stage 2 pressure injury. Linda began complaining of pain, but her pain was dismissed as “normal post-op discomfort.”
  • Day 7: The wound deteriorated to a Stage 3 ulcer with drainage. Infection set in, requiring IV antibiotics and a longer hospital stay.
  • Outcome: Linda was discharged after an additional 12
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days with a complex wound requiring home health care. She described feeling ignored and helpless and later became an advocate for pressure injury prevention in hospitals.
Part A – Questions (Answer All 5)
  1. Risk Identification
    Linda’s initial Braden score was 14. (0.5pts)

    • What specific risk factors contributed to this score, and why should a score of 14 trigger preventive interventions?
    • System Factors
      Staffing shortages were noted during Linda’s hospitalization. (0.5pts)
    • How should nurses and the healthcare team respond when short staffing threatens completion of essential safety measures (e.g., repositioning every 2 hours)?
  2. Communication
    A red area was documented on Day 3 but not followed up. (0.5pts)

    • Describe the correct communication and escalation steps a nurse should take when early skin changes are observed.
  3. Patient-Centered Care ❤️
    Linda reported pain that was dismissed as “normal post-op discomfort.” (0.5pts)

    • How can nurses validate and advocate for a patient’s concerns to prevent harm?
  4. Preventive Nursing Measures ️
    List at least three specific interventions that should have been implemented by Day 1–2 to prevent the pressure injury from progressing. (0.5pts)
Part B – Reflection (Short Paragraph) (2.5pts)
  • Looking Forward
    Based on Linda’s experience, reflect on one key change you would personally make in your nursing practice (or on a unit) to prevent a similar incident.
  • How will you help ensure every patient’s skin safety is protected, even during busy or understaffed shifts?

Related: Assignment 3: Recommend Actionable Operational Strategies

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