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A 49-Year-Old Woman with a History of Multiple Sclerosis and Epilepsy

question 885

Multiple Choice

A 49-year-old woman with a history of multiple sclerosis and epilepsy is hospitalized due to recurrent seizures. Her multiple sclerosis is complicated by spastic paraplegia and urinary incontinence. The patient lives with her family, but as her disease has progressed it has become difficult for them to physically assist her and help in her care. As a result, she has missed several doses of medications, including her antiepileptics. The patient does not use alcohol, tobacco, or illicit drugs. Temperature is 36.6 C (97.9 F) , blood pressure is 136/80 mm Hg, pulse is 75/min, and respirations are 16/min. BMI is 19.5 kg/m². Physical examination shows severe extensor spasticity in both lower extremities. Skin examination shows a 4×6 cm ulcerated area overlying the left ischial tuberosity. Devitalized tissue is present around the wound edges, but the base is clearly visible. The wound extends into the subcutaneous tissue, but no muscle, tendon, bone, or fascia is visible; there are no undermined areas or sinus tracts. The wound surface has no foul odor or exudate. The need for frequent turning is discussed with the nursing staff, and an air-fluidized bed is ordered. Which of the following additional measures is most appropriate for treatment of this patient's wound?

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Ecological Footprint

Area of Earth’s surface required to sustainably support a particular level of development and consumption.

World Average

A statistical average or median metric that represents global data across various categories, such as temperature, income, or health indicators.

Ecological Footprint

A measure of human demand on Earth's ecosystems, representing the amount of natural environment required to sustain their lifestyle.

Earth's Surface

The outermost layer of the Earth, consisting of the crust and upper mantle, and characterized by landforms, water bodies, and living ecosystems.