After teaching a home caregiver how to manage a pressure ulcer, the nurse realizes that further education is needed when the caregiver says:
a. "I will be sure to reposition her frequently and keep her off of the pressure ulcer."
b. "I will wash the pressure ulcer with saline and report any changes in the drainage."
c. "I know that a thick, black covering will protect the pressure ulcer from getting worse."
d. "I will let you know if the pressure ulcer starts to smell rotten."
C
Black tissue in a pressure ulcer is eschar, a necrotic tissue that covers a section of the ulcer and prevents effective assessment. If the caregiver makes this statement additional education is needed. The other statements indicate that the caregiver understands how to care for pressure ulcers.
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