When admitting a patient with stage III pressure ulcers on both heels, which information obtained by the nurse will have the most impact on wound healing?
a. The patient takes insulin daily.
b. The patient states that the ulcers are very painful.
c. The patient has had the heel ulcers for the last 6 months.
d. The patient has several old incisions that have formed keloids.
ANS: A
Chronic insulin use indicates diabetes, which can interfere with wound healing. The persistence of the ulcers over the last 6 months is a concern, but changes in care may be effective in promoting healing. Keloids are not disabling or painful, although the cosmetic effects may be distressing for some patients. Actions to reduce the patient's pain will be implemented, but pain does not directly affect wound healing.
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