A nurse is caring for a 70-year-old client who has a pressure injury in the coccyx area. The nurse identifies that which of the following factors associated with aging may impact the ability for the ulcer to heat?

1. A. Measure the depth and width of the wound. Regular assessment and documentation of the wound’s size can help track the progress of healing and effectiveness of the treatment plan.

   B. Educate the client about the need for antibiotics. If an infection is present, antibiotics may be necessary. It’s important for the client to understand the purpose and proper use of these medications.

   C. Consult a nutritionist for a diet plan. Good nutrition is essential for wound healing. Certain nutrients, like protein, vitamin C, and zinc, can promote wound healing.

   D. Remove any non-viable tissue. Debridement, or the removal of dead (non-viable) tissue, can help promote the healing of the wound by reducing the risk of infection and allowing healthy tissue to grow.

A. Elevated hemoglobin:

Elevated hemoglobin levels are not typically associated with aging or factors that affect pressure injury healing. Hemoglobin levels primarily relate to blood oxygen-carrying capacity and are influenced by factors such as hydration status, kidney function, and certain medical conditions.

B. Decreased protein level:

This is a significant factor that can impact the ability of a pressure injury to heal in older adults. Decreased protein levels, specifically serum albumin and total protein, are common in aging individuals and can contribute to impaired wound healing. Protein is essential for tissue repair, collagen synthesis, and immune function.

C. Low bone density:

While low bone density (osteoporosis) is a concern in aging adults and can increase the risk of fractures, it is not directly related to the ability of a pressure injury to heal. However, bone density can indirectly impact wound healing if fractures or bone-related complications occur.

D. Increased muscle mass:

Increased muscle mass is generally beneficial for overall health and functional abilities in older adults. However, it is not directly related to the ability of a pressure injury to heal.