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Pressure ulcer nutrition — DGM MCQ

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ModerateFrailtyPressure ulcer nutritionDGM

An 87-year-old man with frailty has a new sacral pressure ulcer and poor appetite. He has lost 5 kg and albumin is low during acute illness. He spends most of the day in bed. Current medicines include multiple medicines. What is the most appropriate assessment?

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Correct answer: E — Nutritional screening plus pressure-area care plan

Pressure ulcer care should include nutritional screening, repositioning and wound assessment as part of a multidisciplinary plan. Albumin alone is not a nutrition assessment, antibiotics need infection evidence, ignoring nutrition and bed rest without repositioning worsen outcomes. Skin integrity, mobility and nutrition are closely linked in frailty.

Reference: NICE pressure ulcer guidance; NICE CG32