Topic 4: Many of you have expressed that you enjoy Dr. Ira Byock’s book. Reflect on two of the stories we have read. What did you learn from them? How can these stories guide us in communicating about death and in affirming the worth and dignity of those who are dying? (Think about the title and why the book is called “Dying Well.”)

Topic 1: Throughout the semester, you have participated in several simulations. Reflect on these experiences, focusing on what you have learned about effective communication. Additionally, discuss how these simulations have enhanced your cultural and religious competency in patient care. What strategies did you develop to better communicate sensitive information across diverse cultural and religious contexts?

Mr. Neverland has a small, full thickness neuropathic foot ulcer that is not progressing for the past 2 weeks although arterial circulation is adequate, no signs of infection, offloading with total contact casting & topical wound management have been implemented. What is the most likely reason for his wound to be stagnant?

The nursing staff is asking how often they should change a transparent film dressing being utilized for autolytic debridement for a dry dermal ulcer. How will you respond?

A 98-year-old nursing home resident has a pressure injury that is not healing. She has a low zinc level. How does the low zinc level affect her wound healing?

The advantage of a myelocutaneous flap for a sacral pressure injury on a patient with paraplegia is that

The BEST option to offload the neuropathic ulcer on the plantar surface of a patient’s foot is to:

Your patient has a Stage 4 pressure injury that is healing. According to the WOCN® Position Statement on staging healing pressure injuries, how would you describe this wound in the chart:

Of the following, which support surface is most appropriate for a patient on bedrest with paralysis, urinary incontinence and a 6×6 cm Stage 4  sacral pressure injury?

A patient has a lower leg ulcer that is highly exudative and has a ruddy red base. The lower leg has minimal hair, thin and shiny. The ABI is 0.8. Based on this information, this wound is most likely classified as: