Your patient has a Stage I pressure ulcer on her coccyx. Her husband has asked if she can massage the area to expedite healing. What is the most appropriate response by the nurse?

 

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Correct

- "Massage on this wound can actually damage the capillary beds and cause further harm, therefore this would not be safe."

- "Yes, that would increase oxygen delivery to the tissues."

- "Yes, that would increase oxygen delivery to the tissues. It would be best to do that at least every 2 hours to maximum results."

- "No, that would not be a good idea."

Rationale

Massage can damage the capillary beds and necrosis can actually result. It is best to provide as much context and education as possible rather than just saying no. Direct massage would be inappropriate to perform on a pressure ulcer, regardless of stage.

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