Bruise Care Plan
Bruise Care Plan
A bruise is a bluish or purple-coloured patch, which appears on the skin when tiny blood vessels, called capillaries, break or burst. The blood from the capillaries leaks into the soft tissue under the skin, causing the discolouration. Over time, this fades through shades of yellow or green, usually around two weeks. Bruises often feel tender or swollen at first.
A cold compress can be applied immediately, as it reduces the blood flow to the area and therefore limits bleeding into the skin and reduces the size of the bruise, it also decreases the inflammation in the area of the injury and limits swelling. If possible, the area should be elevated above the level of the heart. The lower an extremity is below the heart, the more blood will flow to the area and increase the bleeding and swelling.
Bruising occurs more easily in the elderly because their capillaries are more fragile than those of young people. The amount of bruising may also be affected by medications such as ibuprofen, and aspirin, which interfere with blood clotting.
Warfarin is often prescribed to prevent clotting in people who have had previous blood clots. It can cause severe bruising, especially if the level of the medication becomes too high. Cortisone medication, such as prednisone, can promote bruising by increasing the fragility of the tiny blood vessels in the skin.
The Care Plan sets out a clear explanation of the resident’s issue, and will guide the nurse or carer through the process of preparing a comprehensive, individual person centred Care Plan.
Bruises Care Plan Features:
First Aid treatment advice for bruises
Details the plan of care
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