A 84-year-old woman with severe frailty (CFS 7) and advanced dementia is in a nursing home. She develops a large stage 4 pressure ulcer over her sacru...

Question

A 84-year-old woman with severe frailty (CFS 7) and advanced dementia is in a nursing home. She develops a large stage 4 pressure ulcer over her sacrum with exposed bone. She is at the end of life. The nursing staff ask the GP about wound management priorities. What is the MOST appropriate approach?

Accepted Answer

Apply negative pressure wound therapy to accelerate healing

Answer

Refer urgently for surgical debridement under general anaesthesia

Answer

Focus on comfort-oriented wound care: pain management, odour control, moisture management, and protection from further tissue damage

Answer

Start systemic antibiotics and refer to tissue viability for intensive management

Answer

No wound care is needed as she is dying

uk-dgm MCQ (SBA): Palliative Wound Care at End of Life