HEALTH ASSESSMENT PROCTORED EXAM
Marcus Lee is a 34-year-old male admitted after a motorcycle accident resulting in a thoracic spinal cord injury (T6). He reports paralysis from the waist down and relies on staff for turning and transfers. Marcus reports decreased sensation in the buttocks and lower extremities. Over the last 48 hours, Marcus has had multiple episodes of bowel and bladder incontinence due to neurogenic dysfunction. His linens were noted to be damp overnight. Marcus has not been eating well, consuming only 30-40% of meals. His albumin level is low, and he has lost weight over the past month. During the nurse's skin assessment of the sacral area, the following is observed: A shallow open area with a pink wound bed Partial-thickness skin loss involving the epidermis and part of the dermis No slough visible Surrounding erythema Medical history includes: Newly diagnosed neurogenic bladder and bowel Paraplegia MVA What stage is this pressure injury?
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