Phys Clinical Cases · geriatric
Pressure Injuries AND Wound Care — DCE Clinical Case
DCE long-case and short-case station for Pressure Injuries AND Wound Care.
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Pressure Injuries AND Wound Care — Clinical Case
DCE Long Case
Patient brief
Patient: A middle-aged or older adult with multimorbidity and a presentation centred on Pressure Injuries AND Wound Care. [1]
Presenting complaint: Subacute or acute symptoms referable to Pressure Injuries AND Wound Care, with enough detail to force prioritisation. [1] [2]
Past history: Common cardiometabolic and organ comorbidities that interact with the plan. [2]
Medications: A polypharmacy list that includes at least one interaction or dosing issue. [2]
Examination: Key positives and critical negatives for dangerous differentials. [1]
Investigations: A small set of results that change management. [1] [2]
Tasks
- Present a prioritised problem list. [1]
- Defend investigations and immediate therapy. [1] [2]
- Provide safety-net and follow-up advice. [2]
Model discussion points
- Working diagnosis and acuity. [1]
- Differentials and discriminators. [2]
- Treatment sequence and monitoring. [1] [2] [3]
- Multimorbidity and communication. [2]
You have read the opening of this clinical case. The complete unit — every section and its primary-source references — is part of the Physician Medicine fellowship atlas.
References8Show ledgerHide ledger
- [1]Liu N, Liang R, Zhu J, Jia E, et al. Nutritional support for pressure injury: a bibliometric analysis of research trends Front Nutr, 2026.PMID 42466136
- [2]Gajardo AIJ, Steinert SF, de la Barra M, Neman A, et al. Efficacy and safety of conventional vs. prolonged prone positioning in ARDS patients: An evidence synthesis with meta-analysis Med Intensiva (Engl Ed), 2026.PMID 42448511
- [3]Raihane AS, Deusch GM, Liu C, Najafi B, et al. Spooky action at a distance: neuromodulation, physiologic distress signals, and limb preservation Burns Trauma, 2026.PMID 42441071
- [4]Frasier LL, Alindogan A, Hoskins N, McGinnis L, et al. Use of Digital Clinical Decision Support System Increases Adherence to Provision of Evidence-Based Interventions for Elevated Intracranial Pressure During Simulated Care of Patients with Traumatic Brain Injury Prehosp Disaster Med, 2026.PMID 42466954
- [5]Rosado-Fonseca M, Silva E, Ribeiro T, Rocha-Melo A, et al. Pedal acceleration time as a diagnostic and prognostic tool in peripheral artery disease: systematic review and meta-analysis BMC Med Imaging, 2026.PMID 42426635
- [6]Huang S, Yang M, Xu F, Huang Y, et al. The Practice Experience of ICU Nurses in Preventing Pressure Injuries: A Qualitative Meta-Synthesis J Adv Nurs, 2026.PMID 42362388
- [7]Xi Y, Yao T, Zhang C, Zhuang T Effectiveness of safety care and clinical nursing pathway in patients undergoing cardiovascular intervention: a randomized controlled trial Perioper Med (Lond), 2026.PMID 42469924
- [8]Marks FJ, Walters SJ, Sutton L, Jacques RM What statistical methods are more appropriate for predicting recruitment at the design stage of a randomised controlled trial? Trials, 2026.PMID 42469922