Nursing care plan for the Kennedy terminal ulcer patient. Case report

We present the clinical case report of an 81-year-old bedridden woman with severe cognitive impairment, who initially presented with a category II pressure ulcer in the sacral region. At 48 h, progression to a category IV ulcer was observed. Given the rapid evolution, the characteristics of the lesion and the patient's condition, a diagnosis of terminal Kennedy ulcer was established. In consensus with the family, a conservative approach was adopted, and the therapeutic effort was limited due to the irreversibility situation. Three days later, the patient died of respiratory failure. The care plan is developed based on Marjory Gordon's assessment by patterns, allowing the identification of the patient's problems, setting realistic outcomes (NOC) and developing nursing interventions (NIC) that lead to a dignified death.