You are caring for a 78-year-old client admitted from home who sustained a significant laceration to the scalp when he tripped and fell while trying to light his cigarette. During the head-to-toe assessment, you note that he has a large stage 3 decubitus ulcer over the sacral area. His past medical history includes diabetes, hypertension, COPD, and kidney transplant 15 years ago. He weighs 110 pounds and is 5′7″. You notice that he also has generalized edema.

1) Differentiate between primary and secondary intention, and give an example of each from the scenario above.

2) What factors in the scenario above may impair the healing process and why?

3) Summarize the three phases of healing.