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檢視皮膚與活動時間軸，並判斷壓力性損傷預防計畫是否有效。

Trend

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Time	Data
Day 1	Sacral skin is intact and blanchable. The client requires extensive assistance to turn and has episodes of urinary incontinence.薦椎皮膚完整且發白。個案需要大量協助翻身，並有尿失禁發作。
Day 2	A persistent nonblanchable red area is warm and tender over the sacrum. Repositioning gaps of 4 to 5 hours are documented.薦椎上有一持續性非發白性紅斑區域，觸感溫熱且有壓痛。紀錄顯示翻身間隔達 4 至 5 小時。
Day 3	The area is dark maroon, remains nonblanchable after pressure relief, and is more painful. Skin is still intact.該區域呈暗紫紅色，減壓後仍非發白，且更疼痛。皮膚仍完整。

Q1. How should the nurse interpret the 3-day trend?護理師應如何解讀這 3 天的趨勢？

The skin findings show expected bruising from normal aging皮膚發現顯示正常老化造成的預期瘀傷 The prevention plan is effective because the skin remains intact預防計畫有效，因為皮膚仍完整 Pressure-related tissue injury is worsening despite the current plan儘管目前計畫執行中，壓力相關組織損傷仍在惡化

Q2. Which change to the care plan is the priority?照護計畫的哪一項改變最優先？

Massage the maroon area vigorously and place a ring cushion under it用力按摩暗紫紅色區域，並在其下方放置環形坐墊 Offload the area, individualize repositioning, add pressure redistribution, manage moisture, and reassess為該部位減壓、個別化翻身、增加壓力再分佈、處理潮濕，並重新評估 Avoid repositioning so the client can sleep without interruption避免翻身，讓個案能不中斷地睡眠

Q3. Which later finding would best indicate improvement?之後的哪一項發現最能代表改善？

Erythema and pain decrease after consistent offloading while the skin remains intact在持續減壓後，紅斑與疼痛減輕，且皮膚保持完整 The area becomes black and firm but the client reports less sensation該區域變黑且變硬，但個案表示感覺減退 Repositioning is stopped because a specialty mattress is in use因為使用特殊床墊而停止翻身

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