A Family practice doctor

Imagine that you are a family practice doctor working at a clinic. An older adult woman comes in for a “checkup.” She has limited mobility and is transported in a wheelchair with the help of her daughter, who is her caretaker. On examination, you find a large decubitus ulcer over the patient’s sacrum. The ulcer penetrates to the bone.

1. What is the mechanism by which this ulcer formed?
2. What does this suggest about the quality of care your patient has been receiving?
3. What actions need to be taken to deal with the patient’s medical and social/environmental issues