PI'S EXPANDED
Non-blanching redness found on a bony prominence.
What is a stage 1 pressure injury?
Red, moist tissue composed of new blood vessels. Healthy, viable tissue.
What is granulation tissue?
These types of dressings are used to stop bleeding or absorb high volumes of exudate (i.e. Kaltostat).
What are alginate dressings?
This document assists staff to complete a full skin assessment and ensure relevant PI prevention equipment and referrals are in place.
What is the SSKIN bundle?
A barrier infused cleansing wipe that may be used during hygiene care as an alternative to Molicare foam and cream.
What are Stryker Shield Comfort Wipes?
Redness or skin break-down, usually found beneath abdominal folds and in the groin area associated with moisture.
What is IAD?
This refers to the separation of previously joined wound edges
What is dehiscence?
A type of dressing that uses suction to draw out wound exudate and assist with wound closure.
What is negative pressure wound therapy?
A product that should be applied after hygiene, especially where there is incontinence, to prevent moisture associated skin damage.
What is barrier cream?
These Allied Health professionals should be referred to when a patient has a pressure injury greater than a stage 2 to ensure their nutrition is sufficient for wound healing.
What is a Dietitian?
A pressure injury stage where the dermis has been damaged but subcutaneous tissue is not visible. May also present as an intact or broken serous filled blister.
What is a stage 2 pressure injury?
Repaired wound tissue, usually pink in appearance.
Wha tis epithelialisation?
A debridement technique that involves the use of specialised dressings that allows the dead tissue to be digested by enzymes present in the wound bed.
What is autolytic debridement?
These are a gold standard PI prevention product prescribed by Occupational Therapists to prevent pressure injuries when patients are sitting out of bed.
What is a ROHO cushion
The form used to refer patients to Bolton Clarke, The Lymphoedema Clinic and other community based services.
What is an ACCESS Referral
A pressure injury stage that can appear as non-blanching bruising or a blood filled blister. Often feels boggy on palpation.
What is an SDTI?
Term for yellow, stringy non-viable tissue that can sometimes be seen in a wound bed.
What is slough?
A spray or irrigation solution that has antimicrobial effects and may need to be left in contact with the wound bed for several minutes before removal.
What is an antiseptic wound cleansing solution?
Most pressure injuries with harm (HACs) are found on this part of the body.
Wha are feet?
A condition categorised by localised swelling and oedema to the upper or lower limbs caused by a compromised lymphatic system. Often managed with specialised compression garments.
What is lymphoedema?
A pressure injury that has an obscured wound bed, may be obscured by slough or necrotic tissue.
What is an unstageable pressure injury?
Extension of the wound bed beneath the external edges, its location may be described by using a clock face.
What is tunnelling or undermining?
When applied to the wound bed, this ‘hydro’gel dissolves necrotic tissue and fibrin, absorbs wound exudate and contains antibacterial enzymes to protect the wound from infection.
What is Flaminal Forte/Hydro?
A number measured by Podiatry that can indicate low arterial supply to the feet, putting a patient at a higher risk of developing a pressure injury.
What are toe pressures?
An antimicrobial dressing used for centuries. Normal Saline may not be appropriate with this dressing type due to the negatively charged ions.
What are silver dressings?