Skin A&P
Provides protection and contains melanocytes that gives skin its color
What is the Epidermis
Wound Types include
What are Primary, Secondary and Tertiary
Non blanchable erythema
What is Stage 1 Pressure Injury
MASD stands for
What is Moisture Associated Skin Damage
Required to be performed every shift and on admission
What is Skin Assessment
Largest organ of the body
What is the Skin- Integumentary System
Wound that heals by reepithelialization
What is Partial Thickness Wound
Full thickness wound with exposed structure
What is a Stage 4 Pressure Injury
Moisture in skin folds
What is ITD, Intertriginous Dermatitis
Tool utilized to assist with determining at risk patients to develop pressure injury during admission
What is Braden Scale
Skin function when exposed to direct sunlight
What is synthesis of Vitamin D
Wound healing phase that is all about clot formation
What is Hemostasis
Resolving full thickness pressure injury cannot go from a stage 4 to a stage 3 and so on...
What is back staged or down staged
😊Daily Double
IAD stands for
What is Incontinence Associated Dermatitis
Interventions for moisture control
What are absorbent pads, moisture barrier, limiting brief, interdry, antifungal powder, hygiene care, keeping skin clean and dry
Skin anatomy is composed of
What is the Epidermis, Dermis and Hypodermis or Subcutaneous
Wound Assessments includes
What is description of the Wound bed, Periwound and Drainage.
Undermining and Tunneling are present in
What is Stage 3, 4, unstageable pressure injuries
Interventions for moisture control
What is moisture barrier, absorbent pads, antifungal powder, interdry, limiting briefs, dry rounds, incontinent care- keeping area clean and dry
Repositioning every two hours, padding bony prominence areas, floating heels, utilization of wedges and/or support surfaces
What are pressure injury prevention interventions
Acid mantle of the skin
What is pH 5.5
Tissue types in a wound bed
What is granulation, agranular, slough, fibrin, necrotic, eschar
Fluid filled blister or ruptured blister
What is Stage 2 Pressure Injury
Peristomal dermatitis causative factor
What is exposure to effluent- urine or feces
Maintaining Skin Integtrity during admission is one of the responsibilities of
Who is the Primary Nurse