Form and Function
Documentation
Types of wound
Dressings
Wound Staging
100
What vitamin does the skin produce in conjunction with sunlight?
What is Vitamin D?
100
Edges that roll in against the wound base
What is epiboly?
100
On the bottom of the foot, patient usually has pulses, round, seldom has pain, surrounded by callus
What is a diabetic foot wound
100
USe me for a shallow open wound with little drainage
What is a hydrocolloid?
100
I have bone and muscle in my base
What is a stage 4?
200
Constriction, sweating, and goose bumps
What is temperature regulation
200
Drainage that has serum and blood mixed together
What is sero-sanguinous?
200
Over a bony prominence, red, doesn't blanch, skin not open
What is pressure injury
200
Use me for a wound with lots of drainage
What is a foam?
200
My skin is broken, my base is pink, and I am very shallow with little drainage
What is a stage 2?
300
Pain, cold, heat
What is sensory?
300
tan slimy stuff on the wound bed
What is slough?
300
On the lower inside ankle or calf, irregular borders, lots of drainage, painful,
What is venous stasis ulcer
300
Use me for a deep wound with lots of drainage that hasn't responded to conservative treatment
What is NPWT?
300
I have subcutaneous tissue but no bone or muscle.
What is a stage 3
400
Water and Fat
What is storage?
400
Tissue that is red, cobblestoned, bleeds easily in the base of the wound?
What is granulation tissue?
400
Over the ankle, perfectly round, little drainage, pale, foot turns blue when dependent
What is an arterial ulcer?
400
I am purple and fluctuant but the skin is not broken
What is a DTI
500
6 pounds
What is the weight of the skin?
500
Every seven days for 4 weeks, then quarterly unless a change occurs
What is how often you do a skin assessment.
500
Rash on the sacrum that is red, has satellite lesions, sometimes the skin sloughs off
What is a fungal rash?
500
USe me when the wound is very dry and not healing.
What is hydrogel?
500
I am hard, dry and black.
What is unstageable?
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