Cover Me Up
The outer most layer of the skin.
The measures for maintaining a minimal level of personal cleanliness and grooming
What is personal hygiene?
This happens when a cutting instrument. It is has edges that are well approximated.
What is an incision?
The nurse documented, "Redness to the back, non-blanchable."
What is a Stage 1?
A break or disruption in the normal integrity of the skin and tissues.
What is a wound?
The result of not removing plaque.
What are caries?
The top layer of skin scraped away and can be caused by friction.
What is an abrasion?
Becomes more fragile and lose turgor as a person ages.
What is skin?
A dark, warm, and often moist area that can often favor bacterial growth.
What is the perineal area?
The nurse can delegate ADL care to this individual.
What is UAP (unlicensed assistive personal)
The tearing of the skin with loose flaps of skin or tissue.
What is a skin tear?
The partial or total separation of wound layers from stress.
What is dehiscence?
An inflammation of the oral mucosa.
What is stomatitis?
This is used for bathing to reduce the colonization of skin with pathogens and can decrease health care - associated infections (HAIs).
What is chlorhexidine gluconate?
The compromised circulation secondary to pressure or pressure combined with friction.
What is a pressure ulcer?
The replacement term for pressure ulcer from the National Pressure Injury Advisory Panel.
What is a pressure injury?
This is an actual or potential health need when the patients states they do not need a bath.
What is a bathing/hygiene ADL deficit? (nursing diagnosis, pg. 1093 in blue table, Examples of Actual or Potential Health Problems and Needs)
We cause pediculosis.
DAILY DOUBLE
What are lice?
Can be caused by peripheral artery disease or diabetes.
What is a diabetic ulcer?
Intact or nonintact skin with nonblanchable deep red, maroon, or purple discoloration with a dark wound bed or blood-filled blister.
DAILY DOUBLE
What is a deep tissue pressure injury? Pg. 1165 (Box 33-4 had images)