Wounds
Skin integrity
Pressure Ulcers
Wounds
Miscellaneous
100

A wound covering of dead plasma proteins and dead cells that occurs if the wound does not close by epitheliation

What is eschar

100
Tissue softened by prolonged wetting or soaking
What is maceration?
100
Yellow or white tissue that adheres to the ulcer bed in strings, thick clumps or mucinous form.
What is slough?
100
Closed wound
What is approximated?
100
A localized collection of blood underneath the skin that may appear as reddish-blue swelling
What is hematoma?
200
Partial or rupturing of a sutured wound
What is dehiscence?
200

Redness to an area that is the result of an injury that does not fade when pressure is applied

What is reactive non-blanchable erythema?

200
Pink or beefy red tissue that has a shiny, moist, granular appearance
What is granulation tissue?
200
Material that has escaped from the blood vessels during the inflammatory process and is deposited in the tissue or on the tissue surfaces
What is exudate?
200
Massive bleeding
What is hemorrhage?
300
Protrusion of internal viscera through an incision
What is evisceration?
300
Hypertrophic scar
What is keloid?
300
For superficial ulcers, new pink or shiny tissue that grows in from the edges or as islands on the ulcer surface
What is epithelial tissue?
300
Connective tissue
What is fibrin?
300
Bloody drainage
What is sanguinous?
400
Wounds left open for 3 to 5 days then surgically closed.
What is tertiary intention?
400
An area of loss of superficial layers of the skin
What is excoriation?
400

A tool used to determine Pressure Injury Risk

What is Braden Scale?

400
The process during which macrophages engulf cellular debris and microorganisms
What is phagocytosis?
400
Mixed drainage consisting of clear and blood-tinged material
What is serosanguinous?
500
Occurs in a wound that is extensive and the edges cannot be approximated.
What is secondary intention healing?
500
Presence of normal skin and skin layers uninterrupted by wounds
What is intact skin?
500
Pressure ulcer appearing with full thickness skin loss with extensive damage through the subcutaneous tissue to the fascia and may involve muscle or bone.
What is Stage IV?
500
The process of pus formation
What is suppuration?
500
Removal of necrotic material
What is debridement?
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