Risk factors
True of False: Being very thin is a risk factor for developing a pressure injury.
True
Partial thickness skin loss involving epidermis and/or dermis, the ulcer is superficial presenting as a abrasion, blister, or shallow crater
Stage 2
Do you massage the skin over or surrounding the affected area to help prevent pressure ulcers?
Massage the surrounding skin
True or False: If you use any preventative device, a patient will not get a pressure ulcer
True or False: Shearing is an area on the body that bears the body's weight when lying or sitting an where bones lie close to the skin surface
False: Pressure Point an area is on the body that bears the body's weight when lying or sitting an where bones lie close to the skin surface.
Full thickness skin loss with extensive destruction, tissue necrosis, or damage involving muscle.
Stage 4
How often do you reposition the patient to help prevent pressure ulcers
every 2 hours
What prevention device can you use to protect a patient's heels or elbows?
Foam or rubber sheepskin protectors
Is incontinence a risk factor for a pressure ulcer?
Yes. Skin breakdown can occur by continued heat, moisture and lack of cleanliness.
Redness develops on the skin over a pressure point
Stage 1
If a patient is very incontinent of stool and feces, what can be applied.
Apply a barrier cream
How do bed cradles help prevent pressure sores?
Bed cradles keep linen away from patients skin.
Which population of patients do not commonly develop pressure ulcers
1. Very Thin 2. Very Old
3. Ambulatory 4. Unable to move
3. Patients who are ambulatory without assistance.
In a stage 1 pressure injury, how early can this pressure injury develop?
30 minutes
True or False: To prevent ulcers from forming a CNA should rub skin dry after washing the perineal area to prevent moisture build up
False: Pat skin instead of rubbing it
When a patient is placed on their side, what can you use in the bed to help prevent skin breakdown?
Put pillow between knees and under the arm facing the ceiling.
Name three pressure points on the body that commonly develop pressure ulcers.
1. Toes, heels, ankles and knees
2. Elbows and shoulder blades
3. Spine (tailbone)
4. Back of neck and over ears
Do pressure ulcers tend to develop underneath or on top of breasts?
Underneath breasts. An area where the skin rubs together. Especially obese patients.
What does a back rub do for an immobile patient?
Helps promote circulation. Remember to wipe off excess lotion when done.
How does a electronically operated alternating pressure mattress, in which different parts of the mattress are constantly being inflated with air and then deflated help prevent pressure ulcers?
Helps prevent pressure from being concentrated in one area.