Pressure/Shear Relief
A pressure redistribution surface that has a viscous fluid filling
What is a RIK mattress?
What is: Immobility, sensory loss, friction and shear, moisture, malnutrition
You are asked by a colleague to stage a pressure injury but part of the base is obscured by necrotic material. What stage is this wound?
What is unstageable, Stage N or X?
(Until the wound base is visible.)
What is the major cause of leakage with an adult incontinence brief?
What is selecting a brief that is too large?
What feature of Bedside-Care Sensitive Skin Foaming Body Cleanser and Shampoo protects the skin's acid mantle?
What is: it is pH balanced
An advanced air loss surface that provides an alternating air pressure option
What is the Milleneum 3 mattress?
This hospital equipment may cause unwanted pressure on the patient.
A purple-red, bruise-like skin discolouration, over a boney prominence, with no or minimal skin loss, may signify this.
What is a deep tissue pressure injury?
This action is caused by the force of sheets, clothing or incontinence products being pulled against the skin.
What is shearing/friction?
This barrier ointment contains dimethicone and has an indication for use in the treatment of partial thickness wounds.
What is Proshield Plus ointment?
This force occurs when there is opposing movement between bone and external objects
What is shearing?
Pressure equals to force over this:
What is area?
Staging describes what aspect of a pressure injury?
When inserting the Flexi-Seal SIGNAL, at what point should you stop inflating the inflation port with water?
What is when the SIGNAL dome indicates. NEVER inflate more that 45cc of water.
Over-exposure to moisture may cause what to happen to skin?
What is maceration?
This incontinent pad is the only one approved for use on air loss pressure redistribution surfaces.
What are dry flow pads?
This is one of the high pressure areas while sitting.
What is: IT, coccyx or elbow?
A partial thickness pressure injury with a clean pink base would be considered as what stage?
What is a stage 2?
This liquid feculent body by-product contains enzymes that can lead to skin breakdown with prolonged or repeated exposure.
What is diarrhea?
Skin care products should be pH balanced (between 4-7) to preserve what protective feature of the skin?
What is the acid mantle?
Although this type of force tends to cause limited tissue loss, it predisposes skin to more severe damage from direct pressure.
What is friction?
Name one positioning strategy to manage tissue load.
What is: Apply rule of 30, turning patient regularly, use assistive devices?
What stage are intact serous fluid filled blisters resulting from a pressure phenomenon considered to be?
What is a stage 2?
Name 3 possible benefits of Flexi-Seal fecal management system.
What is:
Protect skin from breakdown
Protect wounds/promote healing
Reduce nursing time needed for fecal management
Infection Control
Improved patient comfort, dignity and quality of life
Odour control
Perineal areas should be cleansed without rubbing in order to avoid epithelial damage or exposure to what force?
What is friction?