Pressure Injury Staging
this pressure injury stage is defined as "through the dermis with subQ fat exposed"
stage 3 (slide 4)
name 2 nutritional factors (vitamins/minerals/macros) that are required to monitor/supplement if someone has a pressure injury
vitamin C, zinc, copper, protein, albumin (slide 18)
Most common site of pressure injury in adults
sacrum
name 3 risk factors for developing a pressure injury
reduced sensation, impaired mobility, decreased blood flow, muscle atrophy, poor nutrition, diabetes, altered mental status
patient presents with a pressure injury stage 3. He receives treatment for it and his injury improves to a stage 1. How would you refer to his current pressure injury?
1. stage 1
2. healed stage 3
healed stage 3
"once a stage X, always a stage X no matter if it is fully healed"
this pressure injury stage is defined as 'skin breakdown extending into the dermis"
stage 2 (slide 1)
general treatment for stage 1 and 2 (PM&R recap)
relieve pressure
if its wet, dry it
if its dry, wet it
most common site of pressure injury in kids
occiput
how often are you supposed to turn a patient to prevent a pressure ulcer
2 hours (slide 20)
true or false: both tilt in space and reclining wheelchair reduce risk of pressure injury
1. true- they both do
2. false- only tilt in space
3. false- only reclining chair
3. false- both do not
DAILY DOUBLE x2 points
this pressure injury stage is defined as having muscle, tendon or bone exposed
stage 4 (slide 3)
general treatment for stage 3 and 4 (PM&R recap)
debridement of dead tissue, irritation, wound vac, skin flap
what is the treatment and duration for OM
6 weeks IV antibiotics
what regions of the body are pressure injuries prone to develop
bony prominence
Most sensitive test to diagnose OM
1. bone scan
2. MRI
3. xray
4. bone biopsy
bone biopsy (96% sensitive)
this pressure injury stage is defined as "non blanchable erythema"
stage 1 (slide 2)
name 1 wound care nurse who covers the rehab
DAILY DOUBLE
Christina patch
treatment option for refractory osteomyelitis or complex ulcers involving a person lying in a pod
HBOT
hyperbaric oxygen therapy
pressure injuries happen as a result of _____ or ______
(2 mechanism of developing we should know)
shear or pressure (15-16)
this stage is defined as purple, intact skin, but the sound bed cannot be visualized
deep tissue injury (slide 5-6)
too much pressure without shifting around leads to _____ to that area of skin if pressure is >70mmHg
(mechanism)
capillary ischemia