Cause
Treatment
Prevention
Population
Bonus
100
The most common cause of a pressure ulcer is?
Interface pressure – the pressure of the body pressing the skin down onto a firm surface is one of the main causes of a ulcer. Lying on a certain part of your body for long periods may cause your skin to break down. Your skin is thinner in places next to bone or cartilage. Your hips, heels, and tailbone are especially vulnerable to pressure sores.
100
The first step after noticing a pressure ulcer is?
To remove the pressure Repositioning- If in a wheelchair shifting every 15 minutes or so. If confined to a bed, change positions every hour to two hours. Using support surfaces. Mattress, bed and special cushions that help relieve pressure on any sores and protect vulnerable skin.
100
What is the first sign of tissue damage?
Non-blanching erythema.
100
True of False: People who smoke are more likely to develop pressure ulcers.
True
100
Why are unstageable pressure ulcers so hard to stage?
You can't see what is under the dead tissue.
200
Decubitus ulcers can also happen when you scrape or rub your skin against a hard or rough surface. The burns on the skin may damage the outermost layer of skin cells, called the “epidermis.” What is this called?
Friction and Shearing Shear – the pressure that occurs when layers of skin are forced to slide over one another or deeper layers of tissue; shear can occur when a person slides down or is pulled up out of a bed or wheelchair Friction – pressure caused by something rubbing against the surface of the skin, such as a mattress or clothing
200
The next step that helps prevent infection is?
Cleaning- It's essential to keep wounds clean to prevent infection. If the affected skin is not broken (a stage I wound), gently wash it with water and mild soap and pat dry. Clean open sores with a saltwater (saline) solution each time the dressing is changed. Applying dressings- A dressing promotes healing by keeping a wound moist, creating a barrier against infection and keeping the surrounding skin dry. Dressing choices include films, gauzes, gels, foams and treated coverings. A combination of dressings may be used.
200
What are ways to help prevent damage?
Keeping residents skin clean, dry and hydrated.
200
People with poor blood __________ are more prone to ________. (fill in blanks
Circulation:pressure ulcers
200
What stage of pressure ulcers is the most painful?
Stage 3
300
What is another factor that can break down the epidermis?
Moisture
300
If the wound has dead or damaged tissue what must happen for it to heal?
Debridement- is accomplished with a number of methods, depending on the severity of the wound, your overall condition and the treatment goals. Surgical debridement- involves cutting away dead tissue. Mechanical debridement- loosens and removes wound debris. This may be done with a pressurized irrigation device, low-frequency mist ultrasound or specialized dressings. Autolytic debridement- enhances the body's natural process of using enzymes to break down dead tissue. This method may be used on smaller, uninfected wounds and involves special dressings to keep the wound moist and clean. Enzymatic debridement- involves applying chemical enzymes and appropriate dressings to break down dead tissue.
300
What is Ergonomics?
What is Ergonomics?Making sure a residents is suited to aiding in the performance of everyday tasks.
300
What are important food to have in a residents diet to avoid pressure ulcer caused by poor nutrition?
People need enough fluids,calories, protein, vitamins, and minerals in their daily diet to maintain healthy skin and prevent the breakdown of tissues.
300
What is the mortality rate of people diagnosed with stage 4 pressure ulcers.
70% within 180 days most die in less than 50 days
400
Cutting off what supply with pressure can cause an ulcer?
The blood supply to the affected area of skin. Blood contains oxygen and other nutrients that are needed to help keep tissue healthy. Without a constant blood supply, tissue is damaged and will eventually die. The lack of blood supply also means that the skin no longer receives infection-fighting white blood cells. Once an ulcer has developed, it can become infected by bacteria.
400
To keep a resident or patient comfortable during the healing process what may be offered?
Pain management Pressure ulcers can be painful. Non-steroidal anti-inflammatory drugs such as ibuprofen, Motrin, Advil, and naproxen may reduce pain. Topical pain medications also may be used during debridement and dressing changes.
400
What is good Nutrition?
This is essential for prevention and healing.
400
How could incontinence lead to most serious pressure ulcers?
Moisture leads to ore friction and shearing and bacteria from fecal matter can cause local infections.
400
Which areas of the body are affected the most by pressure ulcers?
Hips and coccyx
500
People with "little or no" blank can cause pressure ulcers?
Mobility because their body can not automatically makes hundreds of regular movements that prevent pressure building up on any part of their body.
500
What is necessary if the Ulcer does not heal?
A pressure sore that fails to heal may require surgery. The goals of surgery include improving the hygiene and appearance of the sore, preventing or treating infection, reducing fluid loss through the wound. Most pressure sores are repaired using a pad of your muscle, skin or other tissue to cover the wound and cushion the affected bone (flap reconstruction).
500
What is positioning?
This is important that is is done properly and often.
500
Why would someone with muscle spasm be more prone to pressure ulcers?
People with involuntary muscle movements may be at more risk from frequent friction and shearing.
500
Which group gave the best presentation?
US OF COURSE :)
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