ðĻ "WHAT COLOR IS THIS MESS?"
This tissue is beefy red, moist, and means healing is occurring.
What is Slough?
"My cast is itchy."
What is an expected finding?
The most common pressure injury location.
What is the sacrum?
Does a lower Braden score mean higher or lower risk?
What is HIGHER risk?
Stage involving intact non-blanchable redness.
What is Stage 1?
This tissue is black, dry, and looks like burnt toast.
What is Eschar?
Cap refill is 4 seconds under a cast.
What requires immediate intervention?
This intervention should occur at least every two hours.
What is turning/repositioning?
A Braden score of 9 indicates this level of risk.
What is Very High Risk?
Stage involving partial-thickness skin loss.
What is Stage 2?
Injury that is purple or maroon with intact skin.
What is a DTPI?
A wound becomes larger after 3 weeks.
What is delayed healing?
Wet skin breaks down this many times faster.
What is five times faster?
This Braden category evaluates exposure to urine, sweat, and drainage.
What is Moisture?
Stage where adipose tissue is visible.
What is Stage 3?
This tissue is beefy red, moist, and means healing is occurring.
What is Granulation Tissue?
Patient reports numbness and tingling under a cast.
What is possible neurovascular compromise?
Dragging a patient causes this.
What is shear?
This Braden category evaluates ability to reposition independently.
What is Mobility?
Stage where bone, tendon, or muscle is visible.
What is Stage 4?
Non-blanchable redness on intact skin.
What is Stage 1?
A patient's heel is purple and intact.
What is a Deep Tissue Pressure Injury?
The biggest risk factor for pressure injuries.
What is immobility?
The only Braden category scored 1â3 instead of 1â4.
What is Friction and Shear?
A wound covered in eschar that cannot be measured.
What is Unstageable?