Prevention & Wound Healing
These actions can be done to prevent wound issues such as abrasions, ulcers, and skin breakdown.
What is frequent patient assessment?
This is the #1 practice you should employ before, during, and after cleaning a wound.
What is hand hygiene?
The nurse used this type of wound dressing on Daniel's stage 2 pressure ulcer.
What are hydrocolloid dressings?
The term used to describe keeping all of the layers of the skin intact.
What is skin integrity?
Three different types of wounds, other than pressure ulcers, that can affect skin integrity.
What is abrasion, laceration, and puncture?
This is where you dispose of gloves and soiled dressings.
What is a biohazard bag?
This is common in deep wounds, this may indicate a sign of infection.
What is wound odor?
The patient’s mother gave neosporin to her son and is asking why it didn’t help. You would educate the mother that her son's condition is due to _______.
What is compromised skin integrity?
Name of 2 types of dead tissues.
What is slough or eschar?
Diseases that can reduce sensation.
What is PVD, trauma, and spinal cord injury?
Aside from asking about the patient's pain levels before the pre-assessment, you should also ask if they have any ____.
What are allergies?
If providing pain medication, it should always be administered ____ minutes before treatment.
What is 30 minutes?
Name a skin assessment tool that the healthcare team can use to assess Daniel's ulcer.
What is the Braden scale or Norton scale?
The definition of the term, "dermatitis."
What is inflammation of the skin?
When one layer of tissue slides horizontally against another.
What is shear?
These 3 factors are essential to proper wound healing.
What is sufficient supply of nutrients, oxygenation, and efficient removal of tissue debris?
When cleaning wounds, it is important to move from the ____ area to the ____ area of the wound.
What is moving from the clean areas to the dirty areas of the wound?
A product that should NOT be used on Daniel's decubitus ulcer as it can damage the skin further.
What is hydrogen peroxide and rubbing alcohol?
The term used to describe hair loss (baldness).
What is alopecia?
Examples of skin softening from moisture.
What is excess urine, feces, and diaphoresis?
Stages of wound healing.
What is hemostasis, inflammation, proliferation, and remodeling?
These three things must always be done after performing wound care.
What is evaluation, patient education, and documentation?
Name the factors that affect skin integrity.
What is immobility, nutrition, hydration, diminished sensation, impaired circulation, medications, moisture, contamination, infection, lifestyle?
The term used to describe the softening of the skin.
What is maceration?
The term used to describe skin being dragged along surface.
What is friction?