Skin Integrity Facts
What is considered good skin integrity?
Complete and Unimpaired
What carries urine from the kidneys to the bladder?
the ureter
Stage 1
Intact Skin, redness over local bony prominence – can be hard to detect in dark skin tones
What is the inability to partially or completely empty the bladder called?
Urinary retention
First Step
Inspect
Common reasons for bad skin integrity
Friction
Shear
Pressure
Moisture
What is Erythropoietin?
(2 things)
Stimulates red blood cell production
and
maturation in bone marrow
What is a life-threatening infection in the bloodstream called?
Bacteremia
Serous, Sanguineous, Serosanguineous, Purulent
Who is the most at risk?
Older Adults
Name the organs of the urinary system
kidneys, ureters, bladder, urethra
Which stage consists of partial loss of the dermis but no slough
Stage 2
What is a complaint of involuntary loss of urine called?
Urinary incontinence
Serous Drainage defined
clear, watery
What is the Braden Scale?
What is the function of the Nephron?
1. REMOVES WASTE FROM THE BLOOD
2. REGULATES FLUID AND ELECTROLYTES
Describe a suspected deep tissue injury
Purple/maroon around area of intact skin or blood-filled blister due to damage of underlying soft tissue from pressure or shearing of skin
What is the term for an upper UTI?
Pyelonephritis
What does Purulent drainage indicate
active bleeding
____ can also cause bad skin integrity.
Trauma
What is micturition?
When the brain gives the bladder permission to empty
What is considered unstagable?
Full Thickness tissue loss, ulcer is covered by slough/eschar in wound bed
What is the most common healthcare acquired infection accounting for up to 40% of infections reported by acute care hospitals?
UTI's
Describe Serosanguineous drainage
pale, pink, watery