Pressure Sores and Wounds
Main cause of pressure sores.
Immobility, incontinence, poor nutrition.
1st thing to do when a hearing aid isn't working
Nutritional supplements of come in the form of what?
Drinks/Shakes
Provides relaxation, comfort, promotes/improves circulation
Normal or average blood pressure.
120/80
A wound drain is used to what?
Allow drainage to leave the wound.
On a resident who is prone to bleeding/ on blood thinners.
What position should a resident be in when eating in bed?
Fowlers/ sitting up.
Heat__________ blood vessels and cold_________ blood vessels.
Dilates/constricts.
What is a normal HR?
60-100bpm
What should be reported to the nurse about dressings and wounds?
Saturated/leaking dressing, foul smelling odor
When applying a shirt on a resident with a broken arm you should start with what arm?
The injured arm.
Why should a resident's head be elevated when receiving enteral feedings (tube feeds)?
More prone to aspiration
How should pain be reported to the nurse? Give 2 examples.
Describe the pain, rate the pain, where is the pain located
Average respirations per min?
6-10
Name 4 pressure points on the body.
Elbow, coccyx, knee, hip, head, heels, spine, shoulder blades, ie any bony prominence.
What do you do with an IV line when dressing a resident?
Slide bottle/bag through clothing first.
How do you measure what a person ate?
giving the amount of food eaten a percentage.
Name 2 non-verbal signs of pain
frowning, grimacing, gaurding
What is a normal O2 Sat?
above 90%
Name and describe 2 wound stages.
4 stages, unstageable and suspected deep tissue injury.
Remember to allow resident's to what when dressing for the day.
Choose clothing, help where they can.
1oz=30ml
Pain is considered ________________ Data.
Subjective.
What is considered normal range for a blood glucose?
70-100