Wound Staging
Reddened area on the skin that does not blanch
What is a stage I pressure ulcer?
This screening tool assesses the patients risk for skin breakdown
What is the Braden Scale
Right patient
Right medication
Right dose
Right route
Right time
Right documentation
What are the six rights of medication administration?
Full thickness skin loss down to the bone that mat have tunneling and mining
What is a stage IV pressure ulcer?
This screening tool assesses the patients ability to preform ADL's (Activities of Daily Living)
What is the Katz Index
Red, blanchable area on the skin
What is not yet a pressure ulcer?
This screening tool assesses the patient for issues with cognition
What is the Mini-Cog Assessment?
Partial thickness skin loss with serous drainage
What is a stage II pressure ulcer
Screening tools are part of which health prevention?
What are secondary preventions?
Full thickness skin loss down to the sub-Q tissue that may have tunneling and mining
What is a stage III pressure ulcer?
This screening tool assesses the patients ability to preform IADL's (Instrumental Activities of Daily Living)
What is the Lawton's Index?