Ulcer Bonanza
How about some Pressure Ulcers?
Acronyms/Documenting
Pressure Ulcer stages/measurements
Assessment/Treatments
100
Patients with pressure ulcers have a higher rate of morbidity and ___________.
What is Mortality?
100
The most common major complication of pressure ulcers ___________. Hint: Can result in sepsis
What is Infection?
100
What does PUSH stand for?
Pressure Ulcer Scale for Healing
100
Stage ___ is the earliest stage, and stage ____ is the worst ?
I,IV
100
Tool developed in 1987 by Barbara Braden.
What is the scale to assess risk of pressure ulcers?
200
Name 3 common sites for pressure ulcers.
What are 1.) Coccyx 2.) Sacrum 3.) Ischial 4.) Tuberosity 5.) Trochanter 6.) Calcaneus.
200
Name 3 factors that influence pressure ulcers.
What are 1.) Intensity of pressure 2.) Duration of pressure 3.) Tissue tolerance
200
What does DTI stand for?
Deep Tissue Injury
200
How many stages are there for pressure ulcers?
Four
200
Sensitive areas such as back of head, shoulders, elbows,and heels that easily develop pressure ulcers.
What is bony prominences?
300
Shear and friction are considered to be what kind of CAUSATIVE FACTOR that is involved with pressure ulcer development?
What is Extrinsic?
300
What comorbidities influence the development of pressure ulcers? Name 2 that begin with the letter "C"
What are 1.) Cognitive impairment 2.) Celiac disease 3.) Chronic obstructive lung disease
300
What 3 things should be documented with distinctions made between healed and nonhealed areas of ulcer? DAILY DOUBLE
Length,width, and depth of pressure ulcers
300
Describe a stage III pressure ulcer?
Full thickness tissue loss but bone, tendon or muscles are not exposed
300
A score of 18 or less on the Braden Pressure Ulcer Scale Assessment.
What is the score that considers a patient at risk to develop pressure ulcers?
400
_________ is defined as the number of patients who were initially ulcer free and developed a pressure ulcer within a particular time period in a defined population.
What is Incidence?
400
The name of the scale used for pressure ulcer risk assessment.
What is Braden Scale?
400
When assessing and documenting pressure ulcers what are at least two things to include?
Onset,location,staging(classification), measurement, exudate description, pain, or surrounding tissue condition
400
Use the PUSH system to put these in order from 4 being the worse and 0 being the best: Slough/ Necrotic tissue/ Epithelial tissue/ Granulation tissue/
Worst: 4. necrotic tissue 3. Slough 2. Granulation tissue 1. Epithelial tissue
400
Water based sheets or amorphous gel dressing used on pressure ulcers. OMG A DAILY DOUBLE!
What is hydrogels?
500
________ Levels are frequently used to assess nutritional status, but they are poor indicators of protein status. DAILY DOUBLE WOOHOO
What is serum albumin?
500
Pressure ulcer nursing management includes these 4 things.
What are 1.) Nursing assessment 2.) Accurate staging of the pressure ulcer 3.) Documentation of the onset 4.) Assessment stage
500
________ are often used to document the occurrence and healing of pressure ulcers
Photographs
500
What unit is PUSH tool measured in?
cm
500
This additive to dressings is used to prevent infections.
What is silver?