Sore Spots
Prolonged pressure on the skin.
What is the primary cause of pressure injuries?
The epidermis and dermis layers.
What layer of the skin is most affected by pressure injuries?
This redistributes pressure and reduces the risk of prolonged pressure on any one area.
What is repositioning?
Relieve pressure from the affected area.
What is the first step in treating a pressure injury?
Elderly individuals.
Which age group is at higher risk for developing pressure injuries?
Bony prominences such as the heels, sacrum, and hips.
What areas of the body are most prone to developing pressure injuries?
Provides cushioning and support to the skin, and when it is compromised, the risk of pressure injuries increases.
Pressure-relieving or alternating pressure mattresses.
What is a type of mattress commonly used to prevent pressure injuries in bedridden clients?
Hydrocolloid or foam dressings.
What are types of dressings commonly used for pressure injuries?
This leads to weakened skin and reduced ability to repair tissue damage, increasing the risk of pressure injuries.
What is poor nutrition?
The force that occurs when the skin remains in place, but the underlying tissues move, leading to tissue damage and pressure injuries.
Prolonged pressure can obstruct blood flow through these, leading to tissue ischemia and necrosis.
Skin is less likely to break down and is more resistant to pressure and friction.
Removes dead or infected tissue, promoting a clean wound bed and facilitating healing.
This leads to skin moisture and breakdown, making the skin more vulnerable to pressure and friction
What is incontinence?
Can soften the skin, making it more susceptible to damage from friction and pressure.
What is moisture?
This reflects the skin's elasticity and hydration status.
What is skin turgor?
This scale is a tool used to assess a patient's risk of developing pressure injuries by evaluating factors like sensory perception, moisture, activity, mobility, nutrition, and friction/shear.
What is the Braden Scale?
Uses a vacuum to create negative pressure around the wound, reducing edema, promoting blood flow, and encouraging the growth of granulation tissue.
What is negative pressure wound therapy (NPWT)?
Type of impairment that prevents clients from feeling discomfort or pain, leading to prolonged pressure on vulnerable areas without relief.
What are sensory impairments?
paralysis, coma, and severe illness
What is immobility and how it contributes to the formation of pressure injuries?
This provides structural support to the skin, while elastin allows it to stretch and recoil. Damage to these fibers can weaken skin integrity, making it more prone to pressure injuries.
What is collagen?
These are essential for maintaining healthy skin and repairing tissue damage.
What are proteins, vitamins, and minerals?
Increased redness, warmth, swelling, or drainage.
These conditions impair blood flow and wound healing, making the skin more susceptible to damage and slow to recover from injuries.
What is diabetes and vascular disease?