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Staging
All About the Skin
Prevention
Vocabulary
Miscellaneous
100
This stage is characterized as a full thickness, deep wound with tissue destruction to the subcutaneous fat
What is Stage 3
100
The skin functions in the production of this vitamin
What is vitamin D
100
Name one way to prevent pressure ulcers from forming on heels
What is floating the heels on a pillow or a heel lift boot
100
A lack of blood flow to a certain area
What is ischemia
100
True or False: eschar on the heel should be removed immediately
What is FALSE
200
Not represented by a numerical score, this stage is characterized by intact skin that is either maroon or purple
What is suspected deep tissue injury (DTI)
200
The skin functions in this type of regulation
What is heat regulation
200
How can you prevent pressure sores when moving your patients?
What is lift them, don't drag
200
This kind of drainage consists of serum and blood and is generally a pinkish to red color
What is serosanguineous drainage
200
Name 2 things you look for when cleaning or dressing a pressure ulcer?
What is size, shape, undermining, tunneling, sinus track
300
This stage is characterized by intact skin that features a reddened area that does not blanch on contact; it affects the epidermis
What is stage 1
300
These two age groups are highly susceptible to skin tears and damage
What is infants and the elderly
300
These body types are susceptible to tissue injury
What is those who are obese and those who are very thin
300
This is dead tissue that generally needs to be removed before a wound can heal
What is necrotic tissue Will also accept slough, eshcar
300
Name one intervention to improve a patient's nutrition status
What is nutritional supplements, higher protein diet, monitoring intake
400
Which stage is characterized as a full thickness deep wound with exposed bone, muscle or tendon
What is Stage 4
400
These drugs can negatively influence wound healing
What is corticosteroids
400
How many subscales are there are the Braden scale?
What is 6
400
This is tissue damage that involves subcutaneous tissue, muscle and or bone. It extends through the epidermis and dermis
What is full thickness
400
The Joint Commission considers these "never events"
What is Stage 3 or 4 pressure ulcers
500
Which stage is characterized as a partial thickness, shallow open wound that affects the epidermis and dermis?
What is Stage 2
500
What is the skin's thickness
What is 0.5-3 mm
500
Name 4 areas that are susceptible to pressure ulcers
What is heels, coccyx, sacrum, elbow, inner knees, shoulder, back of head, ears, hip, etc
500
This kind of drainage can be green and odorous
What is purulent drainage
500
What kind of solution do you use to irrigate and clean a pressure ulcer?
What is 0.9% saline