Dimension of health?
Physical: Healthy skin is more resistant to bacteria and fungal infections because it is the largest ______ and the first line of defense.
organ
What is a wound that happens when the layers of skin separate or peel back?
Skin shear (cutaneous laceration)
Inflammation caused by skin to skin friction resulting in oozing, sores, cracked, or bleeding skin. *** Reason for checking under the skin.
Intertrigo
Offer plenty of _______ as per care plan.
Fluids
Caesar with gin
Stu
What Dimension (s) of health is affected if client is embarrassed and unable to attend lunch outings or enjoy a scenic drive?
Social, Emotional, Environmental
What is an open sore or wound that occurs in approximately 15 percent of patients with diabetes, and is commonly located on the bottom of the foot?
Diabetic foot ulcer
Caused by the Varicella-zoster virus. Clusters of fluid filled blisters appear on one side of the body. Very Very OWIE!
Shingles
Keep client’s and your _________ short and filed smooth to prevent skin tears.
fingernails
Gin and soda with a touch of lime
Jen
What Dimensions are involved if the client's skin integrity is healthy and they are free from feeling embarrassed, stressed and anxious and do not have poor self esteem?
Emotional, physical
What is the death of body tissue due to a lack of blood flow or a serious bacterial infection? (Necrosis)
Gangrene
Thick silvery scales, itchy painful patches, may be hereditary, very much a nuisance.
Psoriasis
Prevent friction ________ during lifting, moving, transferring, or repositioning.
shearing
Whatever is put in front of them!
Allen & Trish
Having good skin integrity enables client to enjoy the outdoors and surroundings without fear of infection or conditions getting worse.
Environmental
What is the abnormal growth of skin cells — most often develops on skin exposed to the sun?
Melanoma
Occurs when the flow of sweat is obstructed, usually due to hot, humid weather or overdressing. (Elderly people sweat less)
Heat rash
Turn bedridden clients every ________ or as stated in the care plan.
2 hours
White Wine
Anni
If skin integrity is fragile, client may not be able to enjoy certain elements of their life. For instance, could impact the playing of their guitar, attending cultural programs, arts programs (ceramics).
Creativity, emotional, physical
What is a wound that's progressed to form passageways underneath the surface of the skin?
Tunneling pressure ulcer (Hidradentitis suppurativa)
Small hemorrhages in the skin. May be caused by small platelet count, trauma or drug reactions. * Elderly people are especially susceptible.
Purpura
What tool does the HCA/Supervising nurse use to assess skin integrity and likelihood of pressure sores developing?
Negroni
Jessica