Problems
Inadequate response times
Dementia, stroke, diabetes, myocardial infarction
Air mattresses, buddies for heals, pillows, wedges and sand mattresses
What is support surfaces?
Nonblanchable redness over a bony prominence, but the skin is intact
What is Stage 1
Repositioning every 2 hours
What is standard care?
Poor nurse to patient ratio
What is improper care?
Friction
What is results from 2 surfaces rubbing against one another?
If possible, encourage the patient to make position changes if able every
Full thickness tissue loss over a bony prominence, but bone and tendons aren't visible
Group of people close to the patient that can be educated
What is family?
Consequence of improper turning
What is risk impaired skin integrity
Unable to get up from bed
What is Immobility?
3 areas that aren't fully relieved by support surfaces
What are coccyx, sacrum & ischial tuberosity?
Partial thickness loss or blister to the dermis over a bony prominence with a red or pink wound bed without slough
What is Stage 2
What should you take to maintain skin integrity?
What is vitamin/mineral supplements?
The skin over bony areas may appearing reddened and may not turn white when pressed
What is the first sign of a pressure sore
Comatose patients are more prone to delevop this ulcer
What is Occipital?
Simple prevention measures to help improve wound healing
What is adequate nutrition and hydration?
Full thickness tissue loss that may or may not have slough present, but bone and tendons are visible
What is Stage 4
Essential element to healing
What is adhering to prescribed treatment?
Happens to patients that are immobile
What is impaired skin integrity related to immobility
Age groups at higher risk for ulcer development
What is infants and elderly?
Apply these things to skin for moisture prevention
What are barrier ointments and creams?
Discolored intact skin usually purple in color or a blood filled blister
What is Suspected Deep Tissue Injury
Eating a balanced diet helps prevent pressure ulcers. (True or False)