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Treatment of Pressure Ulcers
Wound Healing
Pressure Ulcer Development
Acute Care of Wounds
Terms and Definitions
100
What is the purpose of repositioning every 2 hours?
Prevention of pressure ulcers
100
This type of wound heals quickly with minimal scar formation
Primary intention
100
Name one factor that contributes to pressure ulcers
after- effects of trauma, cast, secondary to illness,
100
Name 2 conditions treated with cold therapy
Direct Trauma(sprains, strains, fractures), Superficial laceration or puncture wound, Minor burns, Arthritis, Injections
100
The inability to move about freely
Immobility
200
Why is surgical asepsis used in wound care?
To prevent and manage infection
200
This type of wound is left open and takes longer to heal
Secondary Intention
200
Name 2 things you look for assessing a client with impaired skin integrity
color, temperature, touch, appearance
200
Name 3 physiological responses to heat application
Vasodilation, Reduced blood viscosity, Reduced muscle tension, Increased Tissue Metabolism, Increased capillary permeability
200
Increased convexity in curvature of thoracic spine
kyphosis
300
DAILY DOUBLE
**demonstrate sterile field
300
Name 4 complications of wound healing
Hemorrages, Infection, Dehiscence, Eviseration
300
List 3 risk factors for developing pressure ulcers
Impaired mobility, shear, friction, moisture, alteration in level of consciousness,impaired sensory perception
300
DAILY DOUBLE
**Demonstrate a dressing change
300
Exercise involving tightening or tensing of the muscles without moving body parts
isometric contraction
400
How are pressure ulcers classified?
Stage 1, Stage 2, Stage 3, Stage 4
400
Name 3 factors that affect wound healing
Nutrition, Tissue Perfusion, Infection, Age, Psychosocial impact of wound
400
Identify all three pressure related factors that contribute to pressure ulcer development
pressure intensity, pressure duration, tissue tolerance
400
Name 3 therapeutic benefits of binders or bandages
Create pressure over body part, Immobilizing a body part, Support a wound, Reduce or prevent edema, Securing a splint, Securing dressings
400
These types of wounds are shallow and heal by regeneration
Partial thickness wounds
500
What is an important nutritional component in the treatment and prevention of pressure ulcers?
Protein
500
Name 4 nutritional considerations that enhance wound healing
Intake of calories, Proteins, Vitamins C, A, E, Zinc, Copper, Fluids
500
Daily Double
Demonstrate Sterile Glove
500
What is the rationale for the nursing intervention "elevate the head of the bed no more than 30 degrees?"
The higher the head of the bed is elevated, the more likely that shearing forces will be present
500
Clients at risk for falls, injury from wandering, or disruptive or agitated behavior may require this
Restraints