Term
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Definition
| How much of your body weight is skin? |
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Term
Forms a barrier against organsims
pain sensory
touch sensory
absorbent
temperature regulation
Protection
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Definition
| What are functions od skin? |
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Term
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Definition
Topical meds are ....
(hint how do they effect the body) |
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Term
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Definition
| The skin helps in the syntesis of which vitamin? |
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Term
Stratum corneum
Stratum lucidum
Stratum granulosum
Stratum spinosum
Melanocyte
Stratum Basale |
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Definition
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Term
Papillae
Papillary region
Reticular region |
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Definition
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Term
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Definition
| the epidermis has what type of strength |
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Term
| Factors that interfere with wound healing |
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Definition
| concomitant medical conditions and polypharmacy which are common in older adults are are factors that help or interfere with wound healing? |
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Term
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Definition
| What is a identified risk factor for development of pressure ulcers? |
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Term
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Definition
| the hypodermis decreases or increases with age? |
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Term
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Definition
| the inner layer of the skin, provides tensile strength, mechanical support, and protection to the underlying muscles, bones, and organs. |
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Term
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Definition
| contains mostly connective tissue and few skin cells. |
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Term
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Definition
| Collagen (a tough, fibrous protein), blood vessels, and nerves are found in the |
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Term
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Definition
| Fibroblasts, which are responsible for collagen formation, are the only distinctive cell type within the |
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Term
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Definition
| Where should you check for tenting on an older adult? |
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Term
| Self perception and self- esteem |
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Definition
Skin changed throughout the lifetime and can effect ....
(feelings) |
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Term
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Definition
| The skin gets thinner as you get older and has what outcome on wounds? |
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Term
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Definition
- more fragile
- hyperkeratoses, skin cancers more evident
- decreased inflammatory response
- increased reactions to irritants
- increase susceptibility to sun exposure
- decreased vitamin D production
- Less moisture
What do theses deal with? (dermis or epidermis) |
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Term
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Definition
- Greater susceptability to dry skin
- Decreased sensation
- Increased ridk of injury
- Greater risk of hyperthermia or hypothermia
- decreased tone or elasticity
- senile purpura
What layer of the skin deals with these factors |
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Term
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Definition
| why should you not cake on powder to a patient? |
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Term
incontinence
needs a bath
poor hygiene |
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Definition
| Why do older people smell more? |
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Term
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Definition
| pushing on skin to make sure there is good circulation |
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Term
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Definition
| its harder to see blanching or ecchymoses on what kind of skin? |
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Term
| Bright overhead light or LED Pen light |
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Definition
| what kind of light should you use to see blanching in a dark skin person? |
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Term
| pathogenesis of a pressure ulcer |
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Definition
- Pressure intensity
- tissue ischemia
- Blanching
- Pressure duration
- Tissue tolerance
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Term
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Definition
| true or false: you need hard pressure for a pressure ulcer to form. |
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Term
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Definition
| how long before you do a dressing on a pressure ulcer should you give pain meds? |
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Term
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Definition
| what is it when half the body doesn't have feeling? |
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Term
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Definition
| how often should you reposition a patient to prevent pressure ulcers? |
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Term
| Risk factors for pressure ulcer development |
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Definition
- Impaired sensory perception
- Alterations on level of conciousness
- Impaired mobility
- Shearing
- Friction
- Moisture
All are factors of what? |
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Term
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Definition
| the sliding movement of skin and subcutaneous tissue while the underlying muscle and bone are stationary |
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Term
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Definition
| the force of two surfaces moving across one another such as the mechanical force exerted when skin is dragged across a coarse surface such as bed linens is called |
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Term
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Definition
Bacteria gets into the ulcer and starts to eat around and around all throughout the ulcer.
also called sinus tract |
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Term
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Definition
Stage of a pressure ucler where the skin is intact with nonblanchable redness |
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Term
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Definition
| Stage of pressure ulcer with partial thickness skin loss involving epidermis, dermis,or both |
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Term
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Definition
| Pressure ucler stage with full-thickness tissue loiss with visible fat |
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Term
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Definition
| Pressure ulcer stage with full-thickness tissue loss with exposed bone,muscle,or tendon |
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Term
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Definition
| Thick stringy adhered material to wound. Is white in color |
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Term
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Definition
| True or false: Slough has to be removed from a wound before healing can begin |
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Term
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Definition
| what are the 2 methods of wound classification? |
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Term
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Definition
| Wound that proceeds through an orderly and timely reparative process that results in sustained restoration of anatomical and functional integrity |
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Term
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Definition
| Wound that fails to proceed through an orderly and timely process to produce anatomical and functional integrity |
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Term
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Definition
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Term
| Secondary wound intention |
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Definition
| Wound edges not approximated |
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Term
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Definition
| Wound edges not approximated |
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Term
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Definition
- Inflammitory stage
- Proliferative stage
- Remodeling
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Term
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Definition
- serous
- purulent
- serosaguineous
- sanguineous
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Term
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Definition
| Drainage is clear watery plasma |
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Term
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Definition
| drainage is yellow,tan,brown,green and thick |
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Term
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Definition
| drainage is pale, pink, watery,misture of clear and red fliud |
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Term
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Definition
drainage that indicates active bleeding.
is bright red. |
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Term
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Definition
| brown or black necrotic tissue |
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Term
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Definition
slow suction device.
Looks like a small disc mattress |
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Term
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Definition
Low suction device
used in breast surgeries and hysterectomy
Has a bulb for the suction device |
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Term
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Definition
Pin on one side so it doesnt go inside
Drainage goes on the skin
Must be change OFTEN! |
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Term
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Definition
| True or false : If the patient has to have extended care because of a mistake made by the hospital then the insurance will still cover it |
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Term
- Elevate head of bed
- ask patient not to cough or sneeze
- use a sterile saline dressing
- CALL DR!!!!
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Definition
| To help treat eviseration of bowel via a stab wound |
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Term
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Definition
| What is it called when someone rips open their stitches? |
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Term
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Definition
| When a patient comes onto your floor what is one of the main priorities? |
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Term
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Definition
| When would you palpate a pressure ulcer? |
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Term
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Definition
| True or False: measure the wound at depth , width and height |
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Term
| Check for tunneling and measure the undermining |
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Definition
| When measuring a pressure ulcer what are other things to check for an measure? |
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Term
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Definition
| What is the name of the lace up dressing that can be cut to fit? |
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Term
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Definition
| This dressing has a blue line down the middle that is detected by xray because it looks like tissue once it is soaked in blood. |
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Term
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Definition
| device that is used to help close a wound dehiscence |
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Term
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Definition
| A wound vacum uses positive or negative pressure? |
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Term
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Definition
| The seal on a wound vac much be airtight and mantained or use intermittently? |
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Term
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Definition
- Hemostasis
- Control bleeding
- Bandage- allow puncture wounds to bleed.
- Cleaning
- BE GENTLE
- Use normal saline
- Wear protection
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Term
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Definition
- Protect the wound from microorganisms
- Aid in hemostasis
- Promote healing by absorbing drainage and debriding a wound
- Protect patients from seeing the wound
- Support or splint the wound site
- Promote thermal insulation of the wound surface
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Term
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Definition
Dy / moist
Film dressing
Hydrocolloid
hydrogel
wound vacum assisted closure |
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Term
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Definition
| protects the wound from surface contamination |
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Term
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Definition
| maintains a moist surface to promote healing |
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Term
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Definition
| uses negative pressure to promote healing |
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Term
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Definition
| film ontop of the wound that allows protection and being able to see wound. |
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Term
| Assesment during dressing change |
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Definition
- Assess skin under tape
- Perform thorough hand hygiene beofer and after care of the wound
- wear sterile gloves before touching open or fresh wounds
- Change dressing as ordered, when signs and symptoms of infection
- Pack wound and assess the size chape and depth of the wound
- Secure the dressing as ordered
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Term
| least to most contaminated areas |
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Definition
| when cleanig and irrigating a wound go from _____ to _______ ( hint direction) |
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Term
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Definition
| these create pressure and immobilize and or support a wound, reduce or prevent edema, secure a splint and secure dressings. |
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Term
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Definition
| rolled gauze elasticized knit, elastic webbing, flannel and muslin are all types of what? |
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Term
|
Definition
| used for breast surgery, abdominal surgery, and slings |
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