Complex care Flashcards
Other options before moving into a care home include: (3)
- making adaptations to you home
- getting support at home
- moving into sheltered housing
What is the early warning sign of a Pressure ulcer
Blanching erythema
Non blanching erythema is Grade
1
what is Grade 2 of a Pressure ulcer
Partial thickness skin loss
Grade 3 of a Pressure ulcer is…
Full thickness skin loss
Grade 4 of a Pressure ulcer is…
Full thickness tissue loss
what is suspected deep tissue injury described as?
intact epidermis but with the affected area appearing purple, over time the skin will degrade and develop into deeper tissue loss
Describe an ungradable pressure ulcer
Full thickness skin/tissue loss where the depth of the ulcer is completely obscured by slough and/or necrotic tissue
What is a combination ulcer
Lesions where a combination of pressure + moisture contribute to the tissue breakdown
symptoms of a grade 1 pressure ulcer
Affected area; painful, firmer, softer, warmer or cooler than the surrounding tissue
Grade 2 pressure ulcers involve a loss of _____
epidermis/dermis: presenting as a shallow open ulcer w/ red/pink wound bed
Grade 3 pressure ulcers involves loss of ____
skin. subcut tissue may be visible
what may be palpable in a grade 4 pressure ulcer?
palpable bone, tendon or muscle
what condition is a risk factor for developing pressure ulcers
diabetes mellitus
half of grade 4 pressure ulcers are still present after how long?
1 year
name 4 of the 11 components that are considered when screening a person for continuing care assessment
- behaviour
- continence
- mobility
- skin integrity
name 4 risk factors for elder abuse
- caregiver stress
- cognitive impairment
- physical dependancy
- social isolation
Definition of pressure ulcer…
area of localised damage to the skin and underlying tissue caused by pressure, shear or friction (or a combination of these).
6 categories of elder abuse:
1) Physical
2) Sexual
3) Psychological
4) Financial exploration
5) Neglect
6) Discriminatory
risk factors of elder abuse relating to the perpetuator
- drug + alcohol dependancy
- caregiver burden
- psychiatric illness
risk factors of elder abuse relating to the elder person (4)
- cognitive impairment
- shared living
- functional dependancy
- low income
how should concerns raised by paramedics regarding possible neglect be acted upon?
informing the Hospital Safeguarding Team
when should all referrals to a safe guarding team be reviewed by?
within 24 hours
what does the safe guarding team use to check if a patient is eligible for NHS funding continuing health care
MDT meeting documentation
what is the NHS Funded Continuing Healthcare
free care outside the hospital that is arranged and funded for by the NHS, and only available to patients who need ongoing healthcare + meet the eligibility criteria
name 6 signs of pressure ulcers
1 - discolouration 2- numbness 3 - pain 4 - itching 5 - heat 6 - hardness
what are the common sites for pressure ulcers to form
bony areas
How can a pressure ulcer be prevented: SSKIN
S - Suface assessment S - Skin check K - Keep moving (every 2 hours advised) I - Incontinence managed N - Nutrition
3 types of care homes
1 ) Care home without nursing
2) Care home with nursing
3) Specialist care home for dementia
Care home without nursing is often referred to as ….
Residential home
