Complex care

Question 1

Other options before moving into a care home include: (3)

Answer 1

• making adaptations to you home
• getting support at home
• moving into sheltered housing

Question 2

What is the early warning sign of a Pressure ulcer

Answer 2

Blanching erythema

Question 3

Non blanching erythema is Grade

Answer 3

1

Question 4

what is Grade 2 of a Pressure ulcer

Answer 4

Partial thickness skin loss

Question 5

Grade 3 of a Pressure ulcer is…

Answer 5

Full thickness skin loss

Question 6

Grade 4 of a Pressure ulcer is…

Answer 6

Full thickness tissue loss

Question 7

what is suspected deep tissue injury described as?

Answer 7

intact epidermis but with the affected area appearing purple, over time the skin will degrade and develop into deeper tissue loss

Question 8

Describe an ungradable pressure ulcer

Answer 8

Full thickness skin/tissue loss where the depth of the ulcer is completely obscured by slough and/or necrotic tissue

Question 9

What is a combination ulcer

Answer 9

Lesions where a combination of pressure + moisture contribute to the tissue breakdown

Question 10

symptoms of a grade 1 pressure ulcer

Answer 10

Affected area; painful, firmer, softer, warmer or cooler than the surrounding tissue

Question 11

Grade 2 pressure ulcers involve a loss of _____

Answer 11

epidermis/dermis: presenting as a shallow open ulcer w/ red/pink wound bed

Question 12

Grade 3 pressure ulcers involves loss of ____

Answer 12

skin. subcut tissue may be visible

Question 13

what may be palpable in a grade 4 pressure ulcer?

Answer 13

palpable bone, tendon or muscle

Question 14

what condition is a risk factor for developing pressure ulcers

Answer 14

diabetes mellitus

Question 15

half of grade 4 pressure ulcers are still present after how long?

Answer 15

1 year

Question 16

name 4 of the 11 components that are considered when screening a person for continuing care assessment

Answer 16

• behaviour
• continence
• mobility
• skin integrity

Question 17

name 4 risk factors for elder abuse

Answer 17

• caregiver stress
• cognitive impairment
• physical dependancy
• social isolation

Question 18

Definition of pressure ulcer…

Answer 18

area of localised damage to the skin and underlying tissue caused by pressure, shear or friction (or a combination of these).

Question 19

6 categories of elder abuse:

Answer 19

1) Physical
2) Sexual
3) Psychological
4) Financial exploration
5) Neglect
6) Discriminatory

Question 20

risk factors of elder abuse relating to the perpetuator

Answer 20

• drug + alcohol dependancy
• caregiver burden
• psychiatric illness

Question 21

risk factors of elder abuse relating to the elder person (4)

Answer 21

• cognitive impairment
• shared living
• functional dependancy
• low income

Question 22

how should concerns raised by paramedics regarding possible neglect be acted upon?

Answer 22

informing the Hospital Safeguarding Team

Question 23

when should all referrals to a safe guarding team be reviewed by?

Answer 23

within 24 hours

Question 24

what does the safe guarding team use to check if a patient is eligible for NHS funding continuing health care

Answer 24

MDT meeting documentation

Question 25

what is the NHS Funded Continuing Healthcare

Answer 25

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

Question 26

name 6 signs of pressure ulcers

Answer 26

1 - discolouration 
2- numbness 
3 - pain 
4 - itching 
5 - heat 
6 - hardness

Question 27

what are the common sites for pressure ulcers to form

Answer 27

bony areas

Question 28

How can a pressure ulcer be prevented: SSKIN

Answer 28

S - Suface assessment 
S - Skin check
K - Keep moving (every 2 hours advised)
I - Incontinence managed
N - Nutrition

Question 29

3 types of care homes

Answer 29

1 ) Care home without nursing

2) Care home with nursing
3) Specialist care home for dementia

Question 30

Care home without nursing is often referred to as ….

Answer 30

Residential home