Complex care Flashcards

1
Q

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

A
  • making adaptations to you home
  • getting support at home
  • moving into sheltered housing
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2
Q

What is the early warning sign of a Pressure ulcer

A

Blanching erythema

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3
Q

Non blanching erythema is Grade

A

1

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4
Q

what is Grade 2 of a Pressure ulcer

A

Partial thickness skin loss

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5
Q

Grade 3 of a Pressure ulcer is…

A

Full thickness skin loss

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6
Q

Grade 4 of a Pressure ulcer is…

A

Full thickness tissue loss

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7
Q

what is suspected deep tissue injury described as?

A

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

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8
Q

Describe an ungradable pressure ulcer

A

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

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9
Q

What is a combination ulcer

A

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

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10
Q

symptoms of a grade 1 pressure ulcer

A

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

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11
Q

Grade 2 pressure ulcers involve a loss of _____

A

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

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12
Q

Grade 3 pressure ulcers involves loss of ____

A

skin. subcut tissue may be visible

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13
Q

what may be palpable in a grade 4 pressure ulcer?

A

palpable bone, tendon or muscle

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14
Q

what condition is a risk factor for developing pressure ulcers

A

diabetes mellitus

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15
Q

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

A

1 year

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16
Q

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

A
  • behaviour
  • continence
  • mobility
  • skin integrity
17
Q

name 4 risk factors for elder abuse

A
  • caregiver stress
  • cognitive impairment
  • physical dependancy
  • social isolation
18
Q

Definition of pressure ulcer…

A

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

19
Q

6 categories of elder abuse:

A

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

20
Q

risk factors of elder abuse relating to the perpetuator

A
  • drug + alcohol dependancy
  • caregiver burden
  • psychiatric illness
21
Q

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

A
  • cognitive impairment
  • shared living
  • functional dependancy
  • low income
22
Q

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

A

informing the Hospital Safeguarding Team

23
Q

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

A

within 24 hours

24
Q

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

A

MDT meeting documentation

25
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
26
name 6 signs of pressure ulcers
``` 1 - discolouration 2- numbness 3 - pain 4 - itching 5 - heat 6 - hardness ```
27
what are the common sites for pressure ulcers to form
bony areas
28
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 ```
29
3 types of care homes
1 ) Care home without nursing 2) Care home with nursing 3) Specialist care home for dementia
30
Care home without nursing is often referred to as ....
Residential home