F - 314 Flashcards
Based on the Comprehensive Assessment of a resident, the facility must ensure that
A) The resident who enters the facility without pressure sores does not develop ___ unless the clinical condition demonstrates that they were unavoidable
B) A resident having pressure sores receivers necessary treatment and services to promote healing, prevent ___ and prevent new sores from developing.
1. Infections; Weight loss
2. Weight loss; Infections
3. Pressure sores; Infections
4. None of the above
- Pressure sores; Infections
Pressure sores are defined as avoidable and unavoidable. Avoidable is defined the resident developed a pressure ulcer and the facility did not do which of the following?
- Evaluate the resident’s clinical condition and risk factors
- Define and implement interventions that are consistent with Standards of Practice and resident needs, and goals
- Monitor and evaluate the impact of the interventions or revise them
- All the above
- All the above
Pressure sores are defined as avoidable and unavoidable. Unavoidable per F314 means that the resident developed a pressure ulcer even though the facility had evaluated the condition and risk factors, defined and implemented interventions and monitored and evaluated, implemented and evaluated the interventions.
TRUE OR FALSE
TRUE
A pressure ulcer can occur wherever pressure has impaired circulation to the tissue. Critical steps in ___ and ___ must be in place.
- Prevention and Healing
- Education and Treatment
- Treatment and Prevention
- Healing and Education
- Prevention and Healing
The facility should have a system/procedure to assure which of the following?
- Assessments are timely and appropriate
- Interventions are implemented, monitored and revised
- Changes of condition are recognized, evaluated, reported to MD and addressed
- Reported to the DNS
- All the above
- 1, 2, &3
- 1, 2, & 3
The quality assessment and assurance committee is responsible to evaluate existing strategies to reduce the development and progression of pressure ulcers, monitor the prevalence and ensure the ___ and ___ are consistent with current standards of practice.
- Assessments and Treatments
- Evaluations and Documentations
- Policies and Procedures
- Education and Treatment
- Policies and Procedures
Per F 314, the facility must assure that a resident who is admitted without a pressure ulcer doesn’t develop a pressure ulcer unless clinical unavoidable, and that a resident who has an ulcer receives care and services to ___ ___ and ___ ___.
- Promote healing and prevent additional ulcers
- Learn treatments and prevent weight loss
- Prevent weight loss and Education on diets
- None of the above
- Promote healing and prevent additional ulcers
Purple or very dark area that is surrounded by profound redness, edema or induration (hard) is a sign that ___ ___ ___ has already occurred.
- Damage to skin
- Injury to Dermis
- Deep Tissue Damage/injury
- None of the above
- Deep Tissue Damage/injury
Deep tissue damage could lead to the appearance of an ___ Stage III or IV Pressure Ulcer or progression of a Stage I or II.
- Unstageable
- Unavoidable
- Infected
- Irritated
- Unavoidable
A Comprehensive Assessment evaluates intrinsic risks, skin condition and other causal factors. The assessment should identify which risk factors can be removed or ___.
- Identified
- Documented
- Improved
- Modified
- Modified
Pressure ulcers are usually located ___ ___ ___, such as the sacrum, heel, greater trochanter, ischial tuberosity, fibular head, scapula, and ankle (malleolus).
- Over Bony Prominences
- Where pressure occurs
- Prior to admission
- None of the above
- Over Bony Prominences
The skin is the largest organ in the body. Adequate ___ and ___ are essential for overall functioning.
- Nutrition and Hydration
- Hydration and weight
- Oxygen and Hydration
- All the above
- Nutrition and hydration
Both urine and feces contain substances that may irritate the epidermis and may make the skin more ___ to ___.
- Able to burn
- Susceptible to breakdown
- Hard to clean
- None of the above
- Susceptible to breakdown
___ is a common, effective intervention for an individual with a pressure ulcer or who is at risk of developing one.
- Hydration
- Weight gain
- Medication
- Repositioning
- Repositioning
The care plan for a resident who is reclining and is dependent on staff for repositioning should address position changes to maintain the resident’s ___ ___.
- Weight status
- Nutrition status
- Skin integrity
- None of the above
- Skin integrity
Resident’s that are at risk for skin breakdown should be repositioned at least every ___ hours.
- 1
- 6
- 3
- 2
- 2
___ ___ refers to the function or ability to distribute a load over a surface or contact area.
- Pressure redistribution
- Education disbursement
- 1&2
- None of the above
- Pressure redistribution
Three of the more common pressure ulcer types are ___, ___, ___.
- Infected, Healing, Healed
- Pressure, Vascular insufficiency, Neuropathic
- One, Two, Three
- None of the above
- Pressure, Vascular insufficiency and Neuropathic
Per F314 Stage I is defined as an observable, pressure-related alteration of ___.
- Treatment method
- Education method
- Intact skin
- All the above
- Intact skin
Stage II per F314, is defined as partial thickness loss of dermis presenting as a ___ ___ ___ with a red-pink wound bed without slough. May also present as an intact or open blister.
- Palpable indurated opening
- Closed indurated ulcer
- Superficial infected ulcer
- Shallow open ulcer
- Shallow open ulcer
Per F314, Stage III is defined as ___ ___ tissue loss. Subcutaneous fat may be visible but bone, tendon or muscle is not exposed.
- Partial thickness
- Partial infected
- Partial healed
- None of the above
- Partial thickness
Stage IV as described in F314 is defined as full thickness with exposed ___, ___, ___.
- Slough, Eschar, and muscle
- Bone, tendon, or muscle
- Eschar, Bone, and tendon
- None of the above
- Bond, tendon, and muscle
The Healing Pressure Ulcer does NOT heal in reverse sequence. This means that a Stage IV Pressure Ulcer is ___.
- Never going to heal
- Qualified for Secondary insurance
- Always a Stage IV
- 1&4
- Always a Stage IV
The goal of pain management in the pressure ulcer patient is to ___.
- Eliminate the cause of pain and provide analgesia
- Eliminate the pain with analgesia
- Eliminate the pressure ulcer
- All the above
- Eliminate the cause of pain and provide analgesia
