INTEGUMENTARY SYSTEM

Question 1

Pressure Ulcers in the OIder person are caused by what? occurs by in what? can be assessed through what?

Answer 1

-caused by unrelieved pressure
-occurs in soft tissue over bony prominences
-can be assessed through staging

Question 2

it is a stage of pressure ulcers that nonblanchable erythema of localized area of skin, usually over a bony prominence. Skin is intact and red in color (darker skin may show blue or purple tones).

Answer 2

STAGE I

Question 3

Partial-thickness loss of the epidermis and some of the dermise. Looks like a shallow open ulcer or a superficial erosion with a pink-red wound bed and has no slough

Answer 3

STAGE II

Question 4

Full-thickness loss of the skin and necrosis of subcutaneous tissue. Subcutaneous fat may be visible, but tendon, muscle, or bone is not exposed. Ulcer may include undermining and tunneling and have some slough or necrotic tissue.

Answer 4

STAGE III

Question 5

Full-thickness loss of skin including the epidermis, dermis, and subcutaneous tissue, muscle, bone, or tendon may be exposed. slough, under-mining, and tunneling may be present

Answer 5

STAGE IV

Question 6

Localized area of discolored skin that is purple or maroon in color. it is nonblanching with an intact epidermis, and skin feels”boggy”

Answer 6

SUSPECT DEEP TISSUE INJURY

Question 7

Ulcer has full-thickness tissue loss covered by either an eschar or extensive necrotic tissue (tan, yellow-green, brown), which must be cleared away before the true depth can be determined.

Answer 7

UNSTAGEABLE