Lesson 4 Flashcards
What is skin tear?
Separation of epidermis from dermis
Underlying tissue
Shear, friction/blunt
_____ prevents sliding of the epidermis over the dermis
Basement membrane
With age_______ membrane _____ reducing resistance to friction
basement; flattens
How many skin tear classification.
3
Name 3 skin tear classification.
Type1- No skin loss
Type 2 - partial flap loss
Type 3 -total flap loss
What is type 1 skin tear
No skin loss
Flap tear - can be moved to cover wound.
What is type 2 partial flap loss
Partial flap loss.
Skin flap cannot be repositioned to cover the wound
What is type 3 skin tear classification ?
Total flap loss
Entire wound exposed
Complete tissue loss
S&S of skin tear
Pain at site of injury
Serous exudate
Possible inflammation
When should you change dressing?
Intact for min 7 days = change if >70% exudate
Name the 2 wound
- Open wound
- Closed wound
What is open wound
- external / internal break in skin surface
- leave the injured tissue exposed
-increase risk of infection.
Eg: surgical incision, pressure sore, laceration, puncture, gunshot
Closed wound skin
Intact, underlying tissue
Not exposed outside
How many copies of chromosomes in Trisomy
47 - 1 extra
What does trisomy 21 results in
Brain defect
Intellectual disab
Characteristic facial feature
Dementia
Loss of neurological function
- memory
- thinking
-behaviour
Systemic immune disorder / abnormal response to certain substances/ antigens
Allergy
Name 2 trtmnt of allergy
- Drug therapy
- Desensitization
Name 2 skin assessment
- Health history
- Physical assessment
What is physical assessment
- Inspect skin
- palpate skin
Closed wounds are mainly caused by
Blunt trauma
Examples of closed wound
Hematoma
Contusion
Crush injury
Compartmental syndrome
Example of open wound
Surgical incision
Pressure sore
Laceration
Puncture
Gunshot
Debridement
Removal of dead tissue
How many stages of ulcer
4
Pressure ulcer is localized. True or false?
True
Pressure ulcer is result of
Pressure or combo of pressure and shear
Name the stage 1 ulcer
Non blanchable erythema of intact skin
What’s stage 2 ulcer
Partial thickness skin loss. Ulcer starts epidermis or dermis
Stage 3 ulcer
Full thickness skin loss
Subcutaneous damage - bones muscles not visible
Extension of ulcer
What’s stage. 4 ulcer
Full thickness skin loss with extensive destruction
Tissue necrosis
Damage to muscle, tendon or joint cap
Name 3 non- traditional healing practices for ulcer
- Electrical stimulation-stage2>
- vacuum assisted wound closure
- hyperbaric o2 therapy
Psoriasis
Chronic skin condition
Appears inflamed red
Dry patches
Reocurring
Contagious
Eczema is contagious. True/ false
False. Non-contagious
Psoriasis is contagious
True
