Module 4.1 Flashcards
Anatomy of the skin
Skin
is the first line of defense ( at least 1 mm thick)
Stages of pressure ulcers
Stage 1: Intact skin w/nonblanchable erythema of localized area. Painful, firm, soft, and warmer or cooler compared to other tissues
Stage 2: Partial-thickness loss of dermis; shallow open ulcer w/red or pink wound bed; no slough
Could be an intact or open/ruptured serum-filled blister
Stage 3: Full-thickness tissue loss; sub-Q fat may be visible (no bone or muscle). Slough may be present; may have undermining/tunneling
Stage 4: Full-thickness tissue loss w/exposed bone, tendon, or muscle. Some slough present; undermining, tunneling
Unstageable: Full-thickness tissue loss where the base of the ulcer is covered by slough and/or eschar in the wound bed. Stage cannot be determined until enough is removed to expose the wound base
Deep tendon injury: Purple or maroon localized area of discolored intact skin or blood-filled blister; damage to underlying soft tissue from pressure/shear
Psoriasis
causes an overproduction of keratin, triggered by periods of emotional stress anxiety, etc… profuse scales or plaque of epidermal tissue, raised red patches covered with silvery scales (topical corticosteroids)
Candida
happens in folds of the skin, mouth, and vulva. white or cheese-like discharge. yeasty overgrowth of fungus (topical corticosteroid)