Multidisciplinary wound care Flashcards
Foam offloading
First line of defense.
Least expensive.
Disadvantages: moisture/heat retention
Don’t use if fat or incontinence
Fluid-filled offloading
High degree of immersion
Air, gel, water.
May retain heat.
Low air loss offloading
Connected, air filled cushions.
May automatically adjust to body weight.
Moderate immersion
Air fluidization offloading
Micro-fine silicon beads in a box.
Beads take on characteristics of a fluid
Watch for dehydration
High level of immersion
Alternating pressure offloading
Air-filled chambers that inflate cyclically
Changes bed to body contact
Not immersion
Pressure mapping
identifies areas of increased pressure.
must be done in pt’s seating system
Braden scale Risk asessment
15-16 mild risk
12-14 mod
less than 12 high