Pressure injury Flashcards
1
Q
Common site
A
Sacrum
Heels
Ear
Shoulders
2
Q
Factors increase pressure injury
A
Age
reduced Mobility
mental status
incontinence
hydration
nutrition status
3
Q
staging
A
1: red warmth edema
2: exposed dermis tender pain
3: exposed fat layer underminning tunneling
4: exposed bone/ muscle black wet
4
Q
Nutrition
A
Vitamin C : help absorption of iron
Iron: maintain blood haemoglobin level
Protein: repair body tissues
5
Q
Prevention of pressure injury
A
Skin care : keep skin clean and moisturized
Reduce shear and friction : Using turning techniques to reduce friction
Immobile patient : Frequent position changes
Mobile patient : Assist with movement for patient with limited movement