Pressure Sores/ Bed Seats Flashcards
ischemia
reduced blood supply to part of body
decubiti ulcer
death of the skin and underlying muscles
Pressure ulcers locations
- Heels
- Ankles
- Elbows
- Hips
- Ischial Tuberosities (Pelvis bone)
- Sacral Region (Tailbone area)
pressure ulcer
area of skin and tissue that becomes injured or broken down
iatrogenic
illness caused by medical examination or treatment
Causes of Pressure Ulcer (4)
- Pressure
- Moisture
- Shear
- Friction
Pressure
compression of soft tissue between a bony
prominence and bed
Moisture
over-hydrates skin which lowers its resistance to stresses like pressure or friction
Shear
adjacent surfaces slide across one another
Friction
skin is pulled across a coarse surface, and skin is exposed to let bacteria enter
rotational shear
caused when the user is pivoted from the
lying to sitting position
Stage 1 Pressure Ulcer
reddened area of skin that is “non-blanchable”
Stage 1 PU indicators (4)
- Discoloration of skin
- Warmth
- Edema (swelling)
- Induration (hardening of skin)
Stage 2 Pressure Ulcer
skin blisters or forms open sore and partial skin loss
Stage 3 Pressure Ulcer
skin breakdown looking like a crater
Stage 4 Pressure Ulcer
so deep that there is damage to muscle and bone
Factors for Pressure Sores (4)
- inability to move body without assistance
- chronic condition, like diabetes
- urinary/ bowel incontinence
- fragile skin with old age
Pressure relief in wheelchairs (4)
- seat cushions
- tilting/ reclining
- repositioning
- proper seat positioning
scoliosis
lateral curvature of the spine
65% of scoliosis causes are idiopathic. (T or F)
True
Common scoliosis disabilities (4)
- spina bifida
- Charcot-Marie-Tooth disease
- osteogenesis imperfecta
- spinal muscular atrophy
kyphosis
roundback or slouching
Causes of Kyphosis & Lordosis (3)
- postural
- congenital
- nutritional
Common kyphosis disabilities (4)
- osteoporosis
- age-related
- chronic wheelchair sitting
- rickets
lordosis
swayback or arched back
Common lordosis disabilities (4)
- osteoporosis
- achondroplasia
- spondylolisthesis
- rickets
gatch bed
bed where one crack raises the whole bed, one raises the head, and one raises the foot
electric bed/ modern hospital bed
bed can raise entire bed, head, knees, and allows trendelenburg position
Trendelenburg position
positioning technique where a person lies on their back with their feet elevated higher than their head
low electric bed
eight inches to less than two feet from the ground
low air loss bed
bed blows air into sacs within the mattress to keep skin cool and dry
circo-electric beds
bed that rotates inside circular bars for patients with severe burns or spinal injuries
clinitron bed
bed filled with material that resembles sand to reduced pressure and maintain a level temperature
inner-spring mattress
least expensive and supplied by Medicare Beds
foam mattress
does not breakdown like inner-spring and placed on bed frame
egg crate mattress
mattress pads with dips and bumps used for surgery recovery patients
gel overlay
gel bladders inside a form core placed on existing mattress
alternating pressure pad
alternates inflating of cells to change pressure points
non-powered pressure reduction mattress
channels air through cells for maximum patient immersion
lateral rotation mattress
constantly rotates the patient from side to side cyclically change pressure points.
fixed rail ceiling lift
lift between two fixed points
mobile lift
easy to use in smaller spaces and flexible to life from floor to wheelchair
free standing lift
overhead structure with sliding transverse beam lifting in all directions around a room
standing frame
AT used to provide alternative positioning from standing to sitting in wheelchair
commode/ shower chairs
water resistant seats used for bathtubs or roll-in showers