Pressure Ulcers

Question 1

Stage 1 pressure injury

Answer 1

light or dark pigmentation - superficial

Question 2

Stage 2 pressure injury

Answer 2

partial tissue loss, shallow open ulcer with a red or pink wound bed.
no slough

Question 3

Stage 3 pressure injury

Answer 3

full thickness tissue loss. subcutaneous fat may be visible. slough can occur. some tunnelling present.

Question 4

Stage 4 pressure injury

Answer 4

full thickness tissue loss with bone, tendon and muscle exposed. slough and tunnelling. significant risk of infection.

Question 5

Unstageable pressure wound

Answer 5

excess slough and eschar - and therefore cannot see underlying structures.

Question 6

Wound Healing Diet

Answer 6

High in protein - most important.
also include carbohydrates, vitamins, moderate fat intake

Question 7

PHMB gauze

Answer 7

antimicrobial - good for wounds at risk of infection (any wounds that are tunnelling are at this risk)

Question 8

foam dressings/foam cavity fillers/alginate dressings

Answer 8

effective in absorbing fluid (exudate) and maintaining a moist environment.