Pressure Ulcers Flashcards
What will patient have if not a pressure ulcer?q
Reactive hyperaemia
% in hospitals
23%
What occurs in partial thickness pressure sore?
Loss of dermis
Without slough
Shiny and dry
Features of full thickness pressure ulcer
Subcutaneous fat present
Not bone or muscle
Full thickness tissue loss ulcer?
Bone/tendon exposed
Slough present
Can cause osteomyelitis
Shape of pressure ulcer
Circle
Edges of oressure ulcer?
Distinct
Depth of moisture ulcer
Superficial
Edges of superficial ulcer
Diffuse and irregular
Colour of moisture ulcer
Red with pink /white edges
Broaden score less than what means a risk?
6
SSKIN Bundle?
Support surface Skin evaluation Keep moving Incontinence Nutrition
When should at risk patients be moved?
Every 2 hours
What levels should be measured when assessing nutrition?
Albumin
Where should pressure ulcers be reported?
Datix