Pressure Ulcers Flashcards

0
Q

What will patient have if not a pressure ulcer?q

A

Reactive hyperaemia

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1
Q

% in hospitals

A

23%

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2
Q

What occurs in partial thickness pressure sore?

A

Loss of dermis
Without slough
Shiny and dry

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3
Q

Features of full thickness pressure ulcer

A

Subcutaneous fat present

Not bone or muscle

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4
Q

Full thickness tissue loss ulcer?

A

Bone/tendon exposed
Slough present
Can cause osteomyelitis

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5
Q

Shape of pressure ulcer

A

Circle

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6
Q

Edges of oressure ulcer?

A

Distinct

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7
Q

Depth of moisture ulcer

A

Superficial

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8
Q

Edges of superficial ulcer

A

Diffuse and irregular

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9
Q

Colour of moisture ulcer

A

Red with pink /white edges

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10
Q

Broaden score less than what means a risk?

A

6

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11
Q

SSKIN Bundle?

A
Support surface
Skin evaluation
Keep moving
Incontinence 
Nutrition
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12
Q

When should at risk patients be moved?

A

Every 2 hours

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13
Q

What levels should be measured when assessing nutrition?

A

Albumin

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14
Q

Where should pressure ulcers be reported?

A

Datix

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