Pressure Ulcers Flashcards
How would you decribe a stage 1 pressure ulcer?
Red, warm, intact skin that doesn’t blanche
What is an example of a stage 1 pressure ulcer?
Looks like a sunburn
How would you describe a stage 2 pressure ulcer?
Superficial damage to the skin ( epidermis or dermis)
There will be a break in the skin
What are some examples of a stage pressure 2 ulcer?
Abrasion, blisters, shallow craters
How would you describe a stage 3 pressure ulcer?
Skin deeply damaged, does not extend through fascia
What is an example of a stage 3 pressure ulcer?
Deep crater
How would you describe a stage 4 pressure ulcer?
Skin is deeply damaged, would shows muscles, tissues, and ligaments
What are some nursing interventions to prevent pressure ulcers from developing?
Turn patient q two hours;
keep skin clean and dry;
proper diet and hydration;
inspect skin and document
