Pressure ulcers

Question 1

‘A pressure ulcer is a ? injury to the ? and/or underlying tissue, usually over a ? ?, as a result of ? +/- ?’.
They can develop extremely ?, and are split into ? grades;

Answer 1

localized
skin
bony prominence
pressure
shear
quickly
4

Question 2

o Grade 1: ?-? ?
0 Grade 2: ? ? skin loss; damage confined to the dermis/epidermis presenting clinically as an ?/?.
0 Grade 3: ? ? skin loss; damage to the ? tissue
(fat) also, but not extending to the underlying ?.
o Grade 4: ? ? tissue loss; exposed ?, ? or ?.

Answer 2

non-blanching erythema
partial thickness
abrasion/blisters
full thickness
subcut
fascia
full thickness
bone, tendon, muscle

Question 3

Intrinsic risk factors are ? impairment, ?, ?,
? disease, multiple ?.

Extrinsic risk factors are pressure, ? and ? forces.

Answer 3

sensory
malnutrition
immobility
vascular
comorbidities
shear
friction

Question 4

Exacerbating factors are skin moisture (?), and certain
medications (?/?).

• The SSKIN (?, ? inspection, ? moving, ?/moisture,
  ?/hydration) bundle is a five-step model to promote pressure ulcer
  prevention.

Answer 4

incontinence
diuretics/steroids
surface
skin
keep
incontinence
nutrition