Skin Integrity Flashcards
What are pressure ulcers?
Skin damage a bony area
What happened to tissue under sustained pressure?
It compresses tissue causing blood vessels occlusion the private tissue of oxygen and nutrients leading to cell that
How quickly can tissue ischaemia occur?
Two hours
What can create shear forces?
Sliding down in the bed
What area are common to pressure ulcers?
Elbows, ears, back of head, bridge of nose, scalpula (shoulder blades), greater trochanter (hips), malleolus (ankle bone)
What tissues are involved in the process of pressure ulcers?
Bone, soft tissue, blood vessel, skin
What is grade one pressure ulcer?
Nonblanching persistent erythema
What does the asskin acronym stand for?
Access risk
Skin assessment
Service selection
Keep moving
Incontinent assessment
Nutrition
What are some elements of care bundles for pressure also prevent prevention?
Regular skin inspections
Risk assessment
Repositioning and movement
Use of prevention service
Maintaining hydration and nutrition
How is BMI calculated?
Divided an adult weight in KG by their height
How are pressures categorised?
Grade one to 4
What are some risk factors for developing pressure ulcers?
Cognitive impairment
Reduced mobility
Inadequate nutrition and hydration
