Waterlow

Question 1

What is pressure ulcer?

Question 2

What is your purpose for waterlow? (Intro)

Question 3

How do u ask the skin type?

Healthy
Tissue like
Dry
Edema / swelling
Discoloration bruises
Breaks

Question 4

How do u ask mobility

Question 5

How do u ask continence?

Question 6

How do u ask appetite?

Question 7

How do u ask terminal caxhexia?

Question 8

How do u ask

Heart failure
Peripheral vascular disease
Anemia
Smoking
Diabetes
Multiple sceloris
Paralysis
Stroke

Question 9

How do u ask surgery / trauma

Question 10

How do u ask about stayed in a/d trolley or table?

Question 11

How do u ask medication?

Anti inflam
Steroids
Cytotoxic

Question 12

waterlow

How do u close the script?

Answer 12

• Thank you, kelvin. I have completed my assessment. Let me calculate the total score.
• Assessor, since the patient’s score is _____ which means my patient is RISK/HIGH RISK/VERY HIGH RISK in developing pressure ulcer. To manage my patient’s condition I will use the SSKIN bundle as my guide.

Question 13

Whats under Surface in SSKIN

Question 14

Whats under Skin inspection

Question 15

What do to in keep moving

Answer 15

Px with hip replacement

Ask and follow doctors order
Keep the legs align
Alignment of the legs
Keep it straight add pillows
Avoid internal rotation

Question 16

What to do in incontinence

Question 17

What to give in nutrition

Answer 17

Good appetite.

Ensure adequate food intake
-high protein, vitamins and minerals
Adequate fluid intake
Food suplement as prescribed

Question 18

Name the situations scenarios when waterlow should he completed

Question 19

Explain the significance of waterlow score

Question 20

Describe the pressure ulcer staging system

Answer 20

Seek medical attention

Question 21

What are the 6 steps in incident management process

Question 22

Step 1 in incident mgt process

Question 23

Step 2 in incident mgt process

Question 24

Step 3 in incident mgt process

Question 25

Step 5 in incident mgt process

Question 26

Step 6 in incident mgt process

Question 27

Appropriate meal plan for high risk pressure ulcer.

Answer 27

**Breakfast** Scrambled eggs, banana and orange, cereals and milk, tea and toast **dinner** breaded fish/minced beef, creamed potato/ baked beans, yogurt/icecream **supper** soup and chicken sandwich/steamed salmon with seasonal veges, jelly/fruits for desert

Question 28

What is stage 1 pressure ulcer & mgt

Question 29

How to test non-blanchable redness

Question 30

What is stage 2 pressure ulcer & mgt

Question 31

What is stage 3 pressure ulcer & mgt

Question 32

What is stage 4 pressure ulcer & mgt

Question 33

Vulnerable pressure area.

Question 34

What is tunneling?

Answer 34

This occurs when the wound itself extends deeper than its surface area.

Question 35

What is undermining?

Answer 35

wound edges separate from the surrounding healthy tissue. This creates a pocket beneath the surface of the wound, often larger than the visible opening.