Waterlow Flashcards

1
Q

What is pressure ulcer?

A
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2
Q

What is your purpose for waterlow? (Intro)

A
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3
Q

How do u ask the skin type?

Healthy
Tissue like
Dry
Edema / swelling
Discoloration bruises
Breaks

A
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4
Q

How do u ask mobility

A
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5
Q

How do u ask continence?

A
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6
Q

How do u ask appetite?

A
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7
Q

How do u ask terminal caxhexia?

A
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8
Q

How do u ask

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

A
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9
Q

How do u ask surgery / trauma

A
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10
Q

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

A
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11
Q

How do u ask medication?

Anti inflam
Steroids
Cytotoxic

A
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12
Q

waterlow

How do u close the script?

A
  • 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.
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13
Q

Whats under Surface in SSKIN

A
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14
Q

Whats under Skin inspection

A
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15
Q

What do to in keep moving

A

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

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16
Q

What to do in incontinence

A
17
Q

What to give in nutrition

A

Good appetite.

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

18
Q

Name the situations scenarios when waterlow should he completed

A
19
Q

Explain the significance of waterlow score

A
20
Q

Describe the pressure ulcer staging system

A

Seek medical attention

21
Q

What are the 6 steps in incident management process

A
22
Q

Step 1 in incident mgt process

A
23
Q

Step 2 in incident mgt process

A
24
Q

Step 3 in incident mgt process

A
25
Q

Step 5 in incident mgt process

A
26
Q

Step 6 in incident mgt process

A
27
Q

Appropriate meal plan for high risk pressure ulcer.

A

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

28
Q

What is stage 1 pressure ulcer & mgt

A
29
Q

How to test non-blanchable redness

A
30
Q

What is stage 2 pressure ulcer & mgt

A
31
Q

What is stage 3 pressure ulcer & mgt

A
32
Q

What is stage 4 pressure ulcer & mgt

A
33
Q

Vulnerable pressure area.

A
34
Q

What is tunneling?

A

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

35
Q

What is undermining?

A

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