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PP1 End Term Sesmeter > Week 5: Risk Management > Flashcards

Week 5: Risk Management Flashcards

1
Q

What does risk management include

A
  • Identification of hazards
  • Assessment of risks
  • Implementation of control measures
  • Review and monitoring the control measures to ensure they are effective
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1
Q

What is risk management

A

Risk management is the systematic approach to identifying and controlling known threats and risks

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2
Q

What is a Fall

A

An event which results in a person coming to rest inadvertently on the ground or floor or other lower level

Not included:
* Major internal event (stroke)
* Being hit by external force (knocked over)

Falls are a major contributor to morbidity and mortality in and outside of healthcare facilities

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3
Q

Risk for Falls Medical

A
  • Polypharmacy
  • Postural hypotension
  • Medical conditions e.g. PD
  • Poor hydration
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4
Q

Risk for Falls Psychological

A

-Reduced motivation/ depression
- Memory problems/ confusion e.g.
dementia

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5
Q

Risk for Falls Physical

A

Reduced balance
— Walking problems
— Reduced muscle strength in legs and arms
— Poor vision
— Poor hearing
— Loss of sensation in feet

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6
Q

Risk for Falls Environmental

A

Unsafe walking aids
— Inappropriate footwear
— Home hazards- lighting, dogs, loose mats, grandchildren, wires, hosepipes
— Transfers- bath, stairs, bed, chair

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7
Q

Risk management tool for falls

A

FRAMP
Falls Risk Assessment management Plan

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8
Q

Pressure injury

A

Localized damage to the skin and/or underlying tissue, as a result of pressure or pressure in combination with shear.

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9
Q

What 4 causes of pressure injury

A
  1. Unrelieved Mechanical pressure
  2. Friction
  3. Shearing Forces
  4. Moisture
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10
Q

Process of pressure injuries

A
  1. ischaemia, a deficiency in the blood supply to the tissues
  2. a result of compression between two surfaces, normally bed and bone
  3. Blood does not reach tissues as a result of pressure and tissues are deprived of oxygen and nutrients
    4.Waste products accumulate in the tissues
  4. The tissues die
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11
Q

Pressure injury increased risk

A
  • Elderly or very young
  • Immobile or having an operation
  • Underweight, eating poorly or have recent weight loss
  • Overweight
  • Incontinent
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12
Q

Pressure injury signs

A
  • Redness/skin discoloration
  • Tenderness, pain or itching in affected areas
  • Blistering
  • Brokens kin
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13
Q

Pressure injure intrinsic factors

A
  • Sensory impairment
  • Incontinence
  • Infection
  • Reduced mobility
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14
Q

Pressure injury extrinsic factors

A
  • Pressure
  • Shear
  • Friction
  • Moisture
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15
Q

Pressure injury Stages

A

Stage 1; non-blanching redness
Stage 2 Tissue loss at surface
Stage 3 Full tissue loss and getting to the fat and muscle layers
Stage 4: Exposed bone
Unstageable: Neucrotic tissue layer, removal
Suspected deer tissue injury

16
Q

Incontinence Associated Dermatitis

A

a type of irritant contact dermatitis (inflammation of the skin) found in people with faecal and/or urinary incontinence

17
Q

Other terms for IAD

A
  • Irritant dermatitis
  • Moisture lesions
  • Perineal dermatitis
  • Perineal rash
18
Q

Risk Management Tool for Pressure injury

A

Waterloo Assessment Tool

19
Q

Nursings interventions Pressure Injuries

A
  • Preventative Skincare
  • Nutrition Assessment and Treatment
  • Repositioning and Early Mobilisation
  • Support Surfaces
20
Q

Preventative Skincare

A
  • Keeping the skin clean and appropriately hydrated
  • Avoiding use of alkaline soaps and cleansers
  • Cleansing the skin promptly after episodes of incontinence
21
Q

Nutrition Assessment and Treatment

A

Screen for possible malnutrition
* Develop and implement an individualized nutrition care plan for individuals with or at risk
* Optimize energy and protein intake
* Give high calorie, high protein foods and/or supplements
* Maintain adequate hydration

22
Q

Repositioning and Early Mobilisation

A
  • Encourage regular self repositioning
  • Reposition immobile patients every 2 hours
  • Reposition the individual to relieve or redistribute pressure using manual handling techniques and equipment
    that reduce friction and shear.
  • Implement an early mobilisation program that increases activity and mobility as rapidly as tolerated
23
Q

Support Surfaces

A

PP1 End Term Sesmeter (14 decks)

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