wound control - Wound Care-Chapter 31 Your patient is...

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Wound Care-Chapter 31 points Your patient is immobile and confined to bed. List 2 nursing interventions to decrease the risk of developing pressure wounds. 1. Reposition bed-bound people at least every two hours and chair-bound people every hour. 2. Positioning devices such as pillows, foam wedges, or pressure- reducing boots can prove helpful to keep body weight off bony prominences. 2 List 6 factors assessed when completing the Braden Scale. 1. Sensory Perception: Ability to respond meaningfully to pressure- related discomfort 2. Moisture: Degree to which skin is exposed to moisture 3. Activity: Degree to physical activity 4. Mobility: Ability to change and control body position 5. Nutrition: Usual food intake pattern 6. Friction and Shear 2 Describe the 3 factors included in measuring a wound or a pressure ulcer Size of the wound: measure the length, width and diameter (if circular). Depth of the wound: with a sterile, flexible applicator with saline
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  • Winter '17
  • Barbara Pieper
  • Nursing, Braden scale, Reposition bed-bound people, Normal saline solution, Usual food intake

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