Stratford Medsurg 1 SkinHW.docx - Name_Maiha Jacob Integument HW Please consult text and class notes Chapter 86 Pressure Ulcers Wounds and Wound

Stratford Medsurg 1 SkinHW.docx - Name_Maiha Jacob...

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Name ___Maiha Jacob______________________ Integument HW Please consult text and class notes Chapter 86 Pressure Ulcers, Wounds and Wound Management Extent of skin damage (what thickness) Appearance Stage 1 Stage 2
Stage 3 Stage 4 unstageable 1. Please fill in above. 2.Please discuss nursing care to prevent skin breakdown:Bed linens:Skin care:
3.What are 3 physiologic changes that make the elderly more at risk for skin breakdown?4.What are feeding/hydration priorities/guidelines to prevent Pressure ulcers?5.What are wound care principles to remember regarding:More vs less contaminated areas?How hard to rub?What kind of cleaning fluid?6.Please complete:Dressing typeWhat kinds of wounds?How long does it stay on?Woven gauze (4x4s)Daily at least
Non adherent drressing (Telfa) Daily at least Self adhesive transparent film (Tegaderm, Op Site) Hydrocolloid Hydrogel Daily at least 7.What are signs that antimicrobial therapy is not effective for the wound?8.Before discharge with a wound, what must the patient be able to demonstrate?9.What are 5 signs of wound infetion to observe for?10. Healing will be promoted by adequate: (name 3)
11.What is the primary factor in preventing pressure ulcers?12.Strategies to prevent Pressure ulcers?a.Positioning: (name several)b. Heels:c. Massage?:d. Exercise?e.Fluid intake?f.Supplements?
13.What is a lab test that shows nutritional status and the normal values?

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