Name ___Maiha Jacob______________________Integument HWPlease consult text and class notesChapter 86 Pressure Ulcers, Wounds and Wound ManagementExtent of skin damage(what thickness)Appearance Stage 1Stage 2
Stage 3Stage 4unstageable1.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 leastSelf adhesive transparentfilm (Tegaderm, Op Site)HydrocolloidHydrogelDaily at least7.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?