Unit 3 Hygiene and Tissue Integrity

A collection of vocabulary flashcards derived from Unit 3 Hygiene and Tissue Integrity lecture notes, covering key concepts related to wound care, hygiene practices, and essential nursing assessments.

Functional Ability

The capacity to perform activities of daily living and maintain independence.

Factors Affecting Functional Ability

Physical and cognitive abilities such as mobility, cognition, and sensory perception.

Functional Assessment

A process to measure the impact of illness on self-care abilities and determine assistance requirements.

Risk Factors for Pressure Injuries

Impaired sensory perception, impaired mobility, alteration in level of consciousness, shear, friction, and moisture.

Braden Scale

A tool used to predict pressure sore risk based on sensory perception, moisture, activity, mobility, nutrition, and friction/shear.

Moisture

The degree to which skin is exposed to moisture, impacting pressure injury risk.

Activity Level

The degree of physical activity of a patient, which relates to pressure injury risk.

Mobility

The ability to change and control body position, important in preventing pressure injuries.

Nutrition

Usual food intake pattern, crucial for skin integrity and healing.

Friction and Shear

Force that can cause skin injury, particularly when moving patients.

Pressure Ulcers

Localized areas of tissue necrosis due to unrelieved pressure.

Stage 1 Pressure Injury

Non-blanchable erythema of intact skin.

Stage 2 Pressure Injury

Partial-thickness skin loss with exposed dermis.

Stage 3 Pressure Injury

Full-thickness skin loss without exposed bone, tendon, or muscle.

Stage 4 Pressure Injury

Full-thickness tissue loss with exposed bone, tendon, or muscle.

Necrotic Tissue

Tissue that is dead and may encourage bacterial growth.

Eschar

Thick, leathery tissue, often tan, brown, or black, resulting from necrosis.

Slough

Moist, loose, stringy tissue that is yellow, tan, green, or brown.

Wound Assessment Components

Includes temperature, odor, location, shape, size, color, exudate, bleeding, and tissue condition.

Wound Healing Complications

Potential issues such as hemorrhage, infection, dehiscence, and evisceration.

Debridement

The process to remove devitalized tissue from a wound to promote healing.

Primary Intention Healing

Wound healing where edges are approximated and closed, minimizing scarring.

Secondary Intention Healing

Wound healing that occurs with open tissue and longer healing time, more scarring risk.

Negative Pressure Wound Device

A device used to apply negative pressure to promote wound healing.

Vacuum Assisted Closure

Technique to bring wounds together and reduce edema.

Suturing

The process of closing wounds with special fibers that may be absorbable.

Skin Hygiene Sequence

The order of washing body parts during a bath for effective cleanliness.

Foot Care for Clients

Essential practices to maintain foot hygiene, especially for clients with decreased circulation.

Perineal Care Techniques

Specific cleaning methods based on the gender of the client to prevent infection.

Bed Making Principles

Best practices to maintain hygiene and prevent contamination in a client's bed.

Delegation in Nursing

Assigning specific tasks to unlicensed assistive personnel (UAP) within their scope of practice.

Wound Temperature Assessment

Measuring warmth or coolness around a wound to gauge healing or infection risk.

Exudate Assessment

Evaluating the color, amount, and consistency of wound drainage.

Friction Injury Risk

Risk of skin injury from movement against surfaces, heightened in immobile patients.

Moisture Management

Keeping the wound or skin area dry to minimize infection risk.

Wound Packing Purpose

To fill a wound's dead space with materials that promote healing.

Skin Condition Evaluation

Examining the periwound skin for integrity and signs of tissue breakdown.

Nutrition's Role in Healing

Importance of adequate food intake in maintaining skin and helping recovery.

Swab Technique for Cultures

Method to collect samples from wounds to test for bacterial presence.

Client Consent in Care

Importance of obtaining permission for personal care procedures.

Interprofessional Collaboration in Wound Care

Working with other healthcare professionals to optimize wound treatment.

Antiseptic Application

Using cleaning agents to prepare the skin before dressing changes.

Aseptic Techniques

Procedures to maintain a sterile environment while caring for wounds.

Emotional Support in Care

The significance of empathy and communication during patient care.

Hygiene Practices

Standards for maintaining cleanliness and preventing infection in patients.

Infection Prevention Strategies

Measures taken to reduce the risk of infection in wound care.

Fluid Management in Wounds

Controlling excess fluid around a wound to promote healing.

Best Practices for Bathing

Guidelines to ensure patient comfort and safety during personal hygiene.

Wound Healing Assessment Scales

Tools to evaluate the healing process and efficiency of treatments.

Patient Education for Hygiene

Informing clients about self-care to ensure hygiene standards.

Client Autonomy in Care

Respecting individuality and preferences during personal care.

Palliative Wound Care

Focus on providing comfort measures for patients with chronic wounds.

Patient Comfort Considerations

Attention to patient comfort during assessments and care.

Cultural Sensitivity in Hygiene Care

Awareness of cultural practices impacting client care.

Denture Care Guidelines

Recommendations for proper maintenance and cleaning of dental appliances.

Caregiver Support Techniques

Strategies to assist caregivers in providing effective patient care.

Health Communication in Nursing

Effective methods of conveying health information to patients.

Risk Assessment in Wound Care

Evaluating potential risks associated with pressure injuries.