Skin Integrity and Wound Care

These flashcards cover key concepts from the lecture on skin integrity and wound care, helping students prepare for assessments related to wound healing, skin assessment, and pressure injury management.

What is the protective layer of skin known as, which is composed primarily of keratin and contains no blood vessels?

Epidermis

What are the three main structures of the skin?

Epidermis, Dermis, Subcutaneous

What phase of wound healing involves the release of bradykinin, histamine, and vasodilation?

Inflammatory phase

What is the primary intention of wound healing?

Heals by primary intention when edges of a clean surgical incision are approximated.

What are common factors that can lead to impaired skin integrity?

Age, malnutrition, dehydration, illness, and immobility.

What stage of pressure injury is characterized by full-thickness skin loss with exposed adipose tissue?

Stage 3 pressure injury.

What type of wound healing is characterized by edges that are not approximated and involves tissue loss?

Secondary intention.

What is the role of collagen in wound healing?

It provides structural support and is essential for tissue repair.

Which nutritional components are essential for collagen formation and skin health?

Vitamin C, zinc, and copper.

What is the Braden Scale used for?

To assess a patient's risk for pressure injury development.

What is one psychological effect that can result from having wounds?

Anxiety.

What types of drainage can be assessed during wound assessment?

Serous, sanguineous, serosanguineous, and purulent.

What is a common nursing intervention to prevent pressure injuries?

Turn the patient every 2 hours to relieve pressure.

What does adequate hydration do for skin integrity?

It helps to maintain skin elasticity and resilience against injury.

What is an unstageable pressure injury?

A pressure injury with obscured full-thickness skin and tissue loss due to slough or eschar.

What is one of the main factors affecting wound healing related to age?

Children and healthy adults heal more rapidly than older adults.