Wound Management and Skin Integrity W7

These flashcards cover key concepts and definitions related to wound management and skin integrity as presented in the lecture.

Factors affecting skin integrity include these 3 things:

Lifestyle, age, illness

These Type of wounds require a clean technique

Unintentional, Closed, Chronic

These Types of wounds require a sterile technique

Intentional, Open, Acute

Pressure ulcers are typically due to compromised circulation from ____, ____, and ____. They are usually over ____ prominences

pressure, shear, friction, moisture; bony

Venous Ulcers: There is ____ thickness skin loss presenting as a ___ ___; There is ___ pain

partial, shallow ulcer, no

Arterial ulcers usually present as ____thickness skin loss and are characterized by ____ and ___ wound bed. There is ____ of pain

full, dry, pale, a lot

Diabetic wounds often occur due to __ ___ and can present as deep ____ wounds.

diabetic neuropathy, necrotic.

Incontinence Associated Dermatitis can be ____ thickness skin loss and appears ____ and ____. Can potentially erode to open skin

partial, red, weepy

Surgical/Incision: Wound edges are ____ and ____

approximated, aligned

The Braden scale measures these 7 things to determine if a patient is at risk for pressure ulcers

Sensory perception, moisture, activity, mobility nutrition, friction/shear

Stage I pressure ulcer is characterized by ___ skin that is _____ and ____

intact, non-blanchable, red

Stage II Pressure Ulcer is characterized by: ____ thickness; loss of ____; Is shallow open with a wound that is ___ and ____

Partial, dermis, red, pink

Stage III Pressure Ulcer is characterized by: ____ thickness tissue loss and ____ may be visible

full, subcutaneous fat

Stage IV Pressure Ulcer is characterized by: ____ thickness tissue loss and these components are exposed ____ _____ and _____

full, bone, muscle, tendon

Unstageable pressure ulcers are identified by ___ thickness tissue loss with base covered by ___and/or ____ in wound

full, slough, eschar

Suspected Deep Tissue Injury: Is ___ or ____ in color at the local area of ___ skin or ___ ____ are present from damage to soft tissue

purple, maroon, intact, blood blisters

Hyperbaric Oxygen Therapy is used to facilitate ___ of chronic wounds that occur. They are exposed to high levels of _____

repair, oxygen

Hemo Vac Drain are portable _____ pressure suction device. It mainly drains ____ and ____. The surgeries associated with this are ___and ___

negative, blood, fluid, abdominal, orthopedic

Jackson Pratt is a ____ suction device. It mainly drains ___ and ___. The surgeries associated with it are ____ and _____

bulb, blood, fluid, breast, abdominal