NURS1043 Professional Practice 2 - Wound Care & Related Topics (Vocabulary)

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Vocabulary flashcards covering wound care concepts, ANTT, skin tear classifications (STAR and ISTAP), wound assessment, wound care basics, and medication calculation fundamentals from the lecture notes.

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29 Terms

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Acknowledgement of Country

A formal statement recognizing the traditional owners and custodians of the land where university campuses sit (e.g., Wadjuk, Yawuru, Cadigal).

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Aseptic Non-Touch Technique (ANTT)

A nursing technique to prevent infection by avoiding contact with key parts of wound care equipment and maintaining asepsis.

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Wound assessment

Systematic evaluation of a wound’s type, size, depth, tissue type, exudate, surrounding skin, and signs of infection to guide care.

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Pressure injury

Localized damage to skin and/or underlying tissue usually over a bony prominence due to pressure, shear, or friction.

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Pressure injury stages

Classification of pressure injuries by depth and tissue involvement (e.g., Stage 1–4, unstageable, deep tissue injury).

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STAR Skin Tear Classification System

A classification system for skin tears with categories 1a, 1b, 2a, 2b, and 3 based on tissue loss and realignment ability.

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Category 1a (STAR)

Skin tear with edges realignable and skin colour not pale, dusky, or darkened.

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Category 1b (STAR)

Skin tear with edges realignable and skin colour pale, dusky, or darkened.

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Category 2a (STAR)

Skin tear with edges not realignable and skin colour not pale, dusky, or darkened.

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Category 2b (STAR)

Skin tear with edges not realignable and skin colour pale, dusky, or darkened.

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Category 3 (STAR)

Skin tear where the skin flap is completely absent.

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ISTAP Skin Tear Classification

International Skin Tear Classification system defining Type 1, Type 2, and Type 3 skin tears.

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Type 1 (ISTAP)

No skin loss.

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Type 2 (ISTAP)

Partial flap loss.

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Type 3 (ISTAP)

Total flap loss.

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Flap (skin tear)

A portion of skin (epidermis/dermis) that is unintentionally separated from its original position due to shear, friction, or blunt force.

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Skin Tear

A traumatic wound caused by mechanical forces, including adhesive removal, with varying depth of tissue loss.

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Wound edge

The boundary of a wound; assessment includes alignment, edges, and signs of undermining or tissue loss.

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Wound measurement

Quantifying wound size (length, width, depth) for monitoring healing progress.

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Surrounding skin condition

Condition of skin around the wound, including fragility, swelling, discolouration or bruising.

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Aetiology

The cause or origin of a wound.

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Wound location

Where on the body the wound is situated.

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Hand hygiene

Practices to clean hands effectively to prevent infection before and after patient contact.

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Documentation

Recording wound assessments, care actions, and progress in patient records.

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Therapeutic communication

Communication strategies that support patient comfort, understanding, and engagement in care.

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Clean vs sterile vs aseptic equipment

Clean: free from visible dirt; Sterile: completely free of microorganisms; Aseptic: free from pathogenic organisms and designed to prevent contamination.

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Wound dressing

Materials applied to a wound to protect it, manage moisture, absorb exudate, and promote healing.

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Medication Calculations

Process of calculating drug dosages and administration amounts accurately.

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Medication Calculation Exam (Hurdle Task)

An assessment task testing the ability to perform medication calculations under exam conditions.