Wound care PPC exam7

Older adults have impaired wound healing due to

Skin thinning

Skin thinning

From edpidermal & dermal changes reduces healing ability

Decreased vascularization

slower perfusion

Decreased sebaceous gland activity

Dry; fragile skin

Most important intervention for pressure injury

reposition every 2 hours

What do you avoid for pressure injury prevention?

adhesives on fragile skin, alcohol based cleansers, high-pressure flushing

Incontinence care intervention

apply moisture barrier ointment

What to avoid during incontinence care?

Avoid hydrogen peroxide, alcohol wipes

How to remove dressing from fragile skin?

Hold skin taut and gently peel back dressing

What to avoid when removing dressing from fragile skin?

Fast removal, hydrogen peroxide, alcohol

The most critical teaching method

Teach-back demonstration of dressing changes

What to avoid when educating family/clients

Ignoring dietary needs, using soap and water, change only when visibly soiled

Diabetic ulcers

located on weight-bearing areas of the feet

Differentiation

Assess location and sensation

Arterial ulcer hallmark

cool; pale skin

Venous ulcer hallmark

Pain relieved by elevation

what to avoid for Diabetic foot ulcer management?

pressure dressings, walking, warm water risk

What do you clean wounds with?

Sterile water or saline

what part of the wound do you collect from?

Center of the wound

what is a Steroid therapy red flag?

Black tarry stool

Document antibiotic therapy because

Antibiotics alter culture accuracy

If initial culture shows contamination:

Repeat culture from a different area