nur 204 breast n stuff

where do most tumors occur on the breast

upper outer quadrant

dimpling

indentations within the breast

what can oral contraceptives increase

risk for breast cancer

abcde (a)

asymmetry

abcde (b)

border

abcde (c )

color

abcde (d)

diameter (>6mm)

abcde (e)

evolution

when to do bse

same time every month

skin is

waterproof, protective, and adaptive

aging adults have a

larger risk of skin disease and skin breakdown d/t thinning skin

nails should be about

160 degrees

color of finger nails should be

smooth and regular, not brittle or splittinh

clubbing indicates

long standing hypoxemia

annular/circular lesions

begins in center and spreads to periphery

confluent lesions

runs together

discrete lesions

distinct & separate

grouped lesions

cluster of lesions

gyrate lesions

twisted/snake like lesions

target/iris lesions

resemble iris of eye/rings

linear lesions

scratch, streak, line

zosteriform lesions

linear arrangement following a unilateral nerve route

stage I pressure injury

intact skin w/ non blanchable redness

stage II pressure injury

partial thickness loss of dermis; red-pink wound bed w/o slough

stage III pressure injury

full thickness tissue lost but no bone/tendon/muscle exposure

stage IV pressure injury

full thickness tissue loss with exposed tendon or muscle; slough/eschar possibly visible

caregiver burden

strain by a person who cares for an older adult

informal support

family and long friends

formal supports

professional orgs. such as social welfare/other social services

lawton instrumental activities of daily living

determines most suitable living situation for older adults; pre-req for independent living

instrumental activities of daily living

doing laundry, paying bills, prepping meals

katz index of independence of adl

scores if person is independent/dependent when doing certain adls

gynecomastia

enlarged breast tissue of the male

what pattern is recommended for searching for breast lumps

vertical strip

what is palpated after palpating breast quadrants

nipple

pressure injury factors

pressure + duration + shearing + moisture

suspected deep tissue injury

purple/maroon of intact skin

unstageable wound

full thickness tissue loss with the base is covered with eschar in the wound bed