Pressure Ulcer Prevention & Intervention JEOPARDY !

Pressure UlcerPressure UlcerPrevention & InterventionPrevention & Intervention

JEOPARDY !JEOPARDY !

Risk Risk FactorsFactors

AssessmeAssessmentnt

Pressure Pressure Ulcer Ulcer

StagingStagingWound Wound CareCare

InterventioInterventionsns

100100 100100 100100 100100 100100

200200 200200 200200 200200 200200

300300 300300 300300 300300 300300

400400 400400 400400 400400 400400

500500 500500 500500 500500 500500

Pressure UlcerPressure UlcerPrevention & InterventionPrevention & Intervention

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What is What is pressure?pressure?

Risk FactorsRisk Factorsfor 100for 100

The intensity and durationThe intensity and durationOf this is associatedOf this is associated

With vascular occlusion.With vascular occlusion.

What is What is moisture?moisture?

Risk FactorsRisk Factorsfor 200for 200

Disposable adult briefsDisposable adult briefsAre designed toAre designed to

Protect the skin from this.Protect the skin from this.

What is lowering the head of What is lowering the head of bedbed

To less than 30 degrees?To less than 30 degrees?

Risk FactorsRisk Factorsfor 300for 300

Shear injuriesShear injuriesCan be preventedCan be prevented

With this intervention.With this intervention.

What is a lift sheet?What is a lift sheet?OROR

( What is an overhead trapeze? )( What is an overhead trapeze? )

Risk FactorsRisk Factorsfor 400for 400

Applying this interventionApplying this interventionPrevents injuryPrevents injuryDue to friction.Due to friction.

What is protein ?What is protein ?

Risk FactorsRisk Factorsfor 500for 500

Meat and dairy productsMeat and dairy productsAre good sources of this nutrient .Are good sources of this nutrient .

What is What is purulent ?purulent ?

AssessmentsAssessmentsfor 100for 100

Creamy, viscous,Creamy, viscous,Pale yellow exudate.Pale yellow exudate.

What is the frequency ofWhat is the frequency ofRisk assessment following Risk assessment following

admissionadmission

AssessmentsAssessmentsfor 200for 200

Every week for four weeksEvery week for four weeksIn a nursing facility.In a nursing facility.

What is What is maceration?maceration?

AssessmentsAssessmentsfor 300for 300

Caused by excess moisture,Caused by excess moisture,This is characterized by This is characterized by

Softening and wrinkling of skinSoftening and wrinkling of skinSurrounding a wound bed.Surrounding a wound bed.

What is dead What is dead space?space?

AssessmentsAssessmentsfor 400for 400

AbcessesAbcessesOften form here.Often form here.

What is a moist wound bed,What is a moist wound bed,And dry surrounding tissue?And dry surrounding tissue?

AssessmentsAssessmentsfor 500for 500

This environmentThis environmentBest supports tissue growth.Best supports tissue growth.

What is a Stage 1 ulcer?What is a Stage 1 ulcer?

Pressure Ulcer StagingPressure Ulcer Stagingfor 100for 100

Warm or cool skinWarm or cool skinThat is boggy or firmThat is boggy or firmAnd erythematous.And erythematous.

What definesWhat definesThe level of tissue injury?The level of tissue injury?

Pressure Ulcer StagingPressure Ulcer Stagingfor 200for 200

Stages 1, 2, 3,Stages 1, 2, 3,And 4And 4

What is a Stage 1What is a Stage 1Pressure ulcer?Pressure ulcer?

Pressure Ulcer StagingPressure Ulcer Stagingfor 300for 300

Persistent red, bluePersistent red, blueOr purple huesOr purple hues

Pressure Ulcer StagingPressure Ulcer Stagingfor 400for 400

10 10 mmmm irregular black eschar irregular black escharOver the heel.Over the heel.

What is an unstageable ulcer?What is an unstageable ulcer?OROR

( What is an ulcer that cannot be ( What is an ulcer that cannot be staged? )staged? )

Pressure Ulcer StagingPressure Ulcer Stagingfor 500for 500

Pressure ulcer was a Stage 3Pressure ulcer was a Stage 3And is now a Stage 1.And is now a Stage 1.

What is backstaging?What is backstaging?OROR

( What is reverse staging? )( What is reverse staging? )

Wound CareWound Carefor 100for 100

Calcium alginatesCalcium alginatesAre the best choiceAre the best choice

For this wound.For this wound.

What is heavy exudate?What is heavy exudate?

Wound CareWound Carefor 200for 200

A Stage 2 lesion,A Stage 2 lesion,With minimal exudateWith minimal exudate

Should be treated with this.Should be treated with this.What is a hydrocolloid?What is a hydrocolloid?

OROR( What is a hydrogel? )( What is a hydrogel? )

Wound CareWound Carefor 300for 300

Unless infected,Unless infected,Debridement is not indicatedDebridement is not indicated

At this location.At this location.

What are the heels?What are the heels?

Wound CareWound Carefor 400for 400

The purpose of cleaning a The purpose of cleaning a woundwound

Is to remove this.Is to remove this.What is debris?What is debris?

OROR( What is dead tissue, eschar? )( What is dead tissue, eschar? )

Wound CareWound Carefor 500for 500

This is an appropriate solutionThis is an appropriate solutionFor irrigation.For irrigation.

What is normal saline?What is normal saline?OROR

( What is non-cytotoxic? )( What is non-cytotoxic? )

InterventionInterventionfor 100for 100

This is a correct lateral This is a correct lateral posturalpostural

alignment.alignment.What is 30 degrees lateral?What is 30 degrees lateral?OROR

( What is avoiding placement ( What is avoiding placement On trochanter? )On trochanter? )

InterventionInterventionfor 200for 200

This technique may damageThis technique may damageUnderlying tissue inUnderlying tissue in

a Stage 1 ulcer.a Stage 1 ulcer.What is massage overWhat is massage overA bony prominence?A bony prominence?

InterventionInterventionfor 300for 300

Provide this interventionProvide this interventionBetween full body turningBetween full body turning

And repositioning.And repositioning.What are small shiftsWhat are small shifts

In body weight?In body weight?

InterventionInterventionfor 400for 400

This surface is associated with This surface is associated with Producing an ischemic ringProducing an ischemic ringAround a pressure ulcer.Around a pressure ulcer.

What is a donut device?What is a donut device?

InterventionInterventionfor 500for 500

This level of glycosylatedThis level of glycosylatedHemoglobin A1C is associatedHemoglobin A1C is associated

With improved healing ofWith improved healing ofPressure ulcers.Pressure ulcers.

What is less than 7 ?What is less than 7 ?

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