Term
| What is a collection of information that is compiled by a provider(s) reflecting the procedure performed on the patient.? |
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Definition
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Term
| What are the purposes of a clinical procedure note? |
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Definition
legal medical record
communication tool
quality assessment tool
risk reduction aid
reimbursement aid |
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Term
| What does the "red wound" mean? |
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Definition
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Term
| How do you address the "red wound"? |
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Definition
| keep wound moist, clean and protected |
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Term
| If a patient presents with a wound with definite borders, granulation tissue present and revascularization apparent, what type of wound is it? |
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Definition
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Term
| What type of wound is described as having pus, debris, fibrin and straw colored exudate present? |
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Definition
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Term
| How do you address a "yellow wound"? |
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Definition
| Cleansing, minor debridement (usually using application of a preparation that will lift off and separate the pus, topical antimicrobial |
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Term
| What type of wound is described as having necrotic tissue or an dark eschar on it as well as pus or fibrin formation? |
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Definition
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Term
| How should a black wound be addressed? |
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Definition
| mechanical, surgical or chemical debridement to dissolve black, necrotic tissue |
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Term
| If you have a yellow and black wound, how should you treat it? |
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Definition
| Treat as if it were a black wound |
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Term
| If the wound is both red and yellow, how should you treat it? |
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Definition
| As if it were a yellow wound |
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Term
| What is described as being created when the anatomic integrity of the tissue is disrupted? |
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Definition
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Term
| What is described as the process whereby the integrity of the tissue is restored? |
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Definition
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Term
| What is created from ischemia caused when too much pressure is applied to one area for a prolonged period of time? |
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Definition
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Term
| Where are pressure ulcers commonly formed? |
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Definition
| Usually over the bony prominences |
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Term
| What are the signs of an arterial ulceration? |
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Definition
Pulselessness of the extremity
Painful ulceration
Small, Punctate ulcers that are well circumscribed
Cool or cold skin
delayed cap refill
atrophic appearing skin (shiny, thin, dry)
loss of digital and pedal hair |
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Term
| What is the MC type of ulcer affecting the LE? |
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Definition
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Term
| What stage ulcer is described as erythema not resolving within 30 min of pressure relief, but with epidermis remaining intact? |
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Definition
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Term
| What stage ulcer is described as a partial thickness loss of skin layers involving the epidermis and possibly penetrating into but not through the dermis, which may prsent as blistering with erythema and/or induration? |
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Definition
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Term
| What stage ulcer is described as full-thickness tissue loss extending through the dermis to involve the subQ tissue that presents as a shallow crater that may be covered by an eschar? |
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Definition
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Term
| What stage ulcer is described as deep tissue destruction extending through subQ tissue to fascia and may involve the muscle layers? |
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Definition
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Term
| In which ulcer stages may undermining and sinus tracts be present? |
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Definition
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Term
| In which stage of healing does granulation tissue form? |
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Definition
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Term
| In which stage does the scar formation occur? |
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Definition
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Term
| What are the four questions you should ask with wound healing? |
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Definition
Amount of dead tissue
Degree of colonization or infection
Status of the host
Options for closure |
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Term
| What dressing should be used for dry wounds? |
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Definition
| Goal is to hydrate -> Hydrogel, e.g |
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Term
| What dressing should be used for a non-draining wound? |
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Definition
| Goal is to maintain moisture -> Hydrogel, e.g |
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Term
| What dressing should be used for a wound with moderate or heavy drainage? |
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Definition
| Goal is to absorb drainage -> Alginate, e.g |
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Term
| What type of dressing is used for wounds with macerated margins? |
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Definition
| Goal is to protect wound margins -> Zinc oxide, e.g |
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