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Definition
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| What does the epidermis do when Mrs. Smith has skin that has been injured? |
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Definition
| The epidermis helps restore the barrier or strateum corneum that regulates moisture to prevent dehydration. |
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Term
| What does the dermis do when Mrs. Smith's skin was injured? |
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Definition
| It restores the structural activity (collagen) and the physical properties. |
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Term
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Definition
| impaired skin integrity related to unrelieved, prolonged pressure |
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Term
| Localized injury due to pressure or pressure in combination with shear/friction |
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Definition
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| What are the factors associated with pressure ulcer development? |
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Definition
| decreased mobility, decreased sensory perception, fecal or urinary incontinence, and poor nutrition |
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Term
| Ms. Franklin has been lying in bed for 12 hours in the supine position. How is this going to effect her cellular metabolism? |
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Definition
| decreases or obliterating her blood flow, resulting in tissue ischemia and possibly tissue death |
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Term
| What happens when the normal capillary pressure is exceeded and the vessel is closed for a period of time? |
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Definition
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Term
| normal capillary pressure |
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Definition
| pressure range of 15 to 32 mm Hg |
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Definition
| little oxygen is received |
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Term
| Mr. Eddie is 80 years old and has reduced sensation and cannot respond to the discomfort of his ichemia. What will result? |
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Definition
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Definition
| a redness that occurs when blood flow returns after ischemia and pressure is released |
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Term
| What does it mean when an area blanches? |
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Definition
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Term
| As a nurse, you touch a patient in an ertherma area and it does not blanch, what would you suspect? |
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Definition
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Term
| A patient may have low tolerance to pressure if it has these three extrinsic factors: |
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Definition
| Shear, friction, and moisture |
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Term
What are the systemic factors to tolerance to pressure?
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Definition
| poor nutrition, increasing aging, and low BP |
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Term
| 6 Risk Factors of Pressure Ulcer Development |
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Definition
| Impaired Sensory Perception, Impaired Mobility, Alterations in LOC, Shear, Friction, Moisture |
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Term
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Definition
| Can't change positions in bed so it is an oppurtunity for pressure ulcer |
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Term
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Definition
| may have pain but not know how to relieve it or communicate it |
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Term
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Definition
| Ex. Sheet burn. Dry skin dragged across sheet |
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Term
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Definition
| depends on force parallel but it is more like a tear in skin |
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Term
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Definition
| softening of skin in liquid. this can cause it to be more damageable |
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