Term
| dermal-epidermal junction |
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Definition
| separates dermis and epidermis |
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Term
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Definition
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Term
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Definition
inner layer of skin
collagen |
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Term
| risk factors for ressure ulcer development |
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Definition
impaired sensory perception
alterations in levels of conciousness
impaired mobility (cannot shift position)
shear
friction
moisture (incontinence) |
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Term
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Definition
| force exerted parallel to skin |
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Term
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Definition
| intact skin with non-blanchable redness |
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Term
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Definition
| turns white or pale with applied pressure |
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Term
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Definition
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Term
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Definition
partial-thickness skin loss involving epidermis, dermis, or both
(blister or abrasion) |
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Term
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Definition
full-thickness tissue loss with visible fat
stops before fascia and muscle |
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Term
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Definition
| full-thickness tissue loss with exposed bone, muscle, or tendon |
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Term
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Definition
| inadequate blood supply to tissue |
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Term
|
Definition
surgical incision, apprximated edges, purposeful
heals with sutures, limited scar tissue |
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Term
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Definition
burn, pressure ulcer, laceration
heals with scar tissue, takes longer ot heal |
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Term
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Definition
| wound kept oen for period of time to take care of infection |
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Term
| full-thickness wound repair |
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Definition
hemostasis (coagulation)
inflammatory phase (vasodialation and exudation)
proliferative phase (eithelialization)
remodeling (collagen) |
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Term
|
Definition
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Term
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Definition
| thick, yellow, green, tan, or brown |
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Term
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Definition
| pale pink, watery, mixture of clear and red fluid |
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Term
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Definition
| bright red, indicates active bleeding |
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Term
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Definition
removal of nonviable, necrotic tissue
must have contact with wound bed to treat so neccessary |
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Term
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Definition
wet to dry, placing a moist dressing, allow it to dry and tissue to adhere to the gauze then peeling off
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Term
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Definition
| body's own process of getting rid of dead tissue, assisted with dressing |
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Term
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Definition
| use of enzymatic chemicals |
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Term
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Definition
| surgical removal of dead tissue |
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Term
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Definition
black or brown necrotic tissue
heels especially
leathery
must be removed |
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Term
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Definition
yellow or white. stringy substance in wound
necrotic and needs to be removed |
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Term
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Definition
red, moist tissue
indicates healing |
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Term
| complications of wound healing |
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Definition
hemorrhage
hematoma
infection
dehiscence (separation of wound layers)
evisceration (protrusions of visceral organs through wound) |
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Term
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Definition
separation of wound layers
emergency |
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Term
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Definition
protrusion of visceral organs through wound
emergency |
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Term
| priority in case of dehiscence or evisceration |
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Definition
place sterile saline-soaked towels on the area to keep moisturized
then call whoever |
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Term
| nutrition influencing wound healing |
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Definition
1500 kcal/day
Vitamin A & C
Protein |
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Term
| Factors influencing pressure ulcer formation and wound healing |
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Definition
nutrition
tissue perfusion (O2 saturation)
Infection
Age
Psychosocial impact of wounds |
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Term
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Definition
skin
pressure ulcers
predictive measures
mobility
nutritional status
body fluids
pain |
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Term
|
Definition
mushy
infection underneath |
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