Term
| What 4 factors make our skin healthy? |
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Definition
| Circulation, innervation, hydration, nutrition |
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Term
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Definition
| Occurs as a result of gravity and is determined by the amount of weight at the point of contact |
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Term
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Definition
Occurs when surfaces rub the skin and irritate pff directly pull off epithelial tissue
EX: when pt. is dragged or pulled across bed linen or tightly applied restraints |
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Term
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Definition
generated when the skin itself remains stationary and the tissues below the skin shift or move
Movement of deeper tissue layers reduces blood flow to the skin |
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Term
| Braden Scale. Composed of 6 things |
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Definition
Moisture
Activity
Mobility
Nutrition
Friction and Shear
Sensory Perception
15-16 low risk, 13-14 moderate risk, 12 or less high risk |
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Term
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Definition
| Just involves the epidermis. Area of the skin that no longer blanches. Is red and stays red |
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Term
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Definition
| Superficial open area. Still involved in the epidermis but shallow pieces of skin have come off |
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Term
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Definition
| Shallow crater. Goes down in to the dermis. Its a concave look and we can see red tissue |
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Term
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Definition
| All the way to the muscle. We can see bone, muscle, and connective tissue |
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Term
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Definition
| clear fluid like a blister |
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Term
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Definition
| actual heavy blood coming from pressure sore |
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Term
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Definition
| Serous and sanguinous mixed together |
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Term
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Definition
| pus. Still in a fluid state just cloudy and thick |
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Term
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Definition
| When the skin comes together and heals normal resulting in a scab |
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Term
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Definition
When the edges cant come together and can cause a gapping wound
Wound has to heal from the bottom
wont see a scab or sutures because it will still be open. Requires dressing changes |
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Term
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Definition
Wound that we leave open for a little while on purpose and then close is back up when we feel appropriate.
Dont see this one as often as the other 2 |
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Term
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Definition
2-5 days
Hemostasis
Inflammation |
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Term
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Definition
2 days to 3 weeks
Granulation
Contraction
Epithelialization |
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Term
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Definition
3 weeks to 2 years
New collagen scar tissue up to 80% as strong as original |
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