Term
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Definition
| Removing the epidermis or upper dermis through an external mechanical force such as friction or trauma. |
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Term
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Definition
| A defined collection of purulent fluid which forms in a tissue as a result of acute or chronic localized infection |
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Term
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Definition
| A wound that is following a predicted pattern that should result in complete healing |
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Term
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Definition
| Debris or biologic matter that obscure the wound bed and impede the process of wound healing |
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Term
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Definition
| A wound resulting from inadequate arterial blood supply or flow. On distal extremities |
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Term
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Definition
| Amount of bacteria on or in a wound surface |
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Term
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Definition
| A redness that turns white when pressure is applied. When pressure is removed, it returns to its red color. |
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Term
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Definition
| Inflammation of cellular or connective tissue usually accompanied by local warmth, pain, or swelling of tissue |
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Term
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Definition
| A wound that has a physiological delay through any of the normal, orderly, sequential phases of healing. Delayed or non healing chronic wound |
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Term
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Definition
| Microorganisms residing in the wound bed that do not impact the health or healing of the wound |
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Term
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Definition
| Presence of bacteria, other microorganisms or foreign material presented on but not imbedded in the wound |
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Term
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Definition
| Edges of a full thickness wound drawn toward the center during the healing process, resulting in reduction of open wound surface area. |
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Term
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Definition
| Removal of devitalized tissue, cellular debris or any foreign matter from a wound. |
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Term
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Definition
| Separation of surgically approximated layers of an operative wound |
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Term
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Definition
| A visible line of separation between viable and nonviable tissue |
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Term
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Definition
| Loss of epidermal skin layers |
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Term
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Definition
| Inflammation of the skin including itching, redness and skin lesions |
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Term
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Definition
| Skin discoloration caused by infiltration or effusion of blood from blood vessels into the skin or subcutaneously. |
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Term
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Definition
| The presence of abnormally large amounts of fluids in the intercellular or interstitial tissue space |
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Term
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Definition
| Wound healing where epidermal cells proliferate and migrate across the surface of the wound. |
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Term
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Definition
| A redness of the skin caused by dilation or congestion of the capillaries in the lower layer of skin |
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Term
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Definition
| Thick leathery black, brown or gray necrotic devitalized tissue on the surface of a wound |
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Term
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Definition
| Disruption of the epidermis or dermis caused by scratching, chemical or thermal injury. |
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Term
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Definition
| Fluid released from tissue due to injury of inflammation |
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Term
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Definition
| Tissue damage involving total loss of epidermis and dermis into the subcutaneous tissue through fascia, muscle or bone. |
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Term
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Definition
| Abnormal hardening of tissue caused by edema and inflammation |
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Term
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Definition
| Presence of bacteria or other microorganisms in sufficient quantity to damage tissue or impair healing. |
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Term
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Definition
| Deficiency of blood supply caused by constriction or obstruction of a blood vessel to tissue leading to cellular damage or necrosis. |
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Term
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Definition
| Changes and subsequent disintegration of skin resulting from prolonged exposure to moisture |
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Term
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Definition
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Term
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Definition
| Infection of the bone marrow and adjacent bone |
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Term
| Partial thickness tissue loss |
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Definition
| Skin loss confined to the epidermal layer and possibly the dermal layers. Does not penetrate below the dermis. |
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Term
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Definition
| A localized injury to the skin or underlying tissue usually over a bony prominence as a result of pressure, or pressure in combination with shear or friction |
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Term
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Definition
| Intact skin, non-blanching redness of a localized area over a bony prominence |
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Term
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Definition
| Partial thickness loss presenting as a shallow open ulcer with a red/pink wound bed without slough. May also be a blister. |
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Term
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Definition
| Full thickness tissue loss. Fat may be visible, but not bone, tendon or muscle. |
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Term
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Definition
| Full thickness tissue loss with exposed or palpable bone, tendon or muscle. |
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Term
| Unstageable Pressure Ulcer |
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Definition
| Full thickness tissue loss |
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Term
| Suspected deep tissue injury |
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Definition
| Purple/maroon localized area of discolored intact skin or blood-filled blister due to damage of the underlying soft tissue from pressure and/or shear. |
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Term
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Definition
| Outmoted term used to describe coagulum or dry clotted blood |
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Term
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Definition
| Area of destruction under intact skin involving a significant portion of the wound edge. |
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Term
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Definition
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Term
| 5 common sitting pressure ulcers |
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Definition
Tail Bone (Coccyx)
Buttocks (Ischium)
Back of heels
Elbows
Shoulder blades |
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Term
| 6 most common supine/back laying pressure ulcers |
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Definition
Toes
Heels
Tail Bone (Coccyx)
Elbow
Shoulder Blades
Back of Head |
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Term
| 6 most common side laying pressure ulcers |
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Definition
Ankle Bones
Knee
Hip
Pelvis
Shoulder
Ear |
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