Mobility / LPN-RN Transition Course
Rehab Team (Ans- collaborative approach, patients are members of the team as well as family, doctors, OT, PT, and social workers.
PULSES
(Ans- Assessment of functional ability p- physical condition u- upper limb function l- lower limb function s- sensort e- bladder control s- supprt
risk factors for developing pressure ulcers (Ans- immobility, impaired sensory perception, decreased tissue perfusion, decreased nutritional status, friction and shear, increased moisture
assessment for the prevention of pressure ulcers (Ans- assessment of skin, evaluate mobility, evaluate circulatory status and neurological status, evaluate nutrition, broaden scale.
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Intervention to prevent pressure ulcer formation (Ans- relieve pressure, position patient reduction friction and shear, minimize moisture, improve mobility
stage 1 pressure ulcer (Ans- Non-blanchable erythema *remove pressure, prevent moisture, promote proper nutrition*
Stage 2 pressure ulcer (Ans- Partial thickness Partial thickness loss of dermis presenting as a shallow open ulcer with a red pink wound bed, without slough *clean with sterile saline poly dressing
stage 3 pressure ulcer (Ans- full thickness skin loss Full thickness tissue loss. Subcutaneous fat may be visible but bone, tendon or muscle are not exposed.*debide, wet to damp dressing, possible surgical debridement
Stage 4 pressure ulcer (Ans- Full thickness tissue loss with exposed bone, tendon or muscle.Slough or eschar may be present.*surgical debridement maybe needed
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