Download Ch 31, pressure ulcers

MNA
Mosby’s Long Term Care Assistant
Chapter 31 Pressure Ulcers
Pressure Ulcers
Decubitus Ulcer
Death of tissue due to lack of O2
Usually occurs over a bony
prominence
Causes:
Pressure, friction, shearing
Poor circulation
Moisture
Irritation from urine and feces
Bony Prominences
Pressure Ulcers
Persons at Risk
Confined to bed or chair
Requires help to move
Incontinent
Poor nutrition (protein needed for
tissue repair)
Altered mental status
Decrease sensation
Poor circulation
Age
Obese or emaciated
Anemic
Pressure Ulcers
Signs
Pale skin
Reddened area
Blisters
Pain, burning, tingling
Skin or tissue loss
Pressure Ulcers
Stage 1 – red, skin does not return to normal
when pressure is relieved
Stage 2 – skin cracks, blisters or peels
Stage 3 – skin is gone. Underlying tissue is
exposed. drainage
Stage 4 – muscle and bone exposed
Pressure Ulcers
Prevention and Treatment
Much easier to prevent then treat
Cleanliness
Turn and position Q2h
Pillows for padding
Use lift sheets
Pressure Ulcers
Prevention and
Treatment
Lotion and moisturizers
Dry, wrinkle free linens
NEVER rub or massage red
areas
Protective devices
Report and record
Pressure Ulcers
Prevention
and
Treatment
Remember……
Older persons require
special skin care.
Protein is an essential
nutrient for skin repair
Follow Standard Precautions
Review
A pressure ulcer is the same
as a decubitus ulcer ?
True
False
Review
Pressure ulcers usually occur over
a
Bony
prominence
_______________.
Review
Protein is the most important
nutrient for wound healing.
True
or
False
Review
Cracked and peeling skin is an
early sign of decubitus ulcers
True or False
Review
Severely underweight?
A. obesity
B. anemia
C. paralysis
D. emaciation
Review
Person’s at risk for ulcers are
repositioned QID.
True or False
Review
BID
QS
Twice a day
Every shift
PRN As needed
STAT
BR
immediately
bedrest
Questions??