Mrs. Kirk, 78, is admitted with confusion, fever, and pneumonia.  In the morning report, the nurse states Mrs. Kirk is lethargic and incontinent.  Is the client at risk for a pressure ulcer?  If so, what preventive measures should the healthcare provider use?

Mrs. White, 66, has just been admitted to the unit for right-sided weakness to rule out a stroke.  She is 5”4” and 240 lbs.  The physician orders tube-feeding and elevating the bed to 45º.  Is Mrs. White at risk for a pressure ulcer?  If so, what preventive measures should the healthcare provider use?

1. Mrs. Garcia has been admitted to the unit for a right hip fracture. She is 4’8'' and 120 lbs. She has been confused since receiving the anesthesia to repair the fracture one day ago. Mrs. Garcia is on bedrest and is incontinent of urine and stool. Her appetite consists of Ensure oral supplements and apple sauce at each meal.

   
   

2. Is Mrs. Garcia at risk for a pressure ulcer? If so, what preventative measures should the healthcare provider use?

1. What is the purpose of using a dressing?

1. Identify the different types of dressings and outline their appropriate uses.

1. List ways to secure dressings.

1. What types of dressings can be used to treat pressure ulcers?

1. Define Maceration

2. Provide an example of maceration (i.e., drawing, GIF, picture, etc.

List the function of the Integumentary System and provide a picture.

1. List complications that may occur with heat therapy.

1. Define a Stage 1 pressure ulcer and provide an image of one.

1. Define a Stage 2 pressure ulcer and provide an image of one.

1. Define a Stage III pressure ulcer and provide an image of it.

1. What are the characteristics of normal skin?

1. Define a Stage IV pressure ulcer and provide an image of one.

1. How do the combined risk factors of pressure, friction, shear, and maceration contribute to the development of a pressure ulcer?

1. What are some interventions for preventing pressure ulcers that specifically address pressure, friction, shear, and maceration?

1. How should a patient with a pressure ulcer be positioned when repositioning? How frequently should repositioning take place?

1. What is the purpose of using a wound drain?

1. Name three types of drains and provide a picture of each one.

1. Explain each of the wound exudate drainages and provide a picture.