Nursing II Wound Ostomy and Continence test 4 Questions & Answers 100% Correct

What is WOCN Society? - ANSWERWound Ostomy or Continence When was WOCN Society founded? - ANSWERIn 1968 How many health care professionals are in WOCN society? - ANSWER4,800 What members are included in the WOCN? - ANSWERRNS, who are experts in WOC and food and nail care Who are WOC Nurses? - ANSWERFormerly known as Enterostomal Therapy (ET) nurses - Ar RN with BSN or higher degrees What does a WOC nurse specialize in? - ANSWERIn the care of patients with wounds, ostomies, or continence disorders Expert wound care and Chronic and acute wounds include? - ANSWERNeuropathic wounds Pressure ulcers Surgical Wounds Trauma Wounds Vascular Wounds (Venous, Arterial) What is the estimated prevalence of pressure ulcers? - ANSWER14-17% acute care 27.3% long-term care 3-10% home health care What are some requirements for expert wound care? - ANSWERPrevention strategies support surface for pressure redistribution Complex treatment modalities Adjunctive therapies = Wound vacs Types of ostomies - ANSWERColostomy Urostomy Ileostomy Urinary and fecal continent diversions What teaching needs to be done for expert ostomy care? - ANSWERPre-operative and post-operative ostomy care Who decides the site selection for the stoma ? - ANSWERThe doctor What needs to be decided for the proper bag? - ANSWERProduct selection and complex prosthetic fitting for emptying and changing Why is it important to change or replace ostomy care bags? - ANSWERPrevention and treatment of periostomal skin irritation and complications If a new patient get a ostomy place what support do they need? - ANSWERCounseling and psychosocial support for lifestyle and quality of life issues Why is skin care important for continence care? - ANSWERPrevention and treatment of incontinence associated to dermatitis = stool and urine and also biofeedback What does CFCN mean? - ANSWERCertified Foot Care Nurses CFCN nurses have elevated the quality of care for patients in? - ANSWERHospitals Long-term care facilities Podiatry offices Patient's own home Who can join the WOCN society? - ANSWERAny full time student studying to become a RN with either AS, BSN, or diploma. Nursing students get 50% off membership fees What causes skin damage? - ANSWERPressure How is pressure create? - ANSWERPressure is created when the external surface against the skin and the person's skeleton compresses soft tissue sufficiently to interrupt circulation to the skin If circulation is interrupted for a long period what happens? - ANSWERTissue ischemia and tissue death occur What is Hypoxia? - ANSWERThe amount of pressure necessary to compress capillaries. It is blocking the nutrient supply/removal of waste products varies What is Ischemia? - ANSWERIs the result of deprivation of nutrients and changes in PH due to wastes products that will eventually lead to tissue damage. What is vasopressors? - ANSWERTypes of medication to keep BP up What type of patients are more of a risk for pressure? - ANSWERPatients with disease processes, injury, those requiring vasopressor,or those with conditions resulting in impaired oxygenation will require less pressure to create tissue ischemia. Most common site for acute care? (pressure ulcers) - ANSWERSacrum, coccyx, and heels can be supine, lateral laying, and sitting = chair padding What is a shear - ANSWERIs the interaction of gravity and friction causing twisting or kinking of blood vessels When does shear occur? - ANSWERWhen the skeleton moves, but the skin remains fixed to an external surface. Occurs with greater levels of physical force and damages the deeper tissues. Keep the HOB below 30 when boosting up What does shear do to the blood flow? - ANSWERRather than completely interrupting blood flo