how do individuals learn?
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VARK assessment
visual, aural, read/write, kinaesthetic
wound healing process
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primary intention- skin edges approximate or close together
secondary intention - skin edges cannot come together because of
extensive tissue loss, healing occurs gradually (scar formation)
tertiary intention - surgical wounds deep tissue layers closed, fat and skin
left open
perioperative nursing care
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- preoperative
- intraoperative
- postoperative
stage 4 pressure injuries
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- full thickness skin and tissue loss with exposed bone, muscle, or tendon
- epibole (rolled/curled-under close wound edges) undermining and
tunneling often occur
- slough and escar (dead tissue) visible
complications of wound healing : evisceration
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, - total separation of wound layers
-emergency
- cover organs with sterile saline soaked gauze
indicators of stress/anxiety
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increased HR and BP, headaches, urinary frequency, nausea, weight
gain/loss, muscle aches, amenorrhea (no periods), forgetfulness, poor
concentration, irritability, lack of motivation, increased smoking/alcohol
use, no exercise
stage 2 pressure injuries
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- partial thickness skin loss with exposed dermis
- wound bed is viable, pink or red, moist
factors that influence impact of stress
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1) appraisal of the event
2) meaning of the event
3) number of stressors
4) developmental level
5) magnitude of the stressor
6) duration of the stressor
Give this one a try later!
VARK assessment
visual, aural, read/write, kinaesthetic
wound healing process
,Give this one a try later!
primary intention- skin edges approximate or close together
secondary intention - skin edges cannot come together because of
extensive tissue loss, healing occurs gradually (scar formation)
tertiary intention - surgical wounds deep tissue layers closed, fat and skin
left open
perioperative nursing care
Give this one a try later!
- preoperative
- intraoperative
- postoperative
stage 4 pressure injuries
Give this one a try later!
- full thickness skin and tissue loss with exposed bone, muscle, or tendon
- epibole (rolled/curled-under close wound edges) undermining and
tunneling often occur
- slough and escar (dead tissue) visible
complications of wound healing : evisceration
Give this one a try later!
, - total separation of wound layers
-emergency
- cover organs with sterile saline soaked gauze
indicators of stress/anxiety
Give this one a try later!
increased HR and BP, headaches, urinary frequency, nausea, weight
gain/loss, muscle aches, amenorrhea (no periods), forgetfulness, poor
concentration, irritability, lack of motivation, increased smoking/alcohol
use, no exercise
stage 2 pressure injuries
Give this one a try later!
- partial thickness skin loss with exposed dermis
- wound bed is viable, pink or red, moist
factors that influence impact of stress
Give this one a try later!
1) appraisal of the event
2) meaning of the event
3) number of stressors
4) developmental level
5) magnitude of the stressor
6) duration of the stressor
