NR 224 EXAM 2. CHPT 48 SKIN INTEGRITY AND WOUND CARE.docx

NR 224 EXAM 2 CHPT 48 SKIN INTEGRITY AND WOUND CARE Pressure ulcers  localized injury on bony prominence from shear (force parallel to skin) friction(dragged), moisture Ischemia Blanching -> red tones are absent (not in dark skin patients) Older adults, decreased consciousness @ high risk Urine  maceration & skin breakdown Use incontinence cleanser, dry skin , moisture barrier ointment contusion : close wound laceration : jagged irregular edges serous : watery , clear serasangious : watery, red blood frank : fresh blood purelent : infection , thick , WBC, bacteria, tissue debri Skeleton balance suspension traction  shift weight while immobile, Bucts traction  restriction of movement (hip fracture) Halo brace can ambulate with halo brace DOWNLOAD FOR MORE