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Tracy Culkin
Tracy Culkin

The document discusses pressure ulcers, also known as bedsores or pressure sores. It defines pressure ulcers as damage to skin and underlying tissue caused by prolonged pressure. It notes that pressure ulcers most often form over bony areas of the body and can be graded based on the amount of tissue damage. The document lists risk factors for developing pressure ulcers and areas of the body to check. It emphasizes the importance of skin care, nutrition, repositioning, and being on the lookout for any changes in residents' skin.

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Ippu
Human bodys largest organ Bodys first line of defense
Protection Regulation Sensation Metabolism Communication
A sore caused by constant, unrelieved pressure to the skin and underlying tissue. The pressure comes from outside the body.
Pressure slows the blood flow to an area which leads to tissue death Friction and shear can add to the problem
Pressure ulcers most often form over bony areas on the body
Pressure ulcers are graded or staged to indicate the amount of tissue damage Stage 1, Stage 2, Stage 3, and Stage 4
There are Risk Factors that when present, make a resident MORE likely to develop a pressure ulcer
Poor nutrition Unintentional weight loss
Inability to easily move or reposition Incontinence
A resident who spends most of their time sitting in a chair or in a wheelchair, is also at risk for developing a pressure ulcer.
Inability to feel and report pain Lowered mental awareness
When you see even one or two of these risk factors, be on the lookout. This resident is at greater risk of developing a pressure ulcer.
Every time you change, help to the toilet, dress, bathe, transfer, and/or turn a resident... you have a chance to check and care for a residents skin.
An area of skin that is noticeably different than the surrounding area It may look red, and the redness does not fade when the skin is touched, and released (blanched).
For residents with darker skin, the skin may look darker or lighter than the surrounding skin. Skin may look a little: red, blue, or purple in color.
Gently feel for a change in skin temperature: it may feel warmer or cooler than the surrounding area. A suspicious area may feel "spongy or "raised".
Look for areas of redness that are non- blanchable* Note: Redness should fade, when the skin is *touched and released.
Back of the head, ears, shoulder blades, elbows, tailbone, buttocks, hips, and heels.
Pressure ulcers usually form over a bony part of the body.
When you check a residents skin, be sure to have good lighting.
Skin Care Check the skin on daily basis. Check the skin while performing other care giving tasks Healthy skin is clean and moisturized, not dry, cracked, or scaly.
Nutrition and eating Encourage residents to eat and drink Assist residents with eating Feed residents unable to feed themselves Repositioning Turning Encourage residents to shift position
Positioning Encourage residents to make small shifts in position Keep head of bed at 30属 or less Heels elevated off mattress supported by pillows under the legs Use a pillow to keep the knees and heels from rubbing together Turning Schedule for residents who cannot move by themselves
After turning or helping a resident shift their weight, use a pillow to support the new position in the bed or chair.
encourage small shifts in weight if the resident is able if a resident is on a turning schedule, be sure to stick to the schedule Prevention is the key
care for a residents skin (Healthy skin is clean and moisturized, NOT soiled, dry, cracked, or flakey.) Prevention is the key
encourage or assist a resident to eat their food and drink their water Prevention is the key
check a residents skin each time you change, help to the toilet, dress, transfer, bathe, or otherwise have an opportunity. Always be on the look-out
look for an area of skin that looks noticeably different than the surrounding areas especially on skin over the bony parts of the body Always be on the look-out
You have a great opportunity to positively IMPACT the health and well-being of nursing home residents.
If you see even a small change in a residents skin TELL SOMEONE TELL SOMEONE, until you are SURE they hear you.

More Related Content

Ippu

  • 2. Human bodys largest organ Bodys first line of defense
  • 3. Protection Regulation Sensation Metabolism Communication
  • 4. A sore caused by constant, unrelieved pressure to the skin and underlying tissue. The pressure comes from outside the body.
  • 5. Pressure slows the blood flow to an area which leads to tissue death Friction and shear can add to the problem
  • 6. Pressure ulcers most often form over bony areas on the body
  • 7. Pressure ulcers are graded or staged to indicate the amount of tissue damage Stage 1, Stage 2, Stage 3, and Stage 4
  • 8. There are Risk Factors that when present, make a resident MORE likely to develop a pressure ulcer
  • 9. Poor nutrition Unintentional weight loss
  • 10. Inability to easily move or reposition Incontinence
  • 11. A resident who spends most of their time sitting in a chair or in a wheelchair, is also at risk for developing a pressure ulcer.
  • 12. Inability to feel and report pain Lowered mental awareness
  • 13. When you see even one or two of these risk factors, be on the lookout. This resident is at greater risk of developing a pressure ulcer.
  • 14. Every time you change, help to the toilet, dress, bathe, transfer, and/or turn a resident... you have a chance to check and care for a residents skin.
  • 15. An area of skin that is noticeably different than the surrounding area It may look red, and the redness does not fade when the skin is touched, and released (blanched).
  • 16. For residents with darker skin, the skin may look darker or lighter than the surrounding skin. Skin may look a little: red, blue, or purple in color.
  • 17. Gently feel for a change in skin temperature: it may feel warmer or cooler than the surrounding area. A suspicious area may feel "spongy or "raised".
  • 18. Look for areas of redness that are non- blanchable* Note: Redness should fade, when the skin is *touched and released.
  • 19. Back of the head, ears, shoulder blades, elbows, tailbone, buttocks, hips, and heels.
  • 20. Pressure ulcers usually form over a bony part of the body.
  • 21. When you check a residents skin, be sure to have good lighting.
  • 22. Skin Care Check the skin on daily basis. Check the skin while performing other care giving tasks Healthy skin is clean and moisturized, not dry, cracked, or scaly.
  • 23. Nutrition and eating Encourage residents to eat and drink Assist residents with eating Feed residents unable to feed themselves Repositioning Turning Encourage residents to shift position
  • 24. Positioning Encourage residents to make small shifts in position Keep head of bed at 30属 or less Heels elevated off mattress supported by pillows under the legs Use a pillow to keep the knees and heels from rubbing together Turning Schedule for residents who cannot move by themselves
  • 25. After turning or helping a resident shift their weight, use a pillow to support the new position in the bed or chair.
  • 26. encourage small shifts in weight if the resident is able if a resident is on a turning schedule, be sure to stick to the schedule Prevention is the key
  • 27. care for a residents skin (Healthy skin is clean and moisturized, NOT soiled, dry, cracked, or flakey.) Prevention is the key
  • 28. encourage or assist a resident to eat their food and drink their water Prevention is the key
  • 29. check a residents skin each time you change, help to the toilet, dress, transfer, bathe, or otherwise have an opportunity. Always be on the look-out
  • 30. look for an area of skin that looks noticeably different than the surrounding areas especially on skin over the bony parts of the body Always be on the look-out
  • 31. You have a great opportunity to positively IMPACT the health and well-being of nursing home residents.
  • 32. If you see even a small change in a residents skin TELL SOMEONE TELL SOMEONE, until you are SURE they hear you.

Editor's Notes

  • #10: Poor Nutrition Residents who cannot eat a healthy diet Poor appetite or unable to tolerate diet Can not feed themselves Poor dental health- Bad Teeth or dentures that do not fit properly or that are not used.
  • #11: Poor Nutrition Residents who cannot eat a healthy diet Poor appetite or unable to tolerate diet Can not feed themselves Poor dental health- Bad Teeth or dentures that do not fit properly or that are not used.
  • #13: Poor Nutrition Residents who cannot eat a healthy diet Poor appetite or unable to tolerate diet Can not feed themselves Poor dental health- Bad Teeth or dentures that do not fit properly or that are not used.
  • #14: Poor Nutrition Residents who cannot eat a healthy diet Poor appetite or unable to tolerate diet Can not feed themselves Poor dental health- Bad Teeth or dentures that do not fit properly or that are not used.
  • #15: What does it mean for an area of skin to be non-blanchable?
  • #16: What does it mean for an area of skin to be non-blanchable?
  • #17: What does it mean for an area of skin to be non-blanchable?
  • #18: What does it mean for an area of skin to be non-blanchable?
  • #19: What does it mean for an area of skin to be non-blanchable?
  • #20: Bony prominences that are at high risk areas High risk areas include buttocks, tailbone, back of head, hips, heels and ankles Other important sites include: ears, shoulder blades, elbows, mid-back thighs, lower legs, and toes.
  • #21: Bony prominences that are at high risk areas High risk areas include buttocks, tailbone, back of head, hips, heels and ankles Other important sites include: ears, shoulder blades, elbows, mid-back thighs, lower legs, and toes.