chapter 13

Question 1

hygiene

Answer 1

term used to describe practices that keep bodies clean and healthy

Question 2

grooming

Answer 2

practices like caring for fingernails/hair, shaving, applying makeup,

Question 3

ADLs

Answer 3

hygiene and grooming activities, as well as dressing, eating, transferring, and eliminating

Question 4

perineal care

Answer 4

care of genital and anal area

Question 5

pressure points

Answer 5

areas of the body that bear much of the body weight, mainly at bony prominences

Question 6

bony prominences

Answer 6

areas of the body where bone lies close to skin, elbows, shoulder blades, sacrum, hips, knees, ankles, heels, toes, back of head, ears, under breast/scrotum, bw folds of buttocks or abdomen, and skin bw legs

Question 7

pressure injuries

Answer 7

injuries or wounds that result from skin deterioration and shearing

Question 8

shearing

Answer 8

rubbing or friction resulting from skin moving one way and bone underneath it remaining fixed or moving in the opposite direction

Question 9

stage 1 pressure injury

Answer 9

skin intact, may look red and redness is not relieved after removing pressure, may be swollen painful firm soft and warmer/cooler

Question 10

stage 2 pressure injury

Answer 10

partial-thickness skin loss involving outer or inner layers of skin, injury is pink or red and moist, may look like a blister

Question 11

stage 3 pressure injury

Answer 11

full thickness skin loss in which fat is visible. slough (yellow tan gray green or brown tissue that is moist) or eschar (dead tissue that is hard or soft in texture, black brown tan)

Question 12

stage 4

Answer 12

full thickness skin loss extending through all layers of skin tissue muscle bone and other structure looks like deep crater, slough eschar may be visible

Question 13

unstageable pressure injury

Answer 13

full thickness skin and tissue loss but extend of damage cannot be determined

Question 14

deep tissue pressure injury

Answer 14

area is intact or nonintact and is deep red purple or maroon

Question 15

foot drop

Answer 15

weakness of muscles in the feet and ankles that causes difficulty with ability to flex ankles and walk normally

Question 16

orthotic device or orthosis

Answer 16

device that helps support and align a limb and improve its functioning

Question 17

trochanter rolls

Answer 17

rolled towels or blankets used to keep a resident’s hip and legs from turning outward

Question 18

partial bath

Answer 18

bath given on days when a complete bed bath tub bath or shower is not done, includes washing the face, hands, axillae, and genitals

Question 19

perineum

Answer 19

genital and anal area

Question 20

additive

Answer 20

substance added to another substance that changes its effects

Question 21

hand rolls

Answer 21

cloth-covered or rubber items that keep the hand/fingers in a normal, natural position, can help prevent finger, hand or wrist contractures

Question 22

bed cradles/foot cradles

Answer 22

used to keep bed covers from resting on resident’s legs and feet

Question 23

footboards

Answer 23

padded boards placed against resident’s feet to keep them properly aligned, helps prevent foot drop