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Flashcards in Wounds & Bleeding Deck (38)
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31

Pressure ulcers - Pressure - pressure points

Elbow
Knees
Back of head
Shoulder
Lower back and buttocks
Heel

32

Pressure ulcers - Shear - definition

Shear occurs when the skeleton moves, but the skin remains fixed to an external surface. Blood vessels are kinked or twisted. (i.e. pulling a patient up in bed, sliding a patient from a bed to a stretcher).

33

Pressure ulcers - Friction ulcers - definition

Friction ulcers are generally superficial and easily reversed unless the cause is not removed.
Common in bed ridden patients who use heels and elbows to aid movement.

34

Pressure ulcers - Moisture - definition

Moisture is a chemical cause of promoting pressure ulcers. It weakens the cell wall of the skin cells. It can change the pH of the skin.

35

Pressure ulcers - Moisture - causes

Faecal & urinary incontinence
Wound drainage
Respiratory secretions
Perspiration

36

Pressure ulcers - Who is vulnerable?

All patients with spinal cord injury, the chronically unwell and the elderly are at high risk of developing pressure damage due to:
Lack of sensation
Lack of movement

37

Pressure ulcers - Intervention

Minimize pressure for all patients.
Encourage weight shifting every 15 minutes.
Handover to staff with pressure sore information.
Use transfer devices.
Position with pillows to elevate pressure points.
Use 2 people minimum & draw sheet to pull patient up bed.
don't drag a patient.
Keep head of bed <=30degrees incline
Pas skin surfaces - elbows, heels, etc.

38

Pressure ulcers - Consequences

Septicaemia, death
Amputation
Prolonged hospital admission
Loss of independence
Family disruption
Massive financial cost to the NHS