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NURSING SP 2022
HOPEFULLY EVERYTHING WE EVER NEED
Term | Definition |
---|---|
Skin Integrity Delegation | Assessing may not be delegated; NAP may reposition pt's position and specific positions individuated for the pt, report any redness or breakage, report any abrasions from medical devices |
Dermal-epidermal junction | a membrane that separates the epidermis and the dermis |
Basal layer | the innermost epidermal layer |
Collagen | a tough fibrous protein |
Pressure ulcer | Impaired skin integrity related to unrelieved, prolonged pressure |
Tissue ischemia | when the pressure applied over a capillary exceeds the normal capillary pressure and the vessel is occluded for a prolonged period of time |
slough | stringy substance attached to the wound bed |
eschar | black, brown, tan or necrotic tissue |
Granulation tissue | red, moist tissue composed of new blood vessels, the presence of this indicates healing. |
Friction | the force of two surfaces moving across one another such as the mechanical force exerted when skin is dragged across a coarse surface such as bed linens |
Exudate | fluid, cells, or other substances that have been discharged from cells or blood vessels slowly through small pores or breaks in cell membranes |
Wound | a disruption of the integrity and function of tissues in the body |