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Bedrest
Minimizing the effects of bedrest
Question | Answer |
---|---|
List 3 names used to identify pressure ulcers. | Decubitus ulcer, bedsore or pressure sore |
List eight sites where pressure ulcers commonly occur. | Shoulder blades, elbows, hip bones, sacrum, knees, ankle bones, heels and toes. |
Describe how PRESSURE causes pressure ulcers. | When skin between bony surfaces are squeezed between hard surfaces. Pressure prevents blood flow to skin. |
Describe how FRICTION causes pressure ulcers. | Scrapes the skin making an open area. |
Describe how SHEARING causes pressure ulcers. | Skin sticks to a surface and deeper tissue move downward. Blood flow to certain areas are reduced because blood vessels and tissues are damaged. |
State 3 reasons older people are at greater risk for developing pressure ulcers. | Age-related skin changes can be easily damaged, the elderly are more likely to have a chronic disease and more likely to have general debility. |
What are early signs of pressure ulcers? | Reddened are or pale skin. |
What will patients with pressure sores complain of? | Pain, burning or tingling. Some don't notice anything unusual. |
To prevent pressure ulcers you should reposition the patient every ___ hours. | 2 hours |
To prevent pressure ulcers you should avoid raising the head of the bed more than ___ degrees whenever possible. | 30 degrees |
To prevent pressure ulcers by keeping the skin exposure to _________ to a minimum. | moisture |
To prevent pressure ulcers you should keep the patients _____ off the bed. | heels |
To prevent pressure ulcers you should remind patients who sit in a chair to reposition every ___________. | 15 minutes |
Avoid _____ and _______ when lifting or moving a resident. | shearing and friction |
Keep patients skin _____ and ___. | clean and dry. |
Follow patients care plan for the use of _____. | soap |
Apply a ________ to dry areas. | moisturizer |
Give _____ _________ when repositioning a patient. | back massage |
Keep bed linens ____, _____ and __________. | clean, dry and wrinkle free |
Avoid massaging directly on ____ _____. | red areas |
Use ______ and ______ to prevent skin to skin contact. | pillows and pads |
Use ____________ ______ when ordered. | protective devices |
What should you do if you see signs of skin break down or pressure ulcers? | Report immediately |
Why should you "bed cradle" a patient? | To prevent the pressure of bed linens on legs and feet. |