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NURSING SP 2022

HOPEFULLY EVERYTHING WE EVER NEED

TermDefinition
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
Created by: snryder24
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