WOCN program
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
|
|
||||
|---|---|---|---|---|---|
| list 8 wound assessment parameters | location, size, wound edges, wound bed, periwound skin, exudate, odor, signs of infection, extent of tissue loss,
🗑
|
||||
| describe three methods for wound measurement | linear, (length, width and depth, tunneling, undermining) planimetry
🗑
|
||||
| identify three wound classification systems | Burns (degrees) pressure ulcers (NUPUAP) skin tears, radiation dermatitis
🗑
|
||||
| discuss tools for documentation and evaluation of healing | PUSH, BWAT/PSST, measurements for ongoing assessment and comparison
🗑
|
||||
| distinguish between viable and nonviable tissue | epithelial or granulating tissue, or slough, necrotic, or stagnant tissue (nongranulating)
🗑
|
||||
| describe how to measure length, width and depth of a wound | Head to toe, Side to side, depth by using swab and measuring the length that does in. Uses clock face to describe location.
🗑
|
||||
| how should the periwound be assessed? | color, moisture, texture, presence or absence of injury
🗑
|
||||
| describe how to measure a wound using a two dimensional measurement | Length and width
🗑
|
||||
| what is the difference between undermining and tunneling in a wound | Undermining is broader, like from 12oclock to 3 o'clock tunneling is narrow she heads in one direction
🗑
|
||||
| what are the critical parameters to include when assessing | wound etiology, duration of wound, cofactors that impede healing
🗑
|
||||
| identify the wound evaluation process | wound focused physical assessment-all wound assessment parameters plus cofactors
🗑
|
||||
| discuss the controversy regarding photography of wounds | HIPPA, consent, quality of phto, ability to be altered, blurred or poor quality photo could be interpreted as poor wound care
🗑
|
||||
| identify 10 wound assessment parameters | Location, partial or full thickness loss, tissue in wound base, %of slough or necrotic tiss., dimensions, undermining, exudate, odor, wound edges, periwound skin,wound pain
🗑
|
||||
| name four classification systems based on etiology | pressure ulcer staging, (I-IV) skin tear (Payne Martin), venous ulcers (CEAP), and diabetic neuropathic wounds (Wagner Grade)
🗑
|
||||
| describe health granulation tissue | Red, moist, cobblestone appearance
🗑
|
||||
| a wound assessed to have smooth, red tissue would be documented as _____ | Clean, non granulating
🗑
|
||||
| an overproduction of granulation tissue is documented as _____ | Hypergranulation
🗑
|
||||
| premature closure of wound edges that are thickened and rolled down is called __________ | Epibole
🗑
|
||||
| identify periwound conditions of a pressure ulcer | hyperemia, edema, induration, discoloration
🗑
|
||||
| name one wound assessment tool | Bates - Jensen wound assessment tool (PSST)
PUSH / NUPUAP
🗑
|
||||
| what is the name of the comprehensive assessment tool for Medicare payment to home care agencies? | OASIS
🗑
|
||||
| How would extent of tissue loss be described | Classification, partial or full thickness , or stage
🗑
|
||||
| How would a wound base be described | Color -red,, tan, black, pink, white, etc. viable (red, moist, = granulation pink and dry=epithelial tissue), nonviable ( slough or eschar)
🗑
|
||||
| How would exudate be described | Quantity- (light, moderate, heavy) or in ml's. type – clear, Sanguineous, serosanguineous, purulent
🗑
|
||||
| List cofactors to include in assessment | Tissue oxygenation, bacterial load, circulation, nutrition, glycemic control, comorbidities
🗑
|
||||
| How would periwound skin be described | Color, texture, temperature, integrity,presence or absence of lesions
🗑
|
||||
| wound assessment cofactors | nutrition, underlying disease, oxygenation, glycemic control, bacterial load, circulation
🗑
|
||||
| how is the extent and significance of bioburdern conveyed | contamination, colonization, critical colonization, biofilm, infection
🗑
|
||||
| wound bed descriptions | necrotic, nonviable, devitalized, eschar, slough, scab (not eschar) gran. tissue, clean nongranulating, epithelial
🗑
|
||||
| periwound features of venous insufficiency | edema, brawny discoloration, hemosiderin staining, lipoderatosclerosis, dermatitis, scaling, weeping
🗑
|
||||
| periwound features of arterial | pale color, cool, dependent rubor, absent hair, xerosis
🗑
|
||||
| periwound features of infection | erythema, pain heat, swelling, induration
🗑
|
||||
| periwound features of pressure | hyperemia, edema, induration, discoloration
🗑
|
||||
| periwound features of peripheral neuropathy | insensate, edema, cellulitis, erythema, induration
🗑
|
||||
| periwound features of pyoderma gangrenosum | ragged and boggy borders, elevated borders, dusky red or purple, halo of edema
🗑
|
||||
| periwound features of vasculitis | palpable, nonblanchable purpura, may have petechiae, nodules and vesicles may be present
🗑
|
||||
| periwound features of calciphylaxis | dusky, purple, palpable nodules progress to necrosis and ulceration, associated with renal disease, may include mottled, reticulated patches, plaques with focal central necrosis
🗑
|
||||
| periwound features of candidiasis | pustular or macular-papular rash, erythematous satellite lesions
🗑
|
||||
| parameters for skin assessment | color, turgor, texture, temperature, lesions, moisture
🗑
|
Review the information in the table. When you are ready to quiz yourself you can hide individual columns or the entire table. Then you can click on the empty cells to reveal the answer. Try to recall what will be displayed before clicking the empty cell.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Created by:
Beth Perry
Popular Nursing sets