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identify a range of interventions that can reduce the risk of skin breakdown and pressure sores
With a concerted effort, skin breakdown is, for the most part, preventable. It can occur, however, even in people who maintain the most diligent care and use the proper equipment. [ If skin breakdown is identified early, when still in the minor stages, and if the cause of the breakdown can be identified and eliminated, healing should occur fairly quickly. If it is not identified in its early
stages, skin breakdown can rapidly progress from minor to serious. Skin breakdown is caused in several different ways, including friction, shear, moisture and pressure. These causes can occur individually or in combination. Friction, moisture and sheer are identified as contributing factors to pressure ulcers (5). A friction injury occurs when the skin rubs on surfaces, such as a bed sheet, arm rest or brace and has the appearance of a scrape, abrasion or blister. This type of injury is typically seen on the heels and elbows and may result from repositioning, propping or rubbing due to increased spasticity. A shearing injury occurs with dragging or sliding of a body part across a surface and has the appearance of a cut or tear. This type of injury can occur from dragging your bottom during a transfer or sliding down in bed when the head of the bed is elevated. With the sliding force, bone is moved against the subcutaneous tissue while the epidermis and dermis remains essentially in the same position; against the supporting surface such as a wheelchair or bed. This action causes occlusion of the blood vessels, decreasing blood flow, oxygen and nourishment to the skin, which eventually leads to breakdown. Sometimes a shear injury will actually tear the tissue over the tailbone and with unrelieved pressure will become a pressure ulcer. Too much moisture over-hydrates the skin, making it weak and more sensitive to friction, shear and breakdown (think about being in the tub or pool for a long time). Primary sources of excess skin moisture include sweating, bowel and bladder accidents, and drainage from wounds. ]
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Asked 9/29/2012 2:54:15 AM
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identify a range of interventions that can reduce the risk of skin breakdown and pressure sores
Weegy: Once a pressure ulcer is identified, certain basic steps must be taken immediately. These include: Relieving the pressure to that area. Use pillows, special foam cushions, and sheepskin to help reduce the pressure. Treating the sore. [ Treatment will be based on the stage of the ulcer. Your health care provider will give you specific treatment and care instructions. Avoiding further trauma or friction. Powdering the sheets lightly can help decrease friction in bed. (There are many items made specifically for this purpose - check a medical supplies store.) Focusing on improving nutrition and other underlying problems that may affect the healing process. If the pressure ulcer is at Stage II or worse, your health care provider will give you specific instructions on how to clean and care for open ulcers, as it is very important to do this properly to prevent infection. Keep the area clean and free of dead tissue. Your health care provider will give you specific care directions. Generally, pressure ulcers are rinsed with a salt-water rinse that removes the loose, dead tissue. The sore should be covered with special gauze dressing made for pressure ulcers. Do Not Do NOT massage the area of the ulcer because massage can cause tissue damage under the skin. Donut-shaped or ring-shaped cushions are NOT recommended because they can interfere with the blood flow to that area and cause complications. Call immediately for emergency medical assistance if The patient's health care provider should be contacted immediately if there are any signs that the pressure ulcer is getting infected. An infection can lead to serious problems because the infection can spread to the rest of the body. Some of the signs of an infected pressure ulcer include: A foul odor from the ulcer Redness and tenderness around the area of the ulcer The skin close to the ulcer is warm and swollen If the patient starts running a fever or have other symptoms, such as weakness or confusion, he or she ... (More)
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Asked 9/29/2012 2:57:48 AM
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