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Nursing interventions for pressure ulcers Quizlet

Find At Home Nursing Care. Search a wide range of information from across the web with smartsearchresults.com Browse Our Range of Health & Wellbeing Goods. Buy Online For Secure, Discreet Delivery. See What Our Customer Reviews Say. Over 8000 Real, Verified Site Reviews Online Start studying Nursing Interventions for preventing pressure ulcers (bedridden). Learn vocabulary, terms, and more with flashcards, games, and other study tools Interventions: prevention. #1 relieve pressure!! Reposition every. 2 hours MINIMAL. If you see an area that doesn't blanch, you need to turn more frequently. Position them. 30 degrees, we don't want them on greater trochanter. HOB at 30 degrees. Teach to shift every ___ minutes if chairbound stage 1 pressure ulcer. darkly pigmented skin may not have visible blanching. color may be different from surrounding areas. stage 1 pressure ulcer. may indicate at risk persons. stage 1 pressure ulcer. area may be painful, firm, soft, warmer, or cooler as compared to adjacent tissue. stage 1 pressure ulcer

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Start studying Pressure Ulcer Prevention. Learn vocabulary, terms, and more with flashcards, games, and other study tools done by nursing staff Q (every) shift to determine pt risk for developing a pressure ulcer What is the cut-off of score for the braden scale score? 16-18 to determine increased risk and trigger alternate mattresses and nursing interventions

contributing factors of pressure ulcers. Click card to see definition . Tap card to see definition . immobility, moisture, heat/fever, poor hygiene, disease conditions, edema, obesity, debilitation, malnutrition, damaged tissue, and altered mental status. Click again to see term Start studying nursing Fundamentals final. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Intervention Evaluation Revision. PIE. Problems, Interventions, Evaluations. Variance. goal that is not met. Full-thickness pressure ulcer extending into the subcutaneous tissue and resembling a crater. May see.

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What is the priority nursing intervention Post a client having a seizure? Ensure the patient has a patent airway. During a tonic-clonic seizure the patient becomes unconscious, has generalized stiffening (tonic phase), and then jerking (clonic phase). The most important nursing intervention is to maintain the patient's open airway Nursing Interventions Rationale; Assess the specific risk factors for pressure ulcer: Even clients with an existing pressure ulcer continue to be at risk for further injury, Nurses should consider all potential risk factors for pressure ulcers development. Determine the client's age and general condition of the skin The effects of most interventions for preventing and treating pressure ulcers in people with spinal cord injury are highly uncertain. Existing evaluations of pressure ulcer interventions include. Pressure Ulcer NCLEX Questions. This quiz contains practice pressure injury (formerly called pressure ulcer) NCLEX questions in preparation for the NCLEX exam. 1. An 86 year old female patient is immobile and is in the right lateral recumbent position to predict pressure ulcer risk: -No tool has perfect predictability. -Even patients with a low risk score may need intervention. -If you base a patient's individualized care plan on the risk score alone, the care plan will not be tailored to all of his or her risk factors. -Instead, use a comprehensive approach to ris

Incidence, Mortality, and Costs. The incidence rates of pressure ulcers vary greatly with the health care settings. The National Pressure Ulcer Advisory Panel (NPUAP) says the incidence ranges from 0.4 percent to 38 percent in hospitals, from 2.2 percent to 23.9 percent in skilled nursing facilities, and from 0 percent to 17 percent for home health agencies. 10 There is ample evidence that the. Pressure ulcers are wounds that form due to prolonged pressure, usually over a bony prominence or under a device. The more time or more pressure, the higher the risk. Pressure ulcer are staged based on their depth. And of course the worse the wound the harder it is to heal and the more risk there is for infection

Nursing management and precautions help to prevent pressure ulcers from occurring. The aim of the nursing intervention is to reduce the number of pressure ulcers in people admitted to secondary or tertiary care or receiving NHS care in other settings, such as primary and community care and emergency departments. Some important nursing care for. Ndnqi Pressure Ulcer Training 7 - XpCourse. Education Details: Ndnqi Pressure Injury Training 7 0 - 10/2020.Coursef.com A bundle of 7 interventions (pressure ulcer bundle, PUB) was developed through review of The team members have been trained using the NDNQI pressure ulcer training Results ranged from 0% to 5.7% during the quarterly surveys. module 2 other wound types and skin injuries ndnqi. Why Pressure Ulcer/Injury Prevention is Critical. Pressure injuries are very common in hospitals and long-term care facilities. In one recent survey, it was found that 26.7% of patients in a hospital had pressure injuries. 2 The high rate of pressure injuries equates to significant time and resources spent on care and treatment. Some estimates. Which type of dressing is used for a Stage III pressure ulcer quizlet? Calcium alginate, along with a secondary dressing, is used to dress stage III pressure ulcers. What does a Stage 3 pressure ulcer look like? Sometimes this stage looks like a blister filled with clear fluid. At this stage, some skin may be damaged beyond repair or may die Each year, more than 2.5 million people in the United States develop pressure ulcers. These skin lesions bring pain, associated risk for serious infection, and increased health care utilization. The aim of this toolkit is to assist hospital staff in implementing effective pressure ulcer prevention practices through an interdisciplinary approach to care

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  1. strategies for the adequate positioning of the patient and. the use o f th e equipment and surgical devices, besides the. mobilization of the nursing team for the prevention. of PI 9. This study.
  2. P REVALENCE, I NCIDENCE, AND H EALTH-CARE B URDEN OF P RESSURE U LCERS. In the USA, approximately 1-3 million people develop pressure ulcers each year,[] and more than 2.5 million patients in the United States acute care services suffer from pressure ulcers, and 60,000 each year die from the complications of such ulcers.[] In the United States between 1990 and 2000, the NPUAP reported a.
  3. In the intervention group, there was a 0.3% pressure ulcer rate over 2 months, whereas the control group had a 5% pressure ulcer rate. The CBPM technology assisted in improving the effectiveness of repositioning patients, and the investigators reported that they implemented this tool in practice to lower the incidence of HAPUs
  4. Chapter 38: Providing Wound Care and Treating Pressure Ulcers. inflammation. (Inflammation is the first stage of wound healing, followed by the proliferation, maturation, and reconstruction stages) The nurse is taking care of a post-surgical patient and notes the incision is clean and dry, with sutures intact
  5. ences of the patient and other external surface. Affect 9% of patients admitted to hospital and 23% of those admitted to nursing homes. The early detection and treatment accelerates recovery and.
  6. For pressure injuries, the staging classification defined by the National Pressure Ulcer Advisory Panel (NPUAP) is used to describe the appearance of the wound and the extent of tissue damage (see Key resources). 3; Type of tissue in the wound. Tissue in the wound bed can be described as viable or nonviable

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Pressure ulcers (PUs) prevention remains a significant challenge for nurses [1, 2], and its incidence is considered an indicator of poor quality of care [3,4,5].Patients and families know that pressure ulcers are painful and slow to heal [].Some risk factors for the development of pressure ulcers/injuries include advanced age, immobility, incontinence, inadequate nutrition and hydration, neuro. • Horn S, et al. Pressure ulcer prevention in long-term-care facilities: A pilot study implementing standardized nurse aide documentation and feedback reports. Advances in Skin and Wound Care. 2010; 23(3):120-31. • Levine J, et al. Pressure ulcer knowledge in medical residents: An opportunity for improvement Assessing Risk Factors for Developing Pressure Ulcers Pressure Ulcer Defi nition f Any lesion caused by unrelieved pressure that results in damage to underlying tissue f Usually occurs over a bony prominence f Staged to classify the degree of tissue damage observed (National Pressure Ulcer Advisory Panel, 1989 Pressure ulcer treatment is costly, but the development of pressure ulcers can be prevented by the use of evidence-based nursing practice. New terms and definitions . Pressure ulcers also are called decubitus ulcers, bed sores or pressure sores. In April 2016, the National Pressure Ulcer Advisory Panel (NPUAP) replaced the term pressure.

This NCLEX review will discuss pressure injuries (formerly called pressure ulcers). As a nursing student, you must be familiar with pressure injuries and how they affect our patients. In addition to the various stages, nursing interventions, and treatments for pressure injuries. Don't forget to take the free pressure injury quiz after. 2. You are assigned five patients on your nursing unit. Which patient is at most risk for pressure ulcers ? A. A 73 year old female weighing 82 lbs with stress incontinence and dementia. B. A 90 year old male with Congestive Heart Failure who has 3+ pitting edema in lower extremities C. A 6 month old with the flu. D

Nursing Interventions for preventing pressure ulcers

  1. NURSING INTERVENTION TO PREVENT SKIN BREAKDOWN. a. The time of the patient's bath or back massage is the most logical time to. thoroughly observe the patient's skin for pressure areas. b. At the first sign of redness, the area should be washed with soap and water. and rubbed with lotion; measures should then be taken to keep the patient off the
  2. Regularly inspecting patients' skin is key to preventing pressure ulcers. A new pressure ulcer education framework covers skin assessment and care. Non-blanchable (or persistent) erythema is an important skin abnormality for which nurses need to check. Nurses should remember to check 'hidden' areas, such as under medical devices or skin.
  3. Objective To develop, with nurse specialists and nursing home care staff, a theory and evidence-informed pressure injury prevention care bundle for use in nursing home settings. Design The development of a care bundle. Methods We undertook a detailed, multistaged and theoretically driven development process. First, we identified evidence-informed pressure injury prevention practices: these.
  4. ster college, validation o

Nursing Management Pressure Ulcers Flashcards Quizle

  1. ence and an external surface for a long period of time. Stage 3 pressure ulcers involve full-thickness skin loss potentially extending into the subcutaneous tissue layer
  2. nursing diagnosis for cardiovascular diseases patrickaguas, risk for impaired skin integrity nursing diagnosis, nursing care plan of pressure ulcers impaired skin integrity, nursing nursing diagnosis review questions flashcards quizlet, january 2012 nursing care plan and diagnosis, skin integrity and wound care nurse key, impaired tissue.
  3. ence (such as the sacrum.

Pressure ulcers are costly both in terms of health care costs and the human costs that the client suffers as the result of a pressure ulcer including, but not limited to, pain, sepsis, cellulitis, and osteomyelitis. When pressure ulcers are not prevented, the nurse must assess and care for it This wound care continuing education course covers risk factors and assessment of pressure injuries. Prevention, staging, wound treatment, and management of pressure ulcers are discussed, along with factors affecting healing. Applicable CEU for nursing, occupational therapy, and physical therapy. #wildirismedical #continuingeducatio There is a classification of pressure ulcers that is followed so that universally, caregivers can know what to give in order to prevent worsening conditions. Stage 1 - Reddened skin. Stage 2 - Blisters are present. Stage 3 - Crater can be observed, the skin eventually opens losing its ability to heal. Stage 4 - The damage now reaches. Risk Assessment & Prevention of Pressure Ulcers 4 Acknowledgement The Registered Nurses' Association of Ontario wishes to acknowledge the following individuals and/or groups for their contribution in reviewing this nursing best practice guideline and providing valuable feedback during the initial development of this document (2000-2002) A diabetic patient from a nursing home has recently been admitted with a stage III pressure ulcers on his heels. The unit nurses have called you in for a wound consult. You have to choose between standard moist wound therapy and using a wound vac. P: elderly diabetic with stage III foot ulcers I: negative pressure wound therap

Pressure Ulcers Flashcards Quizle

nursing care flashcards quizlet, paraplegia 5 nursing diagnosis and interventions, nursesoutlook burns nursing diagnosis, nursing care plan of pressure ulcers impaired skin integrity, at risk of nursing care plan of pressure ulcers impaired skin integrity facebook twitter, aim the aim of the study. Nursing Interventions and Rationales. 1. Assess site of impaired tissue integrity and determine etiology (e.g., acute or chronic wound, burn, dermatological lesion, pressure ulcer, leg ulcer). Prior assessment of wound etiology is critical for proper identification of nursing interventions (van Rijswijk, 2001). 2

Although pressure ulcers are preventable in most every case, the prevalence of pressure ulcers in health care facilities is increasing. Preventing pressure ulcers entails to two major steps first, identifying patients at risk; and second, reliably implementing prevention strategies for all patients who are identified as being at risk This NCLEX practice exam tests your nursing knowledge on the integumentary system, specifically pressure ulcers and burns. As a new nurse you must know the basic skills and interventions to provide to a patient with skin problems. If you haven't already take Part 1 of the NCLEX Integumentary system, you will want to take that part first pressure ulcers a nursing diagnosis, diabetes 6 nursing diagnoses about it new health advisor, impaired skin integrity nursing care plan amp nursing, nursing care plan of pressure ulcers impaired skin integrity, nursing care plan impaired skin integrity wound, nursing source center risk for impaired skin integrity, nursing diagnosis westminste

How you can help prevent pressure ulcers. Is there a way we can involve healthcare teams through interprofessional education and discipline-specific prevention interventions to combat skin and pressure injuries? Yes! In 2016, the National Pressure Ulcer Advisory Panel described a change in terminology Pressure ulcers are a worldwide problem affecting hospital and community patient populations (Kaltenthaler et al., 2001, O'Dea, 1995, Saito et al., 1999, Vangilder et al., 2008). In practice, the emphasis is on identifying patients at risk and implementing appropriate interventions to prevent pressure ulcer occurrence (AHCPR, 1992, NICE, 2003) So that was the nursing intervention highlight reel. We promise, you actually will use care plans while providing patient care as a practicing nurse. While they may not use the exact term in your NIC book, most nurses will control their patient's pain, prevent falls, prevent pressure ulcers, encourage them to do as much for themselves as. A pressure ulcer is a localized injury to the skin and/or underlying tissue usually over a bony prominence, as a result of pressure, or pressure in combination with shear. The purposes of this indicator are to determine the rate of hospital acquired pressure ulcer occurrence and explore the relationship between nursing assessments performed. Mortality rates for elderly people with stage four pressure ulcers may be as high as 60% within one year, according to a 2014 study in Advances in Nursing. Even with effective treatment in a care facility, a stage four pressure ulcer can take two to six months (or even longer) to heal

Pressure Ulcer Prevention Flashcards Quizle

  1. Education Details: Ndnqi Pressure Injury Training 7 0 - 10/2020.Coursef.com A bundle of 7 interventions (pressure ulcer bundle, PUB) was developed through review of The team members have been trained using the NDNQI pressure ulcer training Results ranged from 0% to 5.7% during the quarterly surveys. module 2 other wound types and skin injuries ndnqi... ndnqi pressure ulcer modules 1
  2. CHAPTER 2 Selected Nursing Diagnoses, Interventions, Rationales, and Documentation Nursing Diagnosis ACTIVITY INTOLERANCE NDx Definition: Insufficient physiological or psychological energy to endure or complete required or desired daily activities CLINICAL MANIFESTATIONS: Subjective Objective Verbal report of fatigue or weakness Abnormal heart rate or blood pressure response to activity.
  3. Rationale: Reduces arterial pressure by promoting venous drainage and may improve cerebral perfusion. Maintain bedrest, provide quiet and relaxing environment, restrict visitors and activities. Cluster nursing interventions and provide rest periods between care activities. Limit duration of procedures
  4. Ndnqi Pressure Injury Training 7 0 - 10/2020. Coursef.com A bundle of 7 interventions ( pressure ulcer bundle, PUB) was developed through review of The team members have been trained using the NDNQI pressure ulcer training Results ranged from 0% to 5.7% during the quarterly surveys. module 2 other wound types and skin injuries

ndnqi pressure ulcers 7.0 course provides a comprehensive and comprehensive pathway for students to see progress after the end of each module. With a team of extremely dedicated and quality lecturers, ndnqi pressure ulcers 7.0 course will not only be a place to share knowledge but also to help students get inspired to explore and discover many creative ideas from themselves Acute Pancreatitis Nursing Interventions Ati List Websites about Acute Pancreatitis Nursing Interventions Ati [DOC] Week of 11/2/2020 Class #68 Theoretical Assignment - Nancy.

Nursing Diagnosis for Trauma Patient allnurses. Nursing Care Plan NCP Pressure Ulcer Nurse Care Plan. Nursing Interventions and Rationales Impaired Skin integrity. Nursing Diagnosis and Planning Related to Skin Integrity. Nursing Care Plan for Diabetes NurseBuff. Practice Points Developing—and Refining—a Wound Care Plan. Nursing Care Plan - frequently found in wounds and pressure ulcers of hospitalized or long-term care patients - contact precautions - spread through surfaces nursing interventions: encouraging toileting at usual time, sit upright, nutrition (high fiber and fluids), exercise Quizlet Live. Quizlet Learn. Explanations. Diagrams. Flashcards. Mobile. Help. Pressure ulcer quizlet; Pressure ulcer quizlet keyword after analyzing the system lists the list of keywords related and the list of websites with related content, Nursing interventions and rationales for pain 17 . 2 sample z test proportion 18 . University book store bellevue 19 . Workforcehealth org mkecounty 20 One study in 97 surgical inpatients with 15 pressure ulcers, showed, in multivariable analysis, that the subjective nursing assessment of non-blanchable erythema was a significant predictor of pressure ulcers (grade 2-4) according to the European Pressure Ulcer Advisory Panel classification system (OR 7.02 (95%CI 1.67 to 29.5)) Catania K et al: PUPPI: The Pressure Ulcer Prevention Protocol Interventions, AJN, American Journal of Nursing 107:4, 2007. BRADEN PRESSURE ULCER RISK ASSESSMENT Home Health VNA Standard of Care: Braden Scale must be completed at Start of Care, Resumption of Care, Recertification, and change in patient condition

Pressure ulcers affect around 5% of patients: but the majority of these may be avoidable Pressure ulcers can become painful, infected and malodorous, reduce health related quality of life and. this educational activity, the participant should be better able to: 1. Describe the risk factors for and the pathophysiology of pressure ulcers (PrUs). 2. Identify evidence-based nutrition strategies for PrU management. Nutrition and hydration play an important role in preserving skin and tissue viability and in supporting tissue repair for pressure ulcer (PrU) healing. The majority of.

By Nursing Home Law Center. When a loved one has a pressure sore, many families find themselves at loss for interpreting blood lab work and how it relates to the treatment and progression of the wound.Below is a explanation of the interplay between lab studies and pressure sores patients authored by John Baeke M.D. There is no lab study which is absolutely predictive of a pressure ulcer. Determine etiology (e.g., acute or chronic wound, burn, dermatological lesion, pressure ulcer, leg ulcer). Prior assessment of wound etiology is critical for proper identification of nursing interventions. Assess site of impaired tissue integrity and its condition. Redness, swelling, pain, burning, and itching are indication of inflammation and. In this nursing care plan, we will explore inflammatory bowel disease, including both ulcerative colitis and Crohn's disease. So in this nursing care plan for inflammatory bowel disease, we're going to look at the outcome, the subjective and objective data and the nursing interventions along with the rationales for each

Top of Page 2F: Assessing Pressure Ulcer Care Planning. Background: This tool can be used to determine if your facility has a process for developing and implementing a pressure ulcer care plan for patients who have been found to be at risk or who have a pressure ulcer. The tool is one of a series of Facility Assessment Checklists developed to identify areas that need improvement Assessing Risk Factors for Developing Pressure Ulcers Pressure Ulcer Defi nition f Any lesion caused by unrelieved pressure that results in damage to underlying tissue f Usually occurs over a bony prominence f Staged to classify the degree of tissue damage observed (National Pressure Ulcer Advisory Panel, 1989 Pressure ulcers are localized areas of tissue necrosis that typically develop when soft tissue is compressed between a bony prominence and an external surface for a long period of time. Ulcers covered with slough or eschar are by definition unstageable. The base of the ulcer needs to be visible in order to properly stage the ulcer, though, as. Consistent is the key word in preventing ALL pressure injuries/ulcers. There are nursing shortages, gaps in education, and a need for nursing or caregiver efficiency. There will always be a risk of pressure injury/ulcer development for our sick patients. If we can use advanced technology to promote consistent quality of care, we should do it Nursing Care Plan for Hypertension (HTN) The nursing student is planning to measure a client's blood pressure. The student correctly understands that choosing the correct cuff size matters because of which of the following? The nurse notes an order for the DASH diet for a client with hypertension. The nurse correctly understands that this.

Pressure ulcer prevention champions should have no trouble making the business case for purchasing special pressure relieving equipment, says Scott-Williams, estimating that one Stage IV pressure ulcer can cost $100,000 to treat, and litigation is at an all-time high. Awareness is the key, she says A pressure ulcer, also known as a pressure sore or bedsore, is an injury to the skin and potentially the tissues beneath the skin. This type of injury is caused by pressure on the area, which can be caused by the weight of the body, medical devices or a lack of movement

Pressure Ulcers -Exam 2 fundamentals of nursing - Quizle

Pressure ulcers can increase nursing time up to 50%, which is relatively substantial considering many healthcare facilities face nursing staff shortages (Clarke et al.). According to the article written by Joan Wurster, the cost of pressure ulcers is substantial with stage one, two, and three stage ulcers costing between $2,000 and $30,000, and. The CCC System of nursing interventions/actions (version 2.5) consists of 804 nursing interventions/ actions that represent 201 core nursing interventions (77 major categories and 124 subcategories) that are expanded by four action type qualifiers: monitor/assess, perform/care, teach/instruct or manage/refer - totaling 804 concepts instrument that assesses knowledge of pressure ulcer prevention by using multiple-choice questions. Materials to the patient 24/7, have a key role to play in the prevention of was 0.78e1.0. training on pressure ulcers and those who were not. Evaluation of the national database of nursing quality indicators ( NDNQI). Validity and reliability of the Turkish version of the pressure ulcer Nursing Skill STUDENT NAME _____ SKILL NAME _____ REVIEW MODULE CHAPTER _____ ACTIVE LEARNING TEMPLATE: Description of Skill Indications Outcomes/Evaluation CONSIDERATIONS Nursing Interventions (pre, intra, post) Potential Complications Client Education Nursing Interventions Pressure Ulcers, Wounds, and Wound Management: Performing a Dressing Change Julianne Kirby 55 Performing a dressing. Objective: To identify risk factors independently predictive of pressure ulcer development in adult patient populations? Design: A systematic review of primary research was undertaken, based upon methods recommended for effectiveness questions but adapted to identify observational risk factor studies. Data sources: Fourteen electronic databases were searched, each from inception until March.

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The Spearman Rank Correlation Coefficient (rho) was used to examine the relationships between risk potential and nursing interventions, and between nursing interventions and pressure ulcer presence. Twenty-six different interventions were used on the subjects with a total of 568 interventions employed, however only 359 were documented in. Module GI/GU Nursing Case Studies. Acute Kidney Injury Case Study (60 min) Questions: 4. Peptic Ulcer Disease Case Study (60 min) Inflammatory Bowel Disease Case Study (45 min) Questions: 2. Cheat Sheets: 1. Cirrhosis Case Study (45 min) Questions: 8 The most important part of the care plan is the content, as that is the foundation on which you will base your care. Nursing Care Plan for: Impaired Skin Integrity, Risk for Skin Breakdown, Altered Skin Integrity, and Risk for Pressure Ulcers. If you want to view a video tutorial on how to construct a care plan in nursing school, please view. Reducing the incidence of pressure ulcers in nursing home residents: A prospective 6-year evaluation. Ostomy Wound Manage. 2009;55(11):52-58. Tricco AC, Antony J, Vafaei A, et al. Seeking effective interventions to treat complex wounds: An overview of systematic reviews

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Nursing Care Plan 1. Nursing Diagnosis: Fluid Volume Deficit related to blood volume loss secondary to GI bleeding as evidenced by hematemesis, skin pallor, blood pressure level of 85/58, and lightheadedness. Desired Outcome: The patient will have an absence of GI bleeding, a hemoglobin (HB) level of over 13, blood pressure level within normal. Nursing Interventions for Impaired Physical Mobility. Intervention of this condition includes prevention of dependent disabilities, restoring mobility when possible, as well as maintaining or preserving the existing mobility. Special patient care includes changing position, exercises, nutrition and giving a safe environment, etc

Nursing Interventions For Seizures Quizlet Aug-202

Citation: Young C, Fletcher J (2019) Pressure ulcer education 2: assessing patients' risk of pressure ulcers. Nursing Times [online]; 115: 11, 20-22. Authors: Carole Young is lead tissue viability nurse specialist, Cambridge University Hospitals NHS Foundation Trust; Jacqui Fletcher is senior clinical adviser, Stop the Pressure programme, NHS. 2009 Pressure Ulcer Definition localized injury to the skin and/or underlying tissue usually over a bony prominence, as a result of pressure, or pressure in combination with shear. 12 NPUAP/EPUAP Pressure Ulcer Prevention and Treatment Guidelines

Nursing Interventions and Rationales. 1. Assess site of skin impairment and determine etiology (e.g., acute or chronic wound, burn, dermatological lesion, pressure ulcer, skin tear) (Krasner, Sibbald, 1999). Prior assessment of wound etiology is critical for proper identification of nursing interventions (van Rijswijk, 2001) pressure ulcer decubitus ulcer care plan objective and subjective data nursing care and rationales nursing care plan for pressure ulcer decubitus ulcer assess for incontinence of bowel or bladder provide perineal care assistance with toileting apply barrier cream, a rare type of tear is central tear o Nursing diagnosis (1). Skin integrity, risk for impaired (Mrs. Jones's risk factors: Fractured left neck of femur, old age, and altered nutrition, as well as braden pressure ulcer risk assessment tool score of 16 signifying mild risk). Goals/desired outcomes. Within the duration of care, Mrs. Jones will be able to