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7/22/2019 Interactive Presentation Doc
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By Deborah Aderin
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Treatment
• Plan and Utilize evidence-basedtreatment
• Differentiate from other wounds
Prevention
• Plan preventive measures
Reimbursement
• Proper reimbursement
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Upon completion of the lesson, healthcare
providers will:
Identify the different stages of pressure
ulcersDescribe the tissue appearance of each stage
of pressure ulcers
Explain causes of pressure ulcers
Identify preventive measures
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Immobility/Sensory Loss
Age/Disease
Poor NutritionIncontinence/Moisture
Friction/Shear Forces
Localized injury to skin and or underlying tissue over a bony
prominence http://www.npuap.org
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Skin is intact
Non-blanchable
redness
May be painful
Soft or firm
Warmer or cooler
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Partial thickness,
loss of dermis
Shallow openulcer
Wound bed is red
pinkSlough is absent
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Full thickness, lossof dermis
Visiblesubcutaneous fat
Bone, tendon andmuscles are notexposed
Slough may bepresent, does not
obscure depth ofwound
Tunneling andundermining may
be present
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Full loss of dermis
Bone, tendon and
muscles are
exposed
Slough or eschar
may be present
Tunneling andundermining are
present thickness
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Full thickness loss
of dermis
Base of the woundis covered with
slough or eschar
Depth is obscuredBlister, purple or
maroon localized
area
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http://www.youtube.com/watch?feature=pla
yer_detailpage&v=Eyuguc7KKC4
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1.Mr.Bee has a 5cm x4cm pressure ulceron her hip that is100% covered with
slough. What stageof this ulcer?
a. Stage 1
b. Stage 2
c. Stage 3d. Stage 4
e. Unstageable
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National Pressure Ulcer and Advisory Plan (2011).Pressure ulcerstaging and categories. Retrieved from http://www.npuap.org/wp-content/uploads/2012/03/NPUAP
Sinbard, R., Krasner, D.& Wook, K (2011) Pressure ulcer stagingrevisited: superficial skin changes & Deep Pressure UlcerFramework . Journal of Advanced Skin Care. 2011Dec;24(12):571-80; quiz 581-2. doi: 10.1097/01.
Wound Ostomy Continence Nurse Society (2011).WOCN:Pressure ulcer staging. Retrieved from http://www.wocn.org
Patton, R. (2010). Is diagnosis of pressure ulcers within an RN'sscope of practice. Journal of American Nurse Today, 5, 20.
Black, J., Baharestani, M., Conner-Kerr, T., Edsberg, L.,Langemo, D., Posthauer, M., & Spahn,J. Mucosal pressure ulcers.An NPUAP Position Statement. Retrieved January 3, 2011fromhttp://www.npuap.org
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