Wound Care

More documents

Recommendations

Info

This page intentionally left blank
Chapter 10 SKIN ASSESSMENT AND DOCUMENTATION KEY POINTS SKIN ANATOMY AND PHYSIOLOGY EFFECTS OF AGING ON SKIN PATIENT HISTORY PHYSICAL EXAMINATION — Expected Skin Findings in Older Adults — Palpation APPLICATION AND REMOVAL OF ADHESIVES TO SKIN DOCUMENTATION REFERRAL TO SPECIALTY NURSES, PHYSICIANS, AND OTHER DISCIPLINES Copyright © 2009 by The McGraw-Hill Companies, Inc. Click here for terms of use.
Page 2 and 3:
Nurse to Nurse WOUND CARE
Page 4 and 5:
Nurse to Nurse WOUND CARE Donna Sce
Page 6 and 7:
Professional Want to learn more? We
Page 8 and 9:
Page 10 and 11:
Page 12 and 13:
Page 14 and 15:
xii List of Acronyms RBC Red blood
Page 16 and 17:
Page 18 and 19:
2 Nurse to Nurse THE ROLE OF ETHICS
Page 20 and 21:
4 Nurse to Nurse — Who does not h
Page 22 and 23:
6 Nurse to Nurse • Specific amoun
Page 24 and 25:
8 Nurse to Nurse disclosure of info
Page 26 and 27:
10 Nurse to Nurse Remember Doing go
Page 28 and 29:
12 Nurse to Nurse or guarantee anyt
Page 30 and 31:
14 Nurse to Nurse Remember Provide
Page 32 and 33:
16 Nurse to Nurse evaluation and ca
Page 34 and 35:
18 Nurse to Nurse • The Hastings
Page 36 and 37:
20 Nurse to Nurse Jacobs BB, Taylor
Page 38 and 39:
22 Nurse to Nurse KEY POINTS • Su
Page 40 and 41:
24 Nurse to Nurse Hair follicle Seb
Page 42 and 43:
26 Nurse to Nurse Table 2-1 Common
Page 44 and 45:
28 Nurse to Nurse — Brands of lig
Page 46 and 47:
30 Nurse to Nurse • Acute wound:
Page 48 and 49:
32 Nurse to Nurse Explicit chemoatt
Page 50 and 51:
34 Nurse to Nurse • Diabetic foot
Page 52 and 53:
36 Nurse to Nurse healing. This pha
Page 54 and 55:
38 Nurse to Nurse or staples may be
Page 56 and 57:
40 Nurse to Nurse increase in tempe
Page 58 and 59:
42 Nurse to Nurse º If the wound i
Page 60 and 61:
44 Nurse to Nurse º Linear wounds
Page 62 and 63:
46 Nurse to Nurse Trauma Patient/ca
Page 64 and 65:
48 Nurse to Nurse º Poor protein i
Page 66 and 67:
50 Nurse to Nurse — Vitamin A: me
Page 68 and 69:
52 Nurse to Nurse MULTIDISCIPLINARY
Page 70 and 71:
54 Nurse to Nurse • Refer the pat
Page 72 and 73:
Page 74 and 75:
58 Nurse to Nurse KEY POINTS • De
Page 76 and 77:
Head Bony prominence Shoulder Sacru
Page 78 and 79:
62 Nurse to Nurse • The proposed
Page 80 and 81:
64 Nurse to Nurse Epidermis Muscle
Page 82 and 83:
66 Nurse to Nurse Non blanchable er
Page 84 and 85:
68 Nurse to Nurse — High intensit
Page 86 and 87:
70 Nurse to Nurse • Elevated temp
Page 88 and 89:
72 Nurse to Nurse • Corn starch s
Page 90 and 91:
74 Nurse to Nurse • Diet and flui
Page 92 and 93:
76 Nurse to Nurse — Occupational
Page 94 and 95:
78 Nurse to Nurse — Use antifunga
Page 96 and 97:
80 Nurse to Nurse — Keep the woun
Page 98 and 99:
82 Nurse to Nurse • Stage III —
Page 100 and 101:
84 Nurse to Nurse Apply hydrogel di
Page 102 and 103:
86 Nurse to Nurse • The word “p
Page 104 and 105:
88 Nurse to Nurse Table 3-3 Compone
Page 106 and 107:
90 Nurse to Nurse Table 3-5 Categor
Page 108 and 109:
92 Nurse to Nurse • Risk for pres
Page 110 and 111:
94 Nurse to Nurse — If patient ha
Page 112 and 113:
96 Nurse to Nurse • The Hartford
Page 114 and 115:
98 Nurse to Nurse Hall JC. Sauer’
Page 116 and 117:
100 Nurse to Nurse KEY POINTS • V
Page 118 and 119:
102 Nurse to Nurse Deep leg veins E
Page 120 and 121:
104 Nurse to Nurse Muscle contracti
Page 122 and 123:
106 Nurse to Nurse • Trap hypothe
Page 124 and 125:
108 Nurse to Nurse • Varicose vei
Page 126 and 127:
110 Nurse to Nurse Nursing Alert A
Page 128 and 129:
112 Nurse to Nurse formation due to
Page 130 and 131:
114 Nurse to Nurse Measure 5 centim
Page 132 and 133:
116 Nurse to Nurse • Some studies
Page 134 and 135:
118 Nurse to Nurse — Stockings ar
Page 136 and 137:
120 Nurse to Nurse Figure 4-4 Extre
Page 138 and 139:
122 Nurse to Nurse • Provide thor
Page 140 and 141:
124 Nurse to Nurse Table 4-5 Advant
Page 142 and 143:
126 Nurse to Nurse Table 4-8 Indica
Page 144 and 145:
128 Nurse to Nurse Table 4-10 Indic
Page 146 and 147:
130 Nurse to Nurse • Treatment fo
Page 148 and 149:
132 Nurse to Nurse Seaman S. Evalua
Page 150 and 151:
134 Nurse to Nurse KEY POINTS • F
Page 152 and 153:
136 Nurse to Nurse Chronic pain and
Page 154 and 155:
138 Nurse to Nurse Aorta Superficia
Page 156 and 157:
140 Nurse to Nurse Tunica initima E
Page 158 and 159:
142 Nurse to Nurse Morphologically,
Page 160 and 161:
144 Nurse to Nurse Carotid bifurcat
Page 162 and 163:
146 Nurse to Nurse — These patien
Page 164 and 165:
148 Nurse to Nurse ischemia from th
Page 166 and 167:
150 Nurse to Nurse Table 5-1 Relati
Page 168 and 169:
152 Nurse to Nurse DIAGNOSTIC PROCE
Page 170 and 171:
154 Nurse to Nurse — Paint with a
Page 172 and 173:
156 Nurse to Nurse º Enhanced work
Page 174 and 175:
158 Nurse to Nurse • Cleanse gent
Page 176 and 177:
160 Nurse to Nurse Hilleman D. Mana
Page 178 and 179:
162 Nurse to Nurse KEY POINTS • P
Page 180 and 181:
164 Nurse to Nurse • 5% to 10% of
Page 182 and 183:
166 Nurse to Nurse — Hypertrophy
Page 184 and 185:
168 Nurse to Nurse Symptoms include
Page 186 and 187:
170 Nurse to Nurse Table 6-1 Wagner
Page 188 and 189:
172 Nurse to Nurse Table 6-2 Evalua
Page 190 and 191:
174 Nurse to Nurse — Antimicrobia
Page 192 and 193:
176 Nurse to Nurse — Erythrocyte
Page 194 and 195:
178 Nurse to Nurse Table 6-4 Wagner
Page 196 and 197:
180 Nurse to Nurse 3. Armstrong DG,
Page 198 and 199:
182 Nurse to Nurse Mayfield JA, Rei
Page 200 and 201:
184 Nurse to Nurse KEY POINTS • L
Page 202 and 203:
186 Nurse to Nurse — The most com
Page 204 and 205:
188 Nurse to Nurse Yoga, meditation
Page 206 and 207:
190 Nurse to Nurse MANAGEMENT AND T
Page 208 and 209:
192 Nurse to Nurse Nursing Tip If t
Page 210 and 211:
194 Nurse to Nurse — Contraindica
Page 212 and 213:
196 Nurse to Nurse Bryant RA. Acute
Page 214 and 215:
Page 216 and 217:
200 Nurse to Nurse KEY POINTS • C
Page 218 and 219:
202 Nurse to Nurse • Solitary les
Page 220 and 221:
204 Nurse to Nurse — Place a shal
Page 222 and 223:
206 Nurse to Nurse All these agents
Page 224 and 225:
208 Nurse to Nurse º These product
Page 226 and 227:
210 Nurse to Nurse Abnormal lung fu
Page 228 and 229:
212 Nurse to Nurse — No sun expos
Page 230 and 231:
214 Nurse to Nurse — Specific ref
Page 232 and 233:
216 Nurse to Nurse • Treatment
Page 234 and 235:
218 Nurse to Nurse (systemic lupus
Page 236 and 237:
220 Nurse to Nurse • In individua
Page 238 and 239:
222 Nurse to Nurse • Usually star
Page 240 and 241:
224 Nurse to Nurse 3. Pruitt BA, Le
Page 242 and 243:
Page 244 and 245:
228 Nurse to Nurse KEY POINTS • E
Page 246 and 247:
230 Nurse to Nurse functional outco
Page 248 and 249:
232 Nurse to Nurse — Phase change
Page 250 and 251:
234 Nurse to Nurse — Provided is
Page 252 and 253:
236 Nurse to Nurse • Support clie
Page 254 and 255:
238 Nurse to Nurse º Dressings* º
Page 256 and 257:
240 Nurse to Nurse include the CNA
Page 258 and 259:
242 Nurse to Nurse client and careg
Page 260 and 261:
244 Nurse to Nurse the health-care
Page 262 and 263:
246 Nurse to Nurse — Consistency:
Page 264 and 265:
248 Nurse to Nurse Only when perfor
Page 266 and 267:
250 Nurse to Nurse • Certain woun
Page 268 and 269:
252 Nurse to Nurse — Safe to use
Page 270 and 271:
254 Nurse to Nurse — Wound contam
Page 272 and 273:
Table 9-2 CDC Criteria for Surgical
Page 274 and 275:
258 Nurse to Nurse Infected wounds:
Page 276 and 277:
260 Nurse to Nurse smaller wound di
Page 278 and 279:
262 Nurse to Nurse — Delayed heal
Page 280 and 281:
264 Nurse to Nurse of any injury to
Page 282 and 283:
266 Nurse to Nurse — In the early
Page 284 and 285:
268 Nurse to Nurse Table 9-3 Indica
Page 286 and 287: 270 Nurse to Nurse Table 9-5 Indica
Page 292 and 293: 276 Nurse to Nurse Table 9-13 Indic
Page 294 and 295: 278 Nurse to Nurse Table 9-16 Advan
Page 298 and 299: 282 Nurse to Nurse Table 9-21 Indic
Page 304 and 305: 288 Nurse to Nurse • Stage IV: fu
Page 306 and 307: 290 Nurse to Nurse Shows 30° sidel
Page 308 and 309: 292 Nurse to Nurse Slide hand (palm
Page 310 and 311: 294 Nurse to Nurse — Appropriate
Page 312 and 313: 296 Nurse to Nurse — Diet and flu
Page 314 and 315: 298 Nurse to Nurse — Home rehabil
Page 316 and 317: 300 Nurse to Nurse Pressure Ulcer T
Page 318 and 319: 302 Nurse to Nurse • Home rehabil
Page 320 and 321: 304 Nurse to Nurse • Diabetes nur
Page 322 and 323: 306 Nurse to Nurse — Two (2) inch
Page 324 and 325: 308 Nurse to Nurse weight distribut
Page 326 and 327: 310 Nurse to Nurse — Gravitationa
Page 328 and 329: 312 Nurse to Nurse Hill-Rom Huntlei
Page 330 and 331: 314 Nurse to Nurse • Cleanse gent
Page 332 and 333: 316 Nurse to Nurse — Avoid use of
Page 334 and 335: 318 Nurse to Nurse Cunningham D. Tr
Page 338 and 339: 322 Nurse to Nurse KEY POINTS • S
Page 340 and 341: 324 Nurse to Nurse with the ability
Page 342 and 343: 326 Nurse to Nurse º Tensile stren
Page 344 and 345: 328 Nurse to Nurse Melanocytes tran
Page 346 and 347: 330 Nurse to Nurse PATIENT HISTORY
Page 348 and 349: 332 Nurse to Nurse — Often darker
Page 350 and 351: 334 Nurse to Nurse — Any changes
Page 352 and 353: 336 Nurse to Nurse — Any thyroid
Page 354 and 355: 338 Nurse to Nurse — The sclera m
Page 356 and 357: 340 Nurse to Nurse • Symmetry, ul
Page 358 and 359: 342 Nurse to Nurse • Senile lenti
Page 360 and 361: 344 Nurse to Nurse • Document the
Page 362 and 363: 346 Nurse to Nurse 9 O’ Clock Rig
Page 364 and 365: 348 Nurse to Nurse Nursing Alert Al
Page 366 and 367: 350 Nurse to Nurse • Provide supp
Page 368 and 369: 352 Nurse to Nurse Whenever the pat
Page 370 and 371: This page intentionally left blank
Page 372 and 373: 356 Index Arterial ulcer, 33 Arteri
Page 374 and 375: 358 Index Debridement (Cont.): cuta
Page 376 and 377: 360 Index Hematopoietic system, in
Page 378 and 379: 362 Index Multizoned support surfac
Page 380 and 381: 364 Index Pressure ulcers (Cont.):
Page 382 and 383: 366 Index Skin temperature, in lowe
Page 384 and 385: 368 Index Wheelchair positioning, 9
show all

Wound Care

Create successful ePaper yourself

Delete template?

Save as template?