Wound Care

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Chapter 3 PRESSURE ULCER ASSESSMENT AND MANAGEMENT PRINCIPLES KEY POINTS PRESSURE ULCERS — 2007 Staging System for Pressure Ulcers — Pressure Ulcer Characteristics — Common Locations of Pressure Ulcers — Risk Factors for Pressure Ulcer Development — Contributing Factors for Pressure Ulcer Development NURSING PROTOCOLS FOR PRESSURE ULCER PREVENTION AND TREATMENT — Friction Prevention and Treatment — Shear Prevention and Treatment — Mechanical Damage and Epidermal Stripping Prevention and Treatment — Moisture Prevention and Treatment — Immobility Prevention and Treatment — Increased Blood Pressure Prevention and Treatment — Increased Temperature Prevention and Treatment — Protocols for Tobacco Cessation — Protocols for Improving Psychological Status BODY FUNCTIONS THAT IMPAIR WOUND HEALING PRESSURE ULCER TREATMENT — Pressure Ulcer Treatment Relative to Stage SUPPORT SURFACES — Reimbursement for Support Surfaces in Home Health — Positioning Guidelines Copyright © 2009 by The McGraw-Hill Companies, Inc. Click here for terms of use.
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Nurse to Nurse WOUND CARE
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Nurse to Nurse WOUND CARE Donna Sce
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Professional Want to learn more? We
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xii List of Acronyms RBC Red blood
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2 Nurse to Nurse THE ROLE OF ETHICS
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4 Nurse to Nurse — Who does not h
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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
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Page 54 and 55: 38 Nurse to Nurse or staples may be
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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 74 and 75: 58 Nurse to Nurse KEY POINTS • De
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Page 80 and 81: 64 Nurse to Nurse Epidermis Muscle
Page 82 and 83: 66 Nurse to Nurse Non blanchable er
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Page 86 and 87: 70 Nurse to Nurse • Elevated temp
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Page 94 and 95: 78 Nurse to Nurse — Use antifunga
Page 96 and 97: 80 Nurse to Nurse — Keep the woun
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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
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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
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106 Nurse to Nurse • Trap hypothe
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108 Nurse to Nurse • Varicose vei
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110 Nurse to Nurse Nursing Alert A
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112 Nurse to Nurse formation due to
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114 Nurse to Nurse Measure 5 centim
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116 Nurse to Nurse • Some studies
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118 Nurse to Nurse — Stockings ar
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120 Nurse to Nurse Figure 4-4 Extre
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122 Nurse to Nurse • Provide thor
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124 Nurse to Nurse Table 4-5 Advant
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126 Nurse to Nurse Table 4-8 Indica
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128 Nurse to Nurse Table 4-10 Indic
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130 Nurse to Nurse • Treatment fo
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132 Nurse to Nurse Seaman S. Evalua
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134 Nurse to Nurse KEY POINTS • F
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136 Nurse to Nurse Chronic pain and
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138 Nurse to Nurse Aorta Superficia
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140 Nurse to Nurse Tunica initima E
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142 Nurse to Nurse Morphologically,
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144 Nurse to Nurse Carotid bifurcat
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146 Nurse to Nurse — These patien
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148 Nurse to Nurse ischemia from th
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150 Nurse to Nurse Table 5-1 Relati
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152 Nurse to Nurse DIAGNOSTIC PROCE
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154 Nurse to Nurse — Paint with a
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156 Nurse to Nurse º Enhanced work
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158 Nurse to Nurse • Cleanse gent
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160 Nurse to Nurse Hilleman D. Mana
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162 Nurse to Nurse KEY POINTS • P
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164 Nurse to Nurse • 5% to 10% of
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166 Nurse to Nurse — Hypertrophy
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168 Nurse to Nurse Symptoms include
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170 Nurse to Nurse Table 6-1 Wagner
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172 Nurse to Nurse Table 6-2 Evalua
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174 Nurse to Nurse — Antimicrobia
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176 Nurse to Nurse — Erythrocyte
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178 Nurse to Nurse Table 6-4 Wagner
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180 Nurse to Nurse 3. Armstrong DG,
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182 Nurse to Nurse Mayfield JA, Rei
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184 Nurse to Nurse KEY POINTS • L
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186 Nurse to Nurse — The most com
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188 Nurse to Nurse Yoga, meditation
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190 Nurse to Nurse MANAGEMENT AND T
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192 Nurse to Nurse Nursing Tip If t
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194 Nurse to Nurse — Contraindica
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196 Nurse to Nurse Bryant RA. Acute
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200 Nurse to Nurse KEY POINTS • C
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202 Nurse to Nurse • Solitary les
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204 Nurse to Nurse — Place a shal
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206 Nurse to Nurse All these agents
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208 Nurse to Nurse º These product
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210 Nurse to Nurse Abnormal lung fu
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212 Nurse to Nurse — No sun expos
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214 Nurse to Nurse — Specific ref
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216 Nurse to Nurse • Treatment
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218 Nurse to Nurse (systemic lupus
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220 Nurse to Nurse • In individua
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222 Nurse to Nurse • Usually star
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224 Nurse to Nurse 3. Pruitt BA, Le
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228 Nurse to Nurse KEY POINTS • E
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230 Nurse to Nurse functional outco
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232 Nurse to Nurse — Phase change
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234 Nurse to Nurse — Provided is
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236 Nurse to Nurse • Support clie
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238 Nurse to Nurse º Dressings* º
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240 Nurse to Nurse include the CNA
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242 Nurse to Nurse client and careg
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244 Nurse to Nurse the health-care
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246 Nurse to Nurse — Consistency:
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248 Nurse to Nurse Only when perfor
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250 Nurse to Nurse • Certain woun
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252 Nurse to Nurse — Safe to use
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254 Nurse to Nurse — Wound contam
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Table 9-2 CDC Criteria for Surgical
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258 Nurse to Nurse Infected wounds:
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260 Nurse to Nurse smaller wound di
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262 Nurse to Nurse — Delayed heal
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264 Nurse to Nurse of any injury to
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266 Nurse to Nurse — In the early
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278 Nurse to Nurse Table 9-16 Advan
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288 Nurse to Nurse • Stage IV: fu
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290 Nurse to Nurse Shows 30° sidel
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292 Nurse to Nurse Slide hand (palm
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294 Nurse to Nurse — Appropriate
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296 Nurse to Nurse — Diet and flu
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298 Nurse to Nurse — Home rehabil
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300 Nurse to Nurse Pressure Ulcer T
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302 Nurse to Nurse • Home rehabil
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304 Nurse to Nurse • Diabetes nur
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306 Nurse to Nurse — Two (2) inch
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308 Nurse to Nurse weight distribut
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310 Nurse to Nurse — Gravitationa
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312 Nurse to Nurse Hill-Rom Huntlei
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314 Nurse to Nurse • Cleanse gent
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316 Nurse to Nurse — Avoid use of
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318 Nurse to Nurse Cunningham D. Tr
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322 Nurse to Nurse KEY POINTS • S
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324 Nurse to Nurse with the ability
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326 Nurse to Nurse º Tensile stren
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328 Nurse to Nurse Melanocytes tran
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330 Nurse to Nurse PATIENT HISTORY
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332 Nurse to Nurse — Often darker
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334 Nurse to Nurse — Any changes
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336 Nurse to Nurse — Any thyroid
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338 Nurse to Nurse — The sclera m
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340 Nurse to Nurse • Symmetry, ul
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342 Nurse to Nurse • Senile lenti
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344 Nurse to Nurse • Document the
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346 Nurse to Nurse 9 O’ Clock Rig
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348 Nurse to Nurse Nursing Alert Al
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350 Nurse to Nurse • Provide supp
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352 Nurse to Nurse Whenever the pat
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356 Index Arterial ulcer, 33 Arteri
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358 Index Debridement (Cont.): cuta
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360 Index Hematopoietic system, in
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362 Index Multizoned support surfac
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364 Index Pressure ulcers (Cont.):
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366 Index Skin temperature, in lowe
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368 Index Wheelchair positioning, 9
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