Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
12 Cards in this Set
- Front
- Back
What are you assessing?
|
Skin
|
|
What are you checking skin for?
|
Edema
|
|
What type of irritation are you looking for?
|
Pressure Ulcer - Risk Score
|
|
After assessing for pressure ulcers, what is next?
|
Check temperature.
|
|
After temperature, what's next?
|
Skin Integrity
|
|
What is integrity?
|
Any break in the skin or open wounds or pressure ulcers on any pressure points
|
|
After integrity what's next?
|
Check color of skin
|
|
What is the first intervention?
|
Moisture Reduction - Change wet diaper or linen, apply topical agent or cream to prevent moisture.
|
|
After moisture reduction, what's next?
|
Offer food/fluids
|
|
After offering food/fluids, what's next?
|
Check bony prominences; reduce pressure off by repositioning or encouraging to change position.
|
|
How do you prevent shearing of the skin?
|
Use a draw sheet or lifting device to move pt.
|
|
What is the last thing you do in skin assessment?
|
Note pt's response to the interventions.
|