bone anatomy pressure ulcer 3-2014

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Information about bone anatomy pressure ulcer 3-2014

Published on March 4, 2014

Author: dprice


Bone Anatomy and Pressure Ulcers: Bone Anatomy and Pressure Ulcers By Manuel A. Gallegos RN, BSN Objectives: : Objectives: 1. Introduction to function and anatomy of the skeleton 2. Define pressure ulcer 3. Identify stages and risk areas 4. Prevention of Decubitus Ulcers Function of Bones: Function of Bones Vital organs: Protect brain, heart, lungs are protected by the skeletal system (bones) Blood cells are produced by bone marrow Bones provide structure and allow locomotion (movement) Bone Marrow: Bone Marrow Skeleton / Bones: Skeleton / Bones Definition of Pressure Ulcer: Definition of Pressure Ulcer Skin Breakdown from pressure Also called a Bed Sore or a Decubitus Ulcer Causes of Pressure Ulcers: Causes of Pressure Ulcers Client is in one position for too long (in bed, wheelchair, or chair) & under nourished Constant pressure against the skin reduces blood supply to skin and underlying tissue Pressure sores are more likely to occur if client is immobilized by illness, or injury – stroke / brain injury Spinal cord injuries – paraplegia / quadriplegia High Risk Areas for Pressure Ulcers: High Risk Areas for Pressure Ulcers Occurs in areas that are not well padded with muscle or fat such as sacrum, heels, hips, shoulder blades, and elbows Pressure Ulcer Risk Areas: Pressure Ulcer Risk Areas Stages of Pressure Ulcers: Stages of Pressure Ulcers Stage I, Skin intact: Stage I, Skin intact Stage II: Stage II Stage III: Stage III Stage IV: Stage IV Deep Tissue: Deep Tissue Unstageable – deep and dead: Unstageable – deep and dead Pressure Ulcer on Sacrum: Pressure Ulcer on Sacrum Heel ulcer with black dead tissue: Heel ulcer with black dead tissue Sit bones and Sacral Area: Sit bones and Sacral Area Prevention of Pressure Ulcers : Prevention of Pressure Ulcers Change position at least every two hours, including nighttime (get help if needed from family) Pad boney areas with padding or pillows Daily skin inspection for pressure sores Report any new red areas or new skin breakdown – keep pressure off the area Question : Question An 83 year old woman in your care cannot walk and is confined to her bed. You make sure she does not develop skin breakdown by: A) Checking patient’s skin at least once a day. B) Changing position at least every four hours. C) If an area of skin is red or discolored, keep pressure off the area D) A and C only E) None of the above Answer? D answer? D Summary: Summary 1. Bones provide protection of vital organs, allow movement, produce various blood cells 2. Pressure ulcers are areas of damaged skin and tissue that develop when sustained pressure cuts off circulation (blood) to skin areas especially the skin on sacrum and heels 3. Prevent pressure ulcers by checking the patient everyday, changing position often, reporting damaged skin promptly

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