Jeannelle MacPherson - Pressure Ulcers/Wound Care - reducing amount of time of healing with wound care or turning and positioning every two hours
Pressure Ulcer Staging
Stage 3: full thickness loss of skin in which adipose tissue is visible but deeper tissue is not
Stage 4: full thickness skin and tissue loss with esposed or directly palpable fascia, muscle, tendon, ligament, cartilage or bone in the injury
Stage 2: partial thickness loss of skin with exposed dermis, wound bed is viable, pink/red, and moist.
Unstageable: full thickness skin and tissue loss in which the extent of tissue damage cannot be confirmed because it is obscured by slough or eschar
Stage 1: intact skin with localized area of nonblanchable erythema
Deep Tissue Injury: intact or nonintact skin with localized area of persistent nonblanchable deep red, maroon, or purple discoloration
Prevention
Gel/low air loss mattresses
Pillows/Foam wedges
Skin moisturizers/protectants
Increase in fluids and nutrition
Prophylactic Alleyvn on bony prominences
Turning and Positioning every 2 hours
Treatments
Venellex
Santil
Silvedine
Vash
Therahoney
Wound Vacuums
Surgical Debridement
Alleyvns
Autolytic debridement
Hydrogel dressings
Alignate dressings
Packing with Curlex
Acetic acid
Education
PPE if needed
Education on what the treatments actually are
Contacting wound team as soon as a wound/pressure ulcer is found for best course of treatment
Clean (not sterile) environment
Callahan, B. (2019). Nursing: A concept-based approach to learning (Vol. 2). Boston, MA: Pearson.
Carpenito-Moyet, L. J. (2017). Nursing care plans: Transitional patient and family centered care (7th ed.). Wolters Kluwer Health.