Pressure Ulcer Identification

complications of pressure ulcers

• all of the above

• Bone and joint infection​

• Sepsis​ and cancer

• Cellulitis 

which one explains what is stage 2 pressure ulcer

• No exposed wounds exist in sores. Despite being uncomfortable, the skin is unbroken and untorn. The skin doesn't blanch, or temporarily lose color when your finger is pressed against it and then removed, giving the appearance of being flushed. Dark-skinned individuals may not experience redness; nonetheless, the spot may appear to be a different color from the surrounding skin. It is frequently warmer to the touch. The sore might also feel different from the surrounding skin in terms of firmness or softness.​

• the skin cracks open, deteriorates, or develops an ulcer, which is typically sensitive and uncomfortable. The pain deepens into the skin's deeper layers. It may resemble a skin scrape (abrasion), a blister, or a small crater. This stage might occasionally resemble a blister that is oozing clear fluid. Some skin may already be dead or damaged beyond repair at this point.​

• the sore deteriorate and spread into the tissue under the skin, creating a little crater. Muscle, tendon, or bone will not be visible in a sore, but fat may.​

• pressure injury causes significant damage by penetrating deep into the muscle and bone. Deeper tissues, tendons, and joints could sustain damage.​

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• Full thickness tissue loss occurs when the depth of the ulcer is entirely hidden by slough and/or eschar in the wound bed. Slough can be yellow, tan, grey, green, or brown.​

What scale is used to predict pressure ulcers

Symptoms of pressure ulcer

• numbness

• Tender areas

• tachypnea

• high blood pressure

Risk factors of pressure ulcers

• Age

• vascular disease

• stroke

• overweight

what causes pressure ulcers

• Trauma

• Friction

• obesity

• Physical injuries

How many stages of pressure ulcers are their

• 5

• 3

• 4

• 6

what are ways to prevent pressure ulcers

• bed rest

• reposition every 2 hours

• keeping the skin moist

• keep the head of the bed above 45 degrees

what are common sites of pressure ulcers

• elbows

• shoulders

• tailbone

• head

what Interventions do not help heal pressure ulcers

• good diet and hydration

• use iodine cleaners to clean patient wounds

• reposition pt every 2 hours

• keep head of the bed as low as possible