1. MNA Mosby’s Long Term Care Assistant Chapter 36 Pressure Ulcers

2. Pressure Ulcers Decubitus Ulcer Death of tissue due to lack of O2
Usually occurs over a bony prominence
Causes:
Pressure, friction, shearing
Poor circulation
Moisture
Irritation from urine and feces

3. Bony Prominences

4. Pressure Ulcers Persons at Risk Confined to bed or chair
Requires help to move
Incontinent
Poor nutrition (protein needed for tissue repair)
Altered mental status
Decrease sensation
Poor circulation
Age
Obese or emaciated
Anemic

5. Pressure Ulcers Signs Pale skin Reddened area Blisters
Pain, burning, tingling
Skin or tissue loss

6. Pressure Ulcers
Stage 1 – red, skin does not return to normal when pressure is relieved
Stage 2 – skin cracks, blisters or peels
Stage 3 – skin is gone. Underlying tissue is exposed. drainage
Stage 4 – muscle and bone exposed

8. Pressure Ulcers Prevention and Treatment
Much easier to prevent then treat
Cleanliness
Turn and position Q2h
Pillows for padding
Use lift sheets

9. Pressure Ulcers Prevention and Treatment Lotion and moisturizers
Dry, wrinkle free linens
NEVER rub or massage red areas
Protective devices
Report and record

10. Pressure Ulcers
Prevention and Treatment
                                                            

11. Remember…… Older persons require special skin care.
Protein is an essential nutrient for skin repair
Follow Standard Precautions

12. Review
A pressure ulcer is the same as a decubitus ulcer ?
True False

13. Bony prominence Review Pressure ulcers usually occur over a
_______________.
Bony prominence

14. Review
Protein is the most important nutrient for wound healing.
True or False

15. Review
Cracked and peeling skin is an early sign of decubitus ulcers
True or False

16. Review
Severely underweight?
A. obesity
anemia
paralysis
emaciation

17. Review
Person’s at risk for ulcers are repositioned QID.
True or False

18. Review
BID QS
PRN
STAT BR
Twice a day
Every shift
As needed
immediately
bedrest

19. Questions??