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 By Deborah Aderin

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7/22/2019 Interactive Presentation Doc

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By Deborah Aderin

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Treatment

• Plan and Utilize evidence-basedtreatment

• Differentiate from other wounds

Prevention

• Plan preventive measures

Reimbursement

• Proper reimbursement

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Upon completion of the lesson, healthcare

providers will:

Identify the different stages of pressure

ulcersDescribe the tissue appearance of each stage

of pressure ulcers

Explain causes of pressure ulcers

Identify preventive measures

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Immobility/Sensory Loss

Age/Disease

Poor NutritionIncontinence/Moisture

Friction/Shear Forces

Localized injury to skin and or underlying tissue over a bony

prominence http://www.npuap.org 

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Skin is intact

Non-blanchable

redness

May be painful

Soft or firm

Warmer or cooler

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Partial thickness,

loss of dermis

Shallow openulcer

Wound bed is red

pinkSlough is absent

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Full thickness, lossof dermis

Visiblesubcutaneous fat

Bone, tendon andmuscles are notexposed

Slough may bepresent, does not

obscure depth ofwound

Tunneling andundermining may

be present

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Full loss of dermis

Bone, tendon and

muscles are

exposed

Slough or eschar

may be present

Tunneling andundermining are

present thickness

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Full thickness loss

of dermis

Base of the woundis covered with

slough or eschar

Depth is obscuredBlister, purple or

maroon localized

area

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1.Mr.Bee has a 5cm x4cm pressure ulceron her hip that is100% covered with

slough. What stageof this ulcer?

a. Stage 1

b. Stage 2

c. Stage 3d. Stage 4

e. Unstageable

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 National Pressure Ulcer and Advisory Plan (2011).Pressure ulcerstaging and categories. Retrieved from http://www.npuap.org/wp-content/uploads/2012/03/NPUAP 

Sinbard, R., Krasner, D.& Wook, K (2011) Pressure ulcer stagingrevisited: superficial skin changes & Deep Pressure UlcerFramework . Journal of Advanced Skin Care. 2011Dec;24(12):571-80; quiz 581-2. doi: 10.1097/01.

Wound Ostomy Continence Nurse Society (2011).WOCN:Pressure ulcer staging. Retrieved from http://www.wocn.org 

Patton, R. (2010). Is diagnosis of pressure ulcers within an RN'sscope of practice. Journal of  American Nurse Today, 5, 20.

Black, J., Baharestani, M., Conner-Kerr, T., Edsberg, L.,Langemo, D., Posthauer, M., & Spahn,J. Mucosal pressure ulcers.An NPUAP Position Statement. Retrieved January 3, 2011fromhttp://www.npuap.org