Pressure Injuries
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What are Pressure Injuries (PIs)?

  • Localized areas of damage to the skin and/or underlying soft tissues. (correct)
  • Localized areas of damage to the organs.
  • Localized areas of damage to the muscles.
  • Localized areas of damage to the bones.

    • What is the NPUAP Staging System for Pressure Injuries?

  • A system that classifies PIs into three stages based on their location on the body and severity
  • A system that classifies PIs into six stages based on their severity (correct)
  • A system that classifies PIs into six stages based on their location on the body
  • A system that classifies PIs into four stages based on their location on the body and severity

    • What are Pressure Injuries (PIs)?

    Localized areas of damage to the skin and/or underlying soft tissues.

    What are the six stages of PIs according to the NPUAP Staging System?

    <p>Non-blanchable erythema to deep tissue pressure injury.</p> Signup and view all the answers

    What are some common areas for Pressure Injuries to develop?

    <p>Head and ears</p> Signup and view all the answers

    What is the NPUAP Staging System for PIs?

    <p>A classification system that categorizes PIs into six stages.</p> Signup and view all the answers

    What are some ways to prevent Pressure Injuries?

    <p>Identification and risk assessment, skin care, adequate nutrition, minimizing shear forces and pressure, and patient/caregiver education.</p> Signup and view all the answers

    What are the common areas for PI development?

    <p>Coccyx, sacrum, ischium, heels, scapula, ears, and head.</p> Signup and view all the answers

    What are the common areas for PI development?

    <p>Coccyx, sacrum, ischium, heels, scapula, ears, and head.</p> Signup and view all the answers

    What are the external forces that lead to tissue injury in PIs?

    <p>Pressure, shear, friction, moisture.</p> Signup and view all the answers

    What are some risks associated with Indwelling Urinary Catheters (UCs) in older adults?

    <p>Confusion and agitation</p> Signup and view all the answers

    What are the risk factors for PIs?

    <p>External forces (pressure, shear, friction, moisture) and host-specific factors.</p> Signup and view all the answers

    What percentage of UC-associated UTIs may be preventable?

    <p>25-75%</p> Signup and view all the answers

    What are the risks of indwelling urinary catheters (UCs) in older adults?

    <p>Confusion and agitation, urinary tract infections, and extended hospitalizations.</p> Signup and view all the answers

    What are the host-specific factors that lead to tissue injury in PIs?

    <p>Varies depending on the individual.</p> Signup and view all the answers

    What are the indications for UCs?

    <p>Bladder outlet obstruction, perioperative use, immobility, end-of-life comfort measures, and open sacral or perineal wounds.</p> Signup and view all the answers

    What are the prevention strategies for PIs?

    <p>Identification/risk assessment, skin care, adequate nutrition, minimizing shear forces and pressure, patient/caregiver education.</p> Signup and view all the answers

    What are some alternatives to UCs?

    <p>Frequent volume status exams, bedside urinals or commodes that can be quantified, timed toileting, assistance to the washroom when requested, bedside commodes, frequent changes of incontinence products, and scheduled bladder scans and in and out catheterization.</p> Signup and view all the answers

    What are the management strategies for PIs?

    <p>Multidisciplinary approach, addressing host factors, minimizing pressure, proper wound care, and monitoring for infection.</p> Signup and view all the answers

    What are the alternatives to UCs?

    <p>Frequent volume status exams, bedside urinals or commodes, timed toileting, assistance to the washroom, bedside commodes, frequent changes of incontinence products, and scheduled bladder scans and in and out catheterization.</p> Signup and view all the answers

    What is the discharge planning process for Mrs. K?

    <p>A multidisciplinary assessment, consideration of her social circumstances and preferences, and evaluation of various discharge options</p> Signup and view all the answers

    What are the risks of indwelling urinary catheters (UCs) in older adults?

    <p>Confusion, agitation, urinary tract infections (UTIs), extended hospitalizations.</p> Signup and view all the answers

    What are some of the discharge options for Mrs. K?

    <p>Inpatient rehabilitation, home rehabilitation with LHIN Home and Community Care, complex continuing care, and convalescent care.</p> Signup and view all the answers

    What is the discharge planning process for Mrs. K?

    <p>A multidisciplinary assessment, consideration of her social circumstances and preferences, and evaluation of various discharge options.</p> Signup and view all the answers

    What are the discharge options for Mrs. K?

    <p>Inpatient rehabilitation, home rehabilitation with LHIN Home and Community Care, complex continuing care, and convalescent care.</p> Signup and view all the answers

    What are some housing and institutional care options for Mrs. K?

    <p>Supportive housing and retirement homes only</p> Signup and view all the answers

    What are the indications for UCs?

    <p>Bladder outlet obstruction, perioperative use, immobility caused by unstable vertebral or pelvic fractures, end-of-life comfort measures, open sacral or perineal wounds in incontinent patients.</p> Signup and view all the answers

    What are the alternatives to UCs?

    <p>Frequent volume status exams, bedside urinals or commodes, timed toileting, assistance to the washroom, frequent changes of incontinence products, scheduled bladder scans and in and out catheterization.</p> Signup and view all the answers

    What are some community-based care services for Mrs. K?

    <p>Adult day programs and community organizations only</p> Signup and view all the answers

    What are the housing and institutional care options for Mrs. K?

    <p>Independent senior apartments, supportive housing, retirement homes, and long-term care homes.</p> Signup and view all the answers

    What are some indications for UCs?

    <p>Bladder outlet obstruction, perioperative use in select procedures, immobility caused by unstable vertebral or pelvic fractures, end-of-life comfort measures as needed, and open sacral or perineal wounds in incontinent patients.</p> Signup and view all the answers

    What are the community-based care services for Mrs. K?

    <p>Adult day programs, meals on wheels, and community organizations.</p> Signup and view all the answers

    What is the discharge planning process for Mrs. K?

    <p>Multidisciplinary assessment, consideration of social circumstances and preferences, evaluation of discharge options.</p> Signup and view all the answers

    What are the discharge options for Mrs. K?

    <p>Inpatient rehabilitation, home rehabilitation with LHIN Home and Community Care, complex continuing care, convalescent care.</p> Signup and view all the answers

    What is the percentage of UC-associated UTIs that may be preventable?

    <p>25-75%</p> Signup and view all the answers

    What is the recommended approach for management of PIs?

    <p>A multidisciplinary approach, addressing host factors, minimizing pressure, providing proper wound care, and monitoring for infection.</p> Signup and view all the answers

    What are some external forces that can lead to tissue injury and development of PIs?

    <p>Pressure, shear, friction, and moisture.</p> Signup and view all the answers

    What is the best way to prevent PIs?

    <p>Identification and risk assessment, skin care, adequate nutrition, minimizing shear forces and pressure, and patient/caregiver education.</p> Signup and view all the answers

    Study Notes

    Pressure Injuries, Catheter Risks, and Discharge Planning: Key Points

    Pressure Injuries (PIs)

    • Pressure Injuries (PIs) are localized areas of damage to the skin and/or underlying soft tissues, typically developing over bony prominences or in areas where medical devices are in contact with the skin.
    • The NPUAP Staging System for PIs classifies PIs into six stages, from non-blanchable erythema to deep tissue pressure injury.
    • PIs result from a combination of external forces (pressure, shear, friction, moisture) and host-specific factors that lead to tissue injury.
    • Common areas for PI development include the coccyx, sacrum, ischium, heels, scapula, ears, and head.
    • Prevention of PIs involves identification and risk assessment, skin care, adequate nutrition, minimizing shear forces and pressure, and patient/caregiver education.
    • Management of PIs involves a multidisciplinary approach, addressing host factors, minimizing pressure, providing proper wound care, and monitoring for infection.

    Risks of Indwelling Urinary Catheters (UCs) in Older Adults

    • UCs may contribute to confusion and agitation in older adult patients.
    • Indwelling catheters can lead to urinary tract infections (UTIs); 25-75% of UC-associated UTIs may be preventable.
    • UC use can result in extended hospitalizations due to complications or infections.

    Indications and Alternatives for UCs

    • Indications for UCs include bladder outlet obstruction, perioperative use in select procedures, immobility caused by unstable vertebral or pelvic fractures, end-of-life comfort measures as needed, and open sacral or perineal wounds in incontinent patients.
    • Alternatives to UCs include frequent volume status exams, bedside urinals or commodes that can be quantified, timed toileting, assistance to the washroom when requested, bedside commodes, frequent changes of incontinence products, and scheduled bladder scans and in and out catheterization.

    Discharge Planning Process

    • The discharge planning process for Mrs. K involves a multidisciplinary assessment, consideration of her social circumstances and preferences, and evaluation of various discharge options.
    • Discharge options for Mrs. K include inpatient rehabilitation, home rehabilitation with LHIN Home and Community Care, complex continuing care, and convalescent care.
    • Housing and institutional care options for Mrs. K include independent senior apartments, supportive housing, retirement homes, and long-term care homes.
    • Community-based care services for Mrs. K include adult day programs, meals on wheels, and community organizations.

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    Description

    Test your knowledge on Pressure Injuries, Catheter Risks, and Discharge Planning with this informative quiz. Learn about the key points of Pressure Injuries, including prevention and management strategies, as well as the risks associated with Indwelling Urinary Catheters in older adults and indications for their use. Additionally, explore the Discharge Planning process and the various options available for patients. This quiz will help you gain a deeper understanding of these important healthcare topics.

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