Stage 1 Pressure Injury Identification
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Stage 1 Pressure Injury Identification

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Questions and Answers

What is a key characteristic of Stage 1 Pressure Injury?

Non-Blanchable Redness of a localized area over a bony prominence

What does 'non-blanchable' mean in the context of a Stage 1 Pressure Injury?

The redness does not go away when the skin is pressed.

Which part of the body is typically affected by Stage 1 Pressure Injuries?

Bony prominence

What does the red color in a Stage 1 Pressure Injury indicate?

<p>Signs of capillary compromise</p> Signup and view all the answers

Why might the analogy of a red apple be used to describe Stage 1 Pressure Injuries?

<p>Because the red color does not go away when touched, similar to non-blanchable redness.</p> Signup and view all the answers

What is a common history factor for Incontinence Associated Dermatitis (IAD)?

<p>Urinary and/or faecal incontinence</p> Signup and view all the answers

Where is a common location for Incontinence Associated Dermatitis (IAD)?

<p>Perineum, perigenital, peristomal area; buttocks; gluteal fold; medial and posterior aspects of upper thighs; lower back</p> Signup and view all the answers

What symptoms are associated with Incontinence Associated Dermatitis (IAD)?

<p>Pain, burning, itching, tingling</p> Signup and view all the answers

How are the edges of affected areas described in Incontinence Associated Dermatitis (IAD)?

<p>Diffuse with poorly defined edges</p> Signup and view all the answers

What is a distinguishing factor between the location of IAD and pressure ulcers?

<p>IAD typically occurs in areas affected by incontinence, whereas pressure ulcers usually form over bony prominences.</p> Signup and view all the answers

In the first image, is the skin intact or broken?

<p>1</p> Signup and view all the answers

Does the second image show skin with or without infection?

<p>A</p> Signup and view all the answers

In the third image, what is the condition of the skin: intact or broken?

<p>2</p> Signup and view all the answers

Does the fourth image show an infection?

<p>B</p> Signup and view all the answers

Which images show broken skin?

<p>2, 3, 4</p> Signup and view all the answers

What is a common skin reaction observed in lighter skin tones?

<p>Blanching</p> Signup and view all the answers

How does persistent erythema manifest in darker skin tones?

<p>Hyperpigmentation</p> Signup and view all the answers

What differentiates erythema presentation in darker skin compared to lighter skin?

<p>Persistent erythema and hyperpigmentation</p> Signup and view all the answers

What is a typical characteristic of erythema in lighter skin tones?

<p>Blanching</p> Signup and view all the answers

What skin color change is less likely to occur in darker skin tones?

<p>Blanching</p> Signup and view all the answers

What is the main distinguishing factor of Category 1A in GLOBIAD stages of incontinence associated dermatitis?

<p>Persistent redness without clinical signs of infection</p> Signup and view all the answers

What additional criterion might you observe in a patient with Category 1B?

<p>Marked areas of discoloration from a previous Thrush/Skin defect</p> Signup and view all the answers

How does Category 2A differ from Category 2B in terms of infection?

<p>Category 2A is without clinical signs of infection, while Category 2B includes clinical signs of infection.</p> Signup and view all the answers

What persistent condition is a critical criterion in both 1A and 1B?

<p>Persistent redness</p> Signup and view all the answers

Which type of lesion suggests a fungal infection in Category 1B?

<p>White pitting of the skin</p> Signup and view all the answers

Name a critical criterion of Category 2 that involves skin damage.

<p>Skin loss</p> Signup and view all the answers

What feeling might a patient with Category 1B experience at palpation?

<p>The skin may feel tense or swollen.</p> Signup and view all the answers

What type of infection is commonly associated with Category 2B?

<p>Candida albicans fungal infection</p> Signup and view all the answers

Which GLOBIAD category involves skin loss and no signs of infection?

<p>2A</p> Signup and view all the answers

What additional symptom are found in both 1A and 1B?

<p>Burning, tingling, itching or pain</p> Signup and view all the answers

Study Notes

Stage 1 Pressure Injury

  • Intact skin with non-blanchable redness over a localized area, typically over bony prominence
  • Characterized by capillary compromise within the skin layer

Differentiating Skin Tones

  • In lighter skin tones, non-blanchable redness appears as red color
  • In darker skin tones, non-blanchable redness appears as persistent erythema and hyperpigmentation

GLOBIAD Stages of Incontinence Associated Dermatitis

  • Category 1: Persistent redness
    • 1A: Persistent redness without clinical signs of infection
    • 1B: Persistent redness with clinical signs of infection
  • Category 2: Skin loss
    • 2A: Skin loss without clinical signs of infection
    • 2B: Skin loss with clinical signs of infection

Characteristics of GLOBIAD Stages

  • Critical criteria: persistent redness, skin loss, signs of inflammation, satellite lesions
  • Additional criteria: marked areas of discoloration, shiny appearance, macerated skin, intact vesicles and bullae, skin tension or swelling, burning, tingling, itching, or pain

Incontinence Associated Dermatitis (IAD) vs. Pressure Ulcer

  • IAD: caused by urinary and/or fecal incontinence, affects perineum, perigenital, and peristomal areas, diffuse with poorly defined edges
  • Pressure Ulcer: caused by exposure to pressure/shear, typically over bony prominence, distinct edges or margins

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Description

Identify the characteristics of Stage 1 pressure injury, including non-blanchable redness over bony prominences. Learn to recognize the signs of capillary compromise in skin.

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