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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?
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Why might the analogy of a red apple be used to describe Stage 1 Pressure Injuries?
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What is a common history factor for Incontinence Associated Dermatitis (IAD)?
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Where is a common location for Incontinence Associated Dermatitis (IAD)?
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What symptoms are associated with Incontinence Associated Dermatitis (IAD)?
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How are the edges of affected areas described in Incontinence Associated Dermatitis (IAD)?
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What is a distinguishing factor between the location of IAD and pressure ulcers?
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In the first image, is the skin intact or broken?
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Does the second image show skin with or without infection?
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In the third image, what is the condition of the skin: intact or broken?
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Does the fourth image show an infection?
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Which images show broken skin?
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What is a common skin reaction observed in lighter skin tones?
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How does persistent erythema manifest in darker skin tones?
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What differentiates erythema presentation in darker skin compared to lighter skin?
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What is a typical characteristic of erythema in lighter skin tones?
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What skin color change is less likely to occur in darker skin tones?
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What is the main distinguishing factor of Category 1A in GLOBIAD stages of incontinence associated dermatitis?
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What additional criterion might you observe in a patient with Category 1B?
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How does Category 2A differ from Category 2B in terms of infection?
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What persistent condition is a critical criterion in both 1A and 1B?
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Which type of lesion suggests a fungal infection in Category 1B?
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Name a critical criterion of Category 2 that involves skin damage.
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What feeling might a patient with Category 1B experience at palpation?
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What type of infection is commonly associated with Category 2B?
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Which GLOBIAD category involves skin loss and no signs of infection?
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What additional symptom are found in both 1A and 1B?
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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.