Podcast
Questions and Answers
Which of the following statements accurately reflects the history of the WOC Nursing Specialty?
Which of the following statements accurately reflects the history of the WOC Nursing Specialty?
- Only nurses initiated the specialty
- It started in the 1800s
- Patient consumers began the specialty (correct)
- The specialty has no historical background
An essential component of WOC Nursing Practice is to implement, coordinate, and evaluate what?
An essential component of WOC Nursing Practice is to implement, coordinate, and evaluate what?
Specialty care
Certification in WOC Nursing is accomplished once the learner has passed exams given by which organization?
Certification in WOC Nursing is accomplished once the learner has passed exams given by which organization?
WOCNCB®
What is the correct abbreviation for a specialist who graduates from a WOCN® accredited nursing education program?
What is the correct abbreviation for a specialist who graduates from a WOCN® accredited nursing education program?
Trends in WOC Nursing Care include which of the following?
Trends in WOC Nursing Care include which of the following?
The highest level of evidence in medical research comes from which sources?
The highest level of evidence in medical research comes from which sources?
Clinical practice guidelines are derived from the current literature and summarize state of the art care for specific healthcare issues?
Clinical practice guidelines are derived from the current literature and summarize state of the art care for specific healthcare issues?
What are the major layers of the skin?
What are the major layers of the skin?
What is the primary function of intact skin?
What is the primary function of intact skin?
What is the benefit of the skin maintaining an acid mantle (pH 4.5-6.5)?
What is the benefit of the skin maintaining an acid mantle (pH 4.5-6.5)?
How does age alter the skin's epidermal turnover or process of differentiation?
How does age alter the skin's epidermal turnover or process of differentiation?
Which cells located in the dermis produce collagen and elastin?
Which cells located in the dermis produce collagen and elastin?
Structures of the dermis include?
Structures of the dermis include?
What are the functions of the hypodermis?
What are the functions of the hypodermis?
Which layer of soft tissue is most vulnerable to pressure over a bony prominence?
Which layer of soft tissue is most vulnerable to pressure over a bony prominence?
Diabetes increases the risk for skin?
Diabetes increases the risk for skin?
What is the definition of MASD?
What is the definition of MASD?
MASD affects what part of the skin or cell function?
MASD affects what part of the skin or cell function?
How does MASD alter the acid mantle of the skin?
How does MASD alter the acid mantle of the skin?
What is the primary risk factor associated with ITD (intertriginous dermatitis)?
What is the primary risk factor associated with ITD (intertriginous dermatitis)?
What is the primary risk factor associated with Peristomal MASD?
What is the primary risk factor associated with Peristomal MASD?
What is the primary risk factor associated with Periwound MASD (PWMASD)?
What is the primary risk factor associated with Periwound MASD (PWMASD)?
Understanding the physiology of skin injured by MASD is important. What altered skin barrier effect occurs when skin is occluded by an absorptive type product?
Understanding the physiology of skin injured by MASD is important. What altered skin barrier effect occurs when skin is occluded by an absorptive type product?
Which type of wound exudate characteristic is most likely to cause periwound MASD?
Which type of wound exudate characteristic is most likely to cause periwound MASD?
What type of MASD is more prone to fungal or bacterial infections?
What type of MASD is more prone to fungal or bacterial infections?
What factors most likely play the greatest risk in the development of peristomal MASD?
What factors most likely play the greatest risk in the development of peristomal MASD?
What is the primary etiology for Moisture Associated Skin Damage (MASD)?
What is the primary etiology for Moisture Associated Skin Damage (MASD)?
Intertriginous Dermatitis (ITD) is defined as inflammation and erosion that occurs because of?
Intertriginous Dermatitis (ITD) is defined as inflammation and erosion that occurs because of?
Severity of skin damage in IAD is based on what three things?
Severity of skin damage in IAD is based on what three things?
How is MASD from intertriginous dermatitis (ITD) differentiated from incontinence associated skin damage (IAD)?
How is MASD from intertriginous dermatitis (ITD) differentiated from incontinence associated skin damage (IAD)?
Greatest risk factors for Intertriginous (ITD) MASD include?
Greatest risk factors for Intertriginous (ITD) MASD include?
Which interventions are effective in the management of MASD caused by Intertriginous Dermatitis (ITD)?
Which interventions are effective in the management of MASD caused by Intertriginous Dermatitis (ITD)?
Select the statement that is most true regarding IAD management.
Select the statement that is most true regarding IAD management.
Exposure to a mixture of urine and feces is more irritating than feces alone?
Exposure to a mixture of urine and feces is more irritating than feces alone?
Moist, denuded perineal skin resulting from exposure to urine and stool is BEST treated with the use of?
Moist, denuded perineal skin resulting from exposure to urine and stool is BEST treated with the use of?
Marketing in WOC Nursing Practice is described as?
Marketing in WOC Nursing Practice is described as?
An important aspect of the WOC Nurse's Role is knowledge and implementation of risk reduction strategies. What are the best examples of risk reduction?
An important aspect of the WOC Nurse's Role is knowledge and implementation of risk reduction strategies. What are the best examples of risk reduction?
What type of customer will be targeted in the business plan for an Ostomy Outpatient Clinic?
What type of customer will be targeted in the business plan for an Ostomy Outpatient Clinic?
As a WOC Nurse, what role do you play in the marketing approach of manufacturer representatives?
As a WOC Nurse, what role do you play in the marketing approach of manufacturer representatives?
Why is it important to clearly delineate your products and services to the health care team and administration?
Why is it important to clearly delineate your products and services to the health care team and administration?
What products and services does the Wound Care Nurse Specialist provide?
What products and services does the Wound Care Nurse Specialist provide?
Which of the following statements is accurate and characteristic of an outcome?
Which of the following statements is accurate and characteristic of an outcome?
What evidence supports the benefit of improved quality of patient care?
What evidence supports the benefit of improved quality of patient care?
What type of skin damage is present in a 90-year-old female with a partial thickness wound and a fully approximated epidermal flap?
What type of skin damage is present in a 90-year-old female with a partial thickness wound and a fully approximated epidermal flap?
How does a low zinc level affect wound healing in an elderly patient?
How does a low zinc level affect wound healing in an elderly patient?
Which product would be considered safe to use on the skin of neonates?
Which product would be considered safe to use on the skin of neonates?
An unintended weight loss of what percentage indicates that a patient with a wound needs further nutritional assessment?
An unintended weight loss of what percentage indicates that a patient with a wound needs further nutritional assessment?
Which of the following foods tend to help thicken loose stool?
Which of the following foods tend to help thicken loose stool?
Which of the following foods causes odorous urine?
Which of the following foods causes odorous urine?
Which of the following foods contain the highest levels of fiber?
Which of the following foods contain the highest levels of fiber?
What nutritional assessment data is most reflective of nutritional compromise?
What nutritional assessment data is most reflective of nutritional compromise?
For a patient with an ileostomy, what food groups should be promoted for daily intake?
For a patient with an ileostomy, what food groups should be promoted for daily intake?
How much protein would most likely be recommended to support healing in a patient with a pressure injury?
How much protein would most likely be recommended to support healing in a patient with a pressure injury?
Common skin and tissue injury care goals include?
Common skin and tissue injury care goals include?
Neonates are at risk for skin tears because their skin has?
Neonates are at risk for skin tears because their skin has?
Skin tear management includes which of the following topical therapy?
Skin tear management includes which of the following topical therapy?
What did your research find regarding the difference between skin tears and medical adhesive-related skin injury (MARSI)?
What did your research find regarding the difference between skin tears and medical adhesive-related skin injury (MARSI)?
How can MARSI be prevented during adhesive removal?
How can MARSI be prevented during adhesive removal?
Nutritional interventions for wound repair include?
Nutritional interventions for wound repair include?
What function does IRON primarily play in skin or wound repair?
What function does IRON primarily play in skin or wound repair?
What function does vitamin A play in maintaining skin and wound repair?
What function does vitamin A play in maintaining skin and wound repair?
Partial thickness skin injury due to friction or moisture is a characteristic of MARSI?
Partial thickness skin injury due to friction or moisture is a characteristic of MARSI?
Which of the following statements is MOST appropriate in the application or removal of an adhesive type of product?
Which of the following statements is MOST appropriate in the application or removal of an adhesive type of product?
International Skin Tear Advisory Panel (ISTAP) Type 2 skin tear is described as?
International Skin Tear Advisory Panel (ISTAP) Type 2 skin tear is described as?
Treatment measures for a Type 3 skin tear include?
Treatment measures for a Type 3 skin tear include?
Adhesive products should be removed quickly at a 90-degree angle to generate a high peel force?
Adhesive products should be removed quickly at a 90-degree angle to generate a high peel force?
Excessive hair should be shaved from the area prior to applying an adhesive product?
Excessive hair should be shaved from the area prior to applying an adhesive product?
What is an ideal adhesive alternative for dressing securement on a lower extremity?
What is an ideal adhesive alternative for dressing securement on a lower extremity?
Medical adhesive products can produce allergic or contact dermatitis. How is this skin reaction best demonstrated?
Medical adhesive products can produce allergic or contact dermatitis. How is this skin reaction best demonstrated?
Which of the following treatments would be most appropriate for the management of a partial thickness wound with a fully approximated epidermal flap?
Which of the following treatments would be most appropriate for the management of a partial thickness wound with a fully approximated epidermal flap?
Patients at risk for skin breakdown should have at least a daily skin inspection?
Patients at risk for skin breakdown should have at least a daily skin inspection?
When the skin around a wound develops a whitish appearance, it can be described as?
When the skin around a wound develops a whitish appearance, it can be described as?
A patient has several linear, hollowed-out, crusted lesions with the loss of epidermis. How would these lesions be documented?
A patient has several linear, hollowed-out, crusted lesions with the loss of epidermis. How would these lesions be documented?
A patient has a macular-papular reddened rash to their lower leg. Which dermatologic term describes this assessment?
A patient has a macular-papular reddened rash to their lower leg. Which dermatologic term describes this assessment?
Study Notes
WOC Nursing Specialty
- Originated to address the needs of patient consumers.
- Key component involves the implementation, coordination, and evaluation of specialty care.
Certification and Credentials
- Certification is achieved through the WOCNCB® after passing specific exams.
- Graduates of accredited WOC nursing programs are recognized as CWOCN (Certified Wound Ostomy Continence Nurse).
Trends and Evidence in WOC Nursing
- Current trends emphasize safety, access to care, and research on outcomes.
- The highest level of evidence for practice comes from randomized clinical trials.
- Clinical practice guidelines summarize contemporary care derived from the latest literature.
Skin Structure and Functions
- The skin consists of two major layers: the epidermis and dermis.
- Intact skin serves as a protective barrier and maintains an acid mantle to inhibit pathogens.
- Age-related changes slow down epidermal turnover and increase cell turnover duration.
Dermal Structures and Functions
- The dermis contains fibroblasts producing collagen and elastin, hair follicles, and sweat (sebaceous) glands.
- The hypodermis cushions, insulates, and enhances skin mobility.
Skin Injury and Infection Risks
- Diabetes elevates the risk for bacterial and fungal skin infections.
- Moisture Associated Skin Damage (MASD) occurs from prolonged moisture exposure affecting the epidermis and dermis.
Intertriginous Dermatitis and Associated Risks
- Intertriginous Dermatitis (ITD) results from friction and moisture in skin folds, commonly seen in obese individuals.
- Peristomal and periwound MASD risks are linked to pouch leakage and excessive wound exudate, respectively.
Nutrition and Wound Healing
- Unintentional weight loss over 5% in a month signals nutritional compromise.
- Important food sources for thickening stool include rice, toast, and bananas.
- Adequate protein intake (1.25-1.5 g/kg/day) is crucial for effective wound healing.
Skin Care Approaches
- Treatment for incontinence-associated dermatitis focuses on protecting the denuded perineal skin with barrier products.
- Skin tear management involves realigning viable flaps and using non-adherent dressings.
- Strategies to minimize medical adhesive-related skin injuries (MARSI) include using hair-following removal techniques.
Marketing and Business in WOC Nursing
- Marketing in WOC nursing involves effective planning and executing business strategies within healthcare settings.
- Understanding marketing dynamics helps WOC nurses to articulate their roles and services to healthcare teams and administrators.
Skin Assessment and Care Protocols
- Continuous assessment of skin integrity is essential for at-risk patients, with recommendations for daily inspections.
- Identifying maceration indicates potential skin breakdown, often resulting from excessive moisture exposure.
Common Skin Injuries and Treatment
- Skin lesions can be categorized based on characteristics like crusting and loss of the epidermis.
- A macular-papular rash is defined by its flat but palpable skin discolorations, indicating possible allergic reactions or infections.
Conclusion
- Effective skin care practices, risk assessments, and nutritional support are vital in preventing and managing skin damage within WOC nursing.
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Description
Test your knowledge about the Wound, Ostomy, and Continence (WOC) Nursing Specialty with these flashcards. Covering important aspects such as the history and essential components of the practice, this quiz is perfect for students and professionals alike.
