Demonstrating Knowledge of Pressure Injury

Work Sheet

Name: ______Date: ______

Name of Trainer: ______

Name of Company Developing Material: Clinical Update (NZ) Ltd

Contents

Segment 1: What is a Pressure Injury?

Segment 2: Anatomy of the Skin

Segment 3: Causes of Pressure Injury

Segment 4: Risk and Assessment

Segment 5: Assessment

Segment 6: Prevention

Segment 7: Stages of Pressure Injuries

Segment 8: Pressure Area Development

Segment 9: What to Look For

Segment 1: What is a Pressure Injury?

A pressure injury to the ______and/or underlying ______usually over a ______, as a result of ______, ______or a combination of ______

What causes a pressure injury?

1. ______

2. ______

3. ______

4. ______

List what the skin will look like?

1. ______

2. ______

3. ______

4. ______

5. ______

6. ______

7. ______

8. ______

What happens under the skin?

1. ______

2. ______

Can pressure injuries be prevented?Yes/No

What are pressure injuries the result of? ______

What can a pressure injury be the sign of? ______

What are pressure injuries the result of?

1. ______

2. ______

3. ______

List other names that pressure injuries may be known as?

1. ______

2. ______

3. ______

4. ______

How long does a pressure injury take to develop? ______

How will you know a pressure injury is developing?

1. ______

2. ______

What is your role in prevention of a pressure injury?

1. ______

2. ______

3. ______

4. ______

What degree of damage can occur?

1. ______

2. ______

List the grades of pressure injuries?

1. ______

2. ______

3. ______

4. ______

Segment 2: Anatomy of the Skin

The skin is the ______organ in the body

What is the role of the skin?

1. ______

______

2. ______

3. ______

4. ______

What are the layers of the skin?

1. ______

2. ______

3. ______

What is the epidermis made up of? ______

How many layers are there? ______

What happens to the cells as they migrate to the surface? ______

How thick is the epidermis? ______

Give an example of where the epidermis is thin? ______

Give an example of where the epidermis is thick? ______

Where is the dermis situated? ______

What is the dermis made of?

1. ______

2. ______

3. ______

4. ______

The dermis is how many times thicker than the epidermis? ______

The dermis is responsible for

1. ______

2. ______

3. ______

What do the epidermis and dermis make up? ______

What does the subcutaneous layer hold? ______

Does it vary from person to person? Yes/No

What else is found in the subcutaneous layer? ______

Where is the subcutaneous layer much thinner? ______

Which way does it fold over the joints? ______

What attaches the subcutaneous layer to the muscles and bones? ______

Segment 3: Causes of Pressure Injury

List 6 what causes a pressure injury?

1. ______

2. ______

3. ______

What is prolonged unrelieved pressure?

  1. ______

2. ______

Give two examples of prolonged pressure

  1. ______
  1. ______

What is shearing? ______

______

What does shearing do?

______

Give 2 examples of Shearing

1. ______

2. ______

What is friction? ______

Give 2 examples of friction?

1. ______

2. ______

List the contributing factors to friction damage?

1. ______

2. ______

List the common areas for pressure injuries to occur

1. ______

2. ______

3. ______

4. ______

5. ______

Segment 4: Risk and Assessment

Who is at risk?

1. ______

2. ______

List 3 Assessment Tolls that may be used?

1. ______

2. ______

3. ______

List the 6 categories the Braden Scale assesses

1. ______

2. ______

3. ______

4. ______

5. ______

6. ______

What is the score range for Braden scale? ______

Which score indicates the higher the risk? ______

What does each level indicate? ______

What are the categories the Norton Scale assesses?

1. ______

2. ______

3. ______

4. ______

5. ______

How is the Norton Scale scored? ______

What indicates the level of risk? ______

List the 6 categories the Waterlow Assessment scores

1. ______

2. ______

3. ______

4. ______

5. ______

6. ______

There are some special risks the Waterlow score looks at. What are they?

1. ______

2. ______

3. ______

Who does the Glamorgan Scale relate to? ______

What does it assess?

1. ______

2. ______

Segment 5: Assessment

List the 15 assessment indicators

  1. ______
  2. ______
  3. ______
  4. ______
  5. ______
  6. ______
  7. ______
  8. ______
  9. ______
  10. ______
  11. ______
  12. ______
  13. ______
  14. ______
  15. ______

List the 9types of medical equipment that may be in place and need to be included in assessment?

1. ______

2. ______

3. ______

4. ______

5. ______

6. ______

7. ______

8. ______

9. ______

Segment 6: Prevention

What are the two things that need to be done when providing care and support for person?

1. ______

2. ______

What will the plan include?

1. ______

2. ______

3. ______

What are 3 types of care will the plan include?

1. ______

2. ______

3. ______

List 4pressure relieving aids may be used?

1. ______

2. ______

3. ______

4. ______

Pressure relieve products fall into two categories. What ae they?

1. ______

2. ______

What do reactive surface products do?

1. ______

2. ______

3. ______

4. ______

List 4 examples of reactive surface products

1. ______

2. ______

3. ______

4. ______

What do Active surface products do?

______

______

Give 2 examples of materials used in active surface products?

1. ______

2. ______

When moving or turning a person you must use what?

______

To reduce the risk of a pressure injury occurring a person must be?

1. ______

2. ______

When moving a person up the bed always use ______

When moving or transferring a person who is not able to move or transfer themselves you must always use?

1. ______

2. ______

Remember ______size does not ______

Nothing replaces what? ______

Segment 7: Your Role

List what your role is in pressure injury prevention

1. ______

2. ______

3. ______

List what observations you need to make?

1. ______

2. ______

3. ______

List what you can do to pressure injuries from occurring?

1. ______

2. ______

3. ______

When a person is lying in bed and cannot turn themselves, what must you do?

______

If a person is sitting in a chair and cannot get up on their own or move independently, what must you do?

______

How often should you do this? ______

List what you need to know about the uses of pressure relieving aids?

1. ______

2. ______

Pressure relieving aids are only an aid to ______

List 3 examples of pressure relieving aids?

1. ______

2. ______

3. ______

What does a fluid balance chart record?

1. ______

2. ______

What does a food intake chart record?

1. ______

2. ______

3. ______

Pressure injuries occur where?

______

List 5 areas that are the most common areas for pressure injuries to occur?

1. ______

2. ______

3. ______

4. ______

5. ______

List 3 things you need to report if a person has a pressure injury?

1. ______

2. ______

3. ______

Segment 8: Stages of Pressure Injuries

List what you would expect to see in a Stage One pressure injury?

1. ______

2. ______

3. ______

List what you would expect to see in a Stage Two pressure injury?

1. ______

2. ______

List what you would expect to see in a Stage Three pressure injury?

1. ______

2. ______

3. ______

List what you would expect to see in a Stage Four pressure injury?

1. ______

2. ______

3. ______

4. ______

5. ______

List 9 important things to know about pressure injuries?

1. ______

2. ______

3. ______

4. ______

5. ______

6. ______

7. ______

8. ______

9. ______

What should you report with a pressure injury?

1. ______

2. ______

3. ______

Segment 9: What to Look For

List what you should look for when a person is at risk of a pressure injury?

1. ______

2. ______

3. ______

4. ______

5. ______

6. ______

7. ______

8. ______

1