Presentation is loading. Please wait.

Presentation is loading. Please wait.

Understand nurse aide skills needed to promote skin integrity. Unit B Resident Care Skills Essential Standard NA5.00 Understand nurse aide’s role in providing.

Similar presentations


Presentation on theme: "Understand nurse aide skills needed to promote skin integrity. Unit B Resident Care Skills Essential Standard NA5.00 Understand nurse aide’s role in providing."— Presentation transcript:

1 Understand nurse aide skills needed to promote skin integrity. Unit B Resident Care Skills Essential Standard NA5.00 Understand nurse aide’s role in providing residents’ hygiene, grooming, and skin care. Indicator 5.02 Understand nurse aide skills needed to promote skin integrity Nursing Fundamentals 7243

2 25.02Nursing Fundamentals 7243 As a direct care giver, the nurse aide will be the key team member in the prevention of pressure ulcers Introduction

3 Nursing Fundamentals PRESSURE ULCERSAKA:Bedsores Decubitus Ulcers 5.02

4 Nursing Fundamentals PRESSURE ULCERS Caused by pressure on area of skin that interferes with circulation 5.02

5 Nursing Fundamentals PRESSURE ULCERS Occur where bones come close to the skin surface or bony prominences. 5.02

6 Nursing Fundamentals PRESSURE ULCERS –toes, heels, ankles, knees –hips, elbows, shoulders –spine (especially tailbone area) –ears, cheeks, collarbone area –back of head 5.02

7 Nursing Fundamentals PRESSURE ULCERS Can develop where areas of body rub together and moisture collects, especially in obese residents 5.02

8 Nursing Fundamentals PRESSURE ULCERS –Under breasts –Between folds of abdomen –Between crease of buttocks –Between thighs 5.02

9 Nursing Fundamentals PRESSURE ULCERS 1 OUNCE PREVENTION 1 POUND CURE 5.02

10 Nursing Fundamentals PRESSURE ULCER PREVENTION Keep skin clean and dry! 5.02

11 Nursing Fundamentals PRESSURE ULCER PREVENTION Keep linen dry and free of wrinkles and objects that cause pressure to the skin! 5.02

12 Nursing Fundamentals PRESSURE ULCER PREVENTION Clean urine and feces from skin as soon as possible! 5.02

13 Nursing Fundamentals PRESSURE ULCER PREVENTION Reposition residents at least every two hours! 5.02

14 Nursing Fundamentals PRESSURE ULCER PREVENTION Make sure clothing and shoes do not bind or constrict! 5.02

15 Nursing Fundamentals PRESSURE ULCER PREVENTION Pat skin dry when bathing; never scrub. 5.02

16 Nursing Fundamentals PRESSURE ULCER PREVENTION Encourage adequate nutrition and fluids! 5.02

17 Nursing Fundamentals PRESSURE ULCER PREVENTION Massage healthy skin and tissue around the area. 5.02

18 Nursing Fundamentals PRESSURE ULCER PREVENTION Massage skin often. Use light circular stroke to increase circulation. 5.02

19 Nursing Fundamentals PRESSURE ULCER PREVENTION Use little or no pressure on bony areas. 5.02

20 Nursing Fundamentals PRESSURE ULCER PREVENTION Do NOT message a white, red, or purple area or put any pressure on it. 5.02

21 Nursing Fundamentals PRESSURE ULCER PREVENTION Be careful during transfers. Avoid pulling or tearing fragile skin. 5.02

22 Nursing Fundamentals PRESSURE ULCER PREVENTION Take YOUR jewelry off! This is just like a knife! 5.02

23 Nursing Fundamentals PRESSURE ULCER PREVENTION Keep YOUR nails short! This is just like a knife! 5.02

24 Nursing Fundamentals PRESSURE ULCER PREVENTION Keep YOUR nails short! This is safe. 5.02

25 25 IMMEDIATELY ANY CHANGE IN SKIN CONDITION! 5.02Nursing Fundamentals 7243

26 26 PRESSURE ULCER PREVENTIVE DEVICES  Bed cradle  Heel and elbow protectors  Flotation pads or cushions  Pillows  Water beds  Alternating pressure mattresses  Eggcrate mattresses 5.02

27 Nursing Fundamentals Pressure Ulcers: Stages Of Tissue Breakdown And Treatment Stage One - red, darkened or non-blanchable skin, which is still present 30 minutes after pressure relieved 5.02

28 Nursing Fundamentals Pressure Ulcers: Stages Of Tissue Breakdown And Treatment Stage One position off area and report; do not massage observe every 2 hours and report changes to supervisor 5.02

29 Nursing Fundamentals Pressure Ulcers: Stages Of Tissue Breakdown And Treatment Stage Two - addition of blister-like lesions; skin may be broken 5.02

30 Nursing Fundamentals Pressure Ulcers: Stages Of Tissue Breakdown And Treatment Stage Two position off area at all times,position off area at all times, report need for dressing changesreport need for dressing changes report odor, drainage, any change in sizereport odor, drainage, any change in size 5.02

31 Nursing Fundamentals Pressure Ulcers: Stages Of Tissue Breakdown And Treatment Stage Three - skin tissue is destroyed and fatty tissue may be involved; infection and eschar (scab) may result 5.02

32 Nursing Fundamentals Pressure Ulcers: Stages Of Tissue Breakdown And Treatment Stage Three continue prevention practices report any changes in area 5.02

33 Nursing Fundamentals Pressure Ulcers: Stages Of Tissue Breakdown And Treatment Stage Four - skin, fatty tissue destroyed and muscle and bone involved! 5.02

34 Nursing Fundamentals Pressure Ulcers: Stages Of Tissue Breakdown And Treatment Stage Four report any signs of systemic infection, including but not limited to: report any signs of systemic infection, including but not limited to: wound odorwound odor painpain elevated temperature with confusionelevated temperature with confusion 5.02


Download ppt "Understand nurse aide skills needed to promote skin integrity. Unit B Resident Care Skills Essential Standard NA5.00 Understand nurse aide’s role in providing."

Similar presentations


Ads by Google