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CNA Inservice

The document discusses pressure ulcers, including their causes, prevention, and stages. It aims to teach CNAs to identify the causes of pressure ulcers as reduced blood flow due to pressure on the skin, recognize at-risk areas, and implement prevention methods like repositioning patients every two hours and managing incontinence. It also defines the four stages of pressure ulcers from non-blanching redness in Stage 1 to damage of muscle and bone in Stage 4. A short quiz evaluates the learning objectives.

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552 views13 pages

CNA Inservice

The document discusses pressure ulcers, including their causes, prevention, and stages. It aims to teach CNAs to identify the causes of pressure ulcers as reduced blood flow due to pressure on the skin, recognize at-risk areas, and implement prevention methods like repositioning patients every two hours and managing incontinence. It also defines the four stages of pressure ulcers from non-blanching redness in Stage 1 to damage of muscle and bone in Stage 4. A short quiz evaluates the learning objectives.

Uploaded by

GeorgeWazu
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPT, PDF, TXT or read online on Scribd
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Pressure Ulcers and You

11/14/2012 Ross Health Care Center G.T. Waszkiewicz, SN/SCCC

Objectives
1. At the conclusion if this in-service the CNAs will be able to identify the causes of pressure ulcers. 2. At the conclusion if this in-service the CNAs will be able to identify ways to prevent pressure ulcers in an at risk patient. 3. At the conclusion if this in-service the CNAs will be able to differentiate between a 1st and 2nd Stage pressure ulcer. 4. At the conclusion if this in-service the CNAs will be able to differentiate between a 3rd and 4th Stage pressure ulcer.

Objective #1- Causes of Pressure Ulcers.


A pressure ulcer is an area of skin that breaks down when something keeps rubbing or pressing against the skin. This pressure on the skin reduces blood flow to the area. Without proper blood flow, the skin will slowly die and an ulcer will form.

Objective #1 cont.

Objective #1 cont.
Areas at risk: Back of head Back Shoulders Elbow Hips Ankles Heels

Objective #2- Pressure Ulcer Prevention


Turn and Position Q 2 H Managing incontinence. Urinary or bowel incontinence should be managed to prevent moisture and bacterial exposure to skin. Protecting skin. Skin that is vulnerable to excess moisture can be protected with talcum powder. Dry skin should have lotion applied.

Objective #2 cont.
Protecting bony areas. Bony areas can be protected with proper positioning and cushioning. Lie on an angle with cushions supporting the back or front. Use cushions to relieve pressure against and between the knees and ankles. Heels can be cushioned or "floated" with cushions below the calves. Fluids. Adequate hydration is important for maintaining healthy skin. Some signs of dehydration are decreased urine output, darker urine, dry or sticky mouth, thirst, dry skin, or constipation. Feeding assistance. Help those with limited mobility or significant weakness with eating in order to get adequate nutrition.

Objective #3- Stage 1 Pressure Ulcer


Stage 1: A reddened area on the skin that, when pressed, does not blanche (turn white). On darker skin, pigment may be darker rather than red. This is a sign that a pressure ulcer is starting to develop.

Objective #3 Stage 2 Pressure Ulcer


Stage 2: The skin blisters or opens up forming a sore. The area around the sore may be red or have a darker pigment and look irritated.

Objective #4 Stage 3 Pressure Ulcer


Stage 3: The skin now develops an open, sunken hole called a crater. There is damage to the tissue below the skin. Tunneling and undermining mat be present.

Objective #4 Stage 4 Pressure Ulcer


Stage 4: The pressure ulcer has become so deep that there is damage to the muscle and bone, and sometimes to tendons and joints. Tunneling and undermining are present as well as eschar.

Circle the most correct response.

Quiz

1. By reducing blood flow to an area of skin, the skin will become (healthier / will slowly die). 2. (True/False) Boney areas should be padded to prevent excessive pressure which leads to pressure ulcer formation. 3. (Stage 1/Stage 2) is identified by a reddened area on the skin that, when pressed, does not blanche (turn white). 4. (Stage 3/Stage 4) pressure ulcer has become so deep that there is damage to the muscle and bone.

Teacher Evaluation

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