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?
- ______
2. ______
Give two examples of prolonged pressure
- ______
- ______
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
- ______
- ______
- ______
- ______
- ______
- ______
- ______
- ______
- ______
- ______
- ______
- ______
- ______
- ______
- ______
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: Stages of Pressure Injuries
List what you will see in a Stage One Pressure Injuries
1. ______
2. ______
3. ______
List what you will see in Stage 2 pressure injury?
1. ______
2. ______
List what you will see in a Stage 3 pressure injury
1. ______
2. ______
3. ______
4. ______
5. ______
6. ______
List what you will see in a Stage 4 pressure injury
1. ______
2. ______
3. ______
4. ______
5. ______
List 10 important notes about pressure injuries
1. ______
2. ______
3. ______
4. ______
5. ______
6. ______
7. ______
8. ______
9. ______
10. ______
List 3 things you need to report if a person has a pressure injury?
1. ______
2. ______
3. ______
Segment 8: Pressure Area Development
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. ______
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