natcep day 30
TRANSCRIPT
Special Skin Care NATCEP Day Thirty
ObjectivesPractices related to:Prevention
ImprovementTreatment
Risk Factors• Need help moving or confined to bed or wheelchair• Altered mental awareness• Loss of bowel or bladder control• Poor nutrition or fluid balance• Problems sensing pain or pressure• Circulatory problems• Age-related conditions• Obese or very thin
Signs and Symptoms• Skin will be:• Reddened or discolored• Warm• Tender/painful/feeling of burning• Blister• Open areas• Pressure• Skin Tear• Damage may be underneath: skin will feel “mushy”
Locations Prone to Breakdown
Skin Tears• Causes• Friction• Shearing• Skin slides over muscle and bone causing friction, abrasion, and a decrease in circulation• Pulling or pressure on skin
Skin Tears• Prevention• Remove gloves before transferring• Follow agency policies related to nails & jewelry• Do not use any equipment that is broken or has sharp edges. REPORT!• Follow plan of care and safety rules to lift, move, position transfer, bathe and dress the person
General PreventionPosition & turn the resident every 2 hoursRemove the bedpan promptly!Keep linens and clothing wrinkle-free and free from excessive padding. Apply pressure-relieving devices per plan of careKeep head of bed 30 degrees or lower if allowed by care plan
Pressure Relieving Devices
Pressure Relieving Devices
Pressure Relieving Devices
Pressure Relieving Devices
General PreventionLift instead of sliding Check for sources and moisture every 2 hours and remove: incontinence, wound drainage, perspiration
Clean up urine or feces immediately.Wash and rinse skin; dry thoroughlyApply lotions or cream as indicated per the plan of care