Lecture Outline Figures, Tables, and Resources and In-Class Outside Assignments/ Notes Instructor’s Features Activities Evaluation Text PPT Content page slide Make sure your students 28–29 Figures Pre-Lecture Quizzes Written Assignments 31-4 Common sites Fill-in-the-Blank Visit a health care understand pressure ulcer 968 for development of facility to assess and A __________ ulcer, a formation and the underlying pressure ulcers, p. 967 document the condition causes of pressure ulcers. Review localized area of injury to of a patient recovering the skin, may develop the factors that place patients at 31-5 Shearing forces from a serious wound. when soft tissue is risk for pressure ulcers (aging can occur when a Write a brief report compressed between a skin, chronic illnesses, patient is moved discussing the process bony prominence and an immobility, malnutrition, fecal carelessly or slides of wound healing, the and urinary incontinence, altered external surface. down in bed, p. 967 factors that affect this level of consciousness, spinal Patients who are pulled, process, and the cord and brain injuries, rather than lifted, when Boxes condition of the wound neuromuscular disorders). being moved up in bed or 31-2 Risk Factors for assessed. Discuss the mechanisms that from the bed to the chair Pressure Ulcer contribute to pressure ulcer are at risk for injury from Development, p. Group Assignments development including external ____________ forces. Interview experienced pressure, friction, and shearing nurses in various health forces. Discussion Topics care settings about their Outline strategies to prevent experience with caring pressure ulcer development in for patients with patients. pressure ulcers. Then, answer the following Case Studies related questions and You are a visiting nurse caring share your findings in a for a 32-year-old writer who class discussion: became paraplegic as a result What types of of a motorcycle accident 1 year patients may be ago. He is recovering from a predisposed to the subsequent depression; your condition? visits are to monitor not only What factors his emotional outlook but also contribute to the to encourage his hygienic development of and offer strategies for his pressure ulcers? success. He wears a leg bag What treatment do and is incontinent of stool. You are monitoring a red spot on you find most
Lecture Outline Figures, Tables, and Features Resources and In-Class Activities Outside Assignments/ Evaluation Instructor’s Notes Content Text page PPT slide Make sure your students understand pressure ulcer formation and the underlying causes of pressure ulcers. Review the factors that place patients at risk for pressure ulcers (aging skin, chronic illnesses, immobility, malnutrition, fecal and urinary incontinence, altered level of consciousness, spinal cord and brain injuries, neuromuscular disorders). Discuss the mechanisms that contribute to pressure ulcer development including external pressure, friction, and shearing forces. 28–29 Figures 31-4 Common sites for development of pressure ulcers, p. 967 31-5 Shearing forces can occur when a patient is moved carelessly or slides down in bed, p. 967 Boxes 31-2 Risk Factors for Pressure Ulcer Development, p. 968 Pre-Lecture Quizzes Fill-in-the-Blank A __________ ulcer, a localized area of injury to the skin, may develop when soft tissue is compressed between a bony prominence and an external surface. Patients who are pulled, rather than lifted, when being moved up in bed or from the bed to the chair are at risk for injury from ____________ forces. Discussion Topics Outline strategies to prevent pressure ulcer development in patients. Case Studies You are a visiting nurse caring for a 32-year-old writer who became paraplegic as a result of a motorcycle accident 1 year ago. He is recovering from a subsequent depression; your visits are to monitor not only his emotional outlook but also to encourage his hygienic and offer strategies for his success. He wears a leg bag and is incontinent of stool. You are monitoring a red spot on Written Assignments Visit a health care facility to assess and document the condition of a patient recovering from a serious wound. Write a brief report discussing the process of wound healing, the factors that affect this process, and the condition of the wound assessed. Group Assignments Interview experienced nurses in various health care settings about their experience with caring for patients with pressure ulcers. Then, answer the following related questions and share your findings in a class discussion: What types of patients may be predisposed to the condition? What factors contribute to the development of pressure ulcers? What treatment do you find most