NUFT - 204: (Exam 2) Skin Integrity & Wound Care Study Guide 2024

epidermis - top layer of skin dermis - inner layer of skin + collagen dermal-epidermal junction - separates dermis and epidermis names for pressure ulcers - pressure sore, decubitus ulcer, or bed sore tissue ischemia - death of skin bc lack of blood flow blanching - skin goes pale when pressed then goes back to pink when released (think nails) risk factors for pressure ulcer development - Impaired sensory perception Impaired mobility Alteration in LOC Shear Friction Moisture friction - *superficial / visible injury* = the mechanical force exerted when skin is dragged across a coarse surface (such as bed linens) shear - *internal injury* = affected by the amount of pressure exerted, the coefficient of friction between the materials contacting each other, and the extent to which the body makes contact with the support surface classification of pressure ulcers - Stage I Stage II Stage III StageIV Unstageable