Skin integrity

• What does skin integrity mean

  Skin integrity refers to skin health. A skin integrity issue might mean the skin is damaged, vulnerable to injury or unable to heal properly.
• What are the 3 layers of skin called?

  Epidermis, Dermis and Subcutaneous layer (hypodermis)
• Name 4 groups of people more at risk of compromised skin integrity

  Bariatric patients, oncology patients, critically ill patients, Premature babies, patients with paralysis or limited mobility, older patients
• Name 5 areas of the body more at risk of pressure ulcers

  Shoulders or shoulder blades, elbows, back of the head or rims of the ears, knees, ankles, heels toes, spine, tail bone, sacrum, under any medical devices e.g. NGTube , TED stockings.
• What does SSKIN stand for?

  Surface-make sure the patient has the right support Skin inspection – early inspection means early detection Kinetic/Keep moving Incontinence/moisture – need to be clean and dry Nutrition and hydration patients need to have the correct die
• 6 elements of the braden scale

  Sensory perception, moisture, activity, mobility, nutrition, friction and shear
• How many points do you need to score to be very high risk of a pressure sore on the Waterlow scale?

  20+
• How many stages are there in the European Pressure Ulcer Advisory Panel Grading?

  1-4
• Name 3 ways to prevent pressure sores/ ulcers in the first place

  Change position regularly, use specially designed mattresses and cushions, regular skin checks, stay active, eat healthily and have a good fluid intake, dry all areas properly, don’t use harsh soaps.
• Name 3 treatment options for pressure sores/ulcers

  Keep skin hydrated, keep skin moisturised, dressings, creams and gels specifically designed for sores to help them heal, antibiotics if the sore is infected.