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• intact or non intact localized area of persistent non blanchable deep red maroon, purple discoloration, or epidermal separation revealing a dark wound bed or blood-filled blister

  deep-tissue pressure injury
• occurs when skin or underlying tissue are subjected to sustained or shear from the medical devices or equipment

  medical device related injury
• particularly vulnerable to MDRI

  critically ill patient or neonates
• most MDRI are commonly found in what body places?

  face, head region and ears
• most common devices linked to MDRI are?

  oxygen tubing or mask
• tape and other related medical adhesives, such are those used in to secure ostomy devices, can cause skin injury

  medical adhesive-related injury
• it occurs when the attachment is between the skin and an adhesive is stronger than the skin cell, causing the surface epidermal to detach from the underlying layer

  MARSI
• A disruption of the integrity from the function of tissue in the body

  wound
• may result from a trauma to the skin causing laceration or puncture or from a surgical intervention

  wound
• skin remains intact but underlying tissue may be damage e.g contusions, hematomas, stage 1 pressure injury

  closed wound
• skin is split, incised, or cracked and underlying tissue is exposed

  open wound
• surgical incision heals by?

  primary intention
• stage 2 pressure injury, or severe laceration heals by?

  2nd intention
• best environment of wound healing

  moist and free from necrotic tissue and infection
• sufficient for cleansing clean wound

  water or saline
• was once widely used but is now known to cause tissue damage

  hydrogen peroxide
• when any wound is contaminated with debris, necrotic tissue, or heavy drainage use a clear that is noncytotoxic to health tissue
• accomplished by the choice of dressing and the use of enzyme preparation or surgical or laser techniques

  debridement