Ulcer Stages and colors Crossword
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Down:
1) Full thickness loss. Subcutaneous fat may be visible, but bone tendon or muscle are not exposed. Bone/tendon is not visible or directly palable. Slough may be present, but does not obsucre the depth of tissue loss. May include tunneling2) Intact skin with nonblanchable redness of a localized. Usually over a bony prominence. Area may be painful, firm, soft, warmer or cooler as compared to the adjacent tissue3) Cleanse
Indicates the presnces of exudate or slough and requires wound cleaning. OOzing from the tissues covering the wound. To clean the wound needs irrigating, using wet to moist dressing, nonadhrent, hydrogel or other absorptive dressing. Consult doctor about topical antimicrobial 5) Full thickness loss with exposed bones and tendons or muscles, exposed bones and tendons. Sloughs or eschar may be present on some or parts of the wound bed. Often include tunneling. 6) Presence of a necrotic tissue. The eschar requires removal before the wound can heal. These wounds are often cared for by advanced practice nurses. Eschar may be removed by a shar debridement, mechincal debridment, chemical debridement, or autolytic debridment ( a dressing). |
Across:
4) Full thickness loss in which the base of the ulcer is covered by slough in the wound bed. 7) Atrial thickness, loss of dermis presenting as a shallow open ulcer wtih a red pink wound bed without, slough. Presents as a shiny or dry shallow ulcer w/o slough or bruisng. May also present as an intact or open rutpure serum filled blister. 8) Protect. Prolivertative stage of healing and reflect the color of normal granulation tissue. Wounds in this stage needs protection with nursing interventions that include gentile cleansing, use of moist dressings, applications of transparent or hydocoolid dressing |
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