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Kansas Reynolds Program in Aging Residency Education Project Curriculum Design: Shelley Bhattacharya, D.O, M.P.H. Question Design: Shelley Bhattacharya, D.O., M.P.H. and Jana Zaudke, M.D. Based on the game show Jeopardy!. Geripardy: Pressure Ulcers. Geripardy. Click Here to Start.
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Kansas Reynolds Program in Aging Residency Education Project Curriculum Design: Shelley Bhattacharya, D.O, M.P.H.Question Design: Shelley Bhattacharya, D.O., M.P.H. and Jana Zaudke, M.D.Based on the game show Jeopardy! Geripardy: Pressure Ulcers
Geripardy Click Here to Start Click here for Final Geripardy
Staging of Ulcers ACOVE Indicators Complications Of Ulcers Risk Factors For Ulcers Prevention of Ulcers $10 $10 $10 $10 $10 $20 $20 $20 $20 $20 $30 $30 $30 $30 $30 $40 $40 $40 $40 $40 $50 $50 $50 $50 $50
Full thickness skin loss with extensive destruction i.e. damage to muscle, bone, tendon
Partial thickness skin loss involving epidermis, dermis or both.
Full thickness tissue loss in which slough or eschar cover the base of the ulcer
As of 10/1/07, care for this condition is no longer reimbursed for by Medicare if obtained during hospital setting
What are the ACOVE Indicators – Assessing Care Of Vulnerable Elders?
Should be instituted if the patient is at risk for a pressure ulcer and malnourished
If the patient is at risk for pressure ulcer, then this must occur within 12 hours of admission
To be performed upon admission if the patient has limited ability to reposition
Localized infection can lead to this potentially deadly complication of pressure ulcers
This is the mortality rate in older persons who develop a pressure ulcer within 1 year of hospital discharge
The extent with which ulcers interfere with a patient’s ability to perform basic ADL’s depends on this factor
Topical preparations are responsible for this complication associated with pressure ulcers
A predictor of delayed healing and also a chronic complication of pressure ulcers
Factors that are physiologic or related to disease states that increase the risk for pressure ulcer development
Risk factors that lead to damaged skin due to external factors
What is urinary and fecal incontinence?Or, what is substance abuse?
1 cigarette leads to this percentage decrease in local oxygen within 1 hour
A method for assessing risk by evaluating: sensory perception, moisture, activity, mobility and nutrition
The frequency for repositioning to prevent mechanical loading and thus pressure ulcers
What is 20% of all pressure ulcers ? Pay special attention to heels!!
One method for preventing pressure ulcers that has shown a 60% relative risk reduction via a meta-analysis of 5 RCT’s
In addition to decreasing mechanical loading, and providing appropriate support surfaces, this is an evidence-based approach to prevention of pressure ulcers