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NUR 1022C Week 10
5 Rights of Delegation
Innate Immune Protection
Synthesize Vitamin D
Water and Salt Excretion
Dilated Capillaries are a Blood Reservoir
Friction and Shear
Interventions for Impaired Skin Integrity
Signs of Skin Breakdown
Decreased Skin Turgor
Maintain Clean and Dry Skin
Adequate Nutrition and Hydration
Stage 1 - Non-Blanchable Redness
Stage 2 - Partial Thickness
Stage 3 - Full Thickness Skin Loss
Stage 4 - Full Thickness Tissue Loss
Possible Deep Tissue Injury
Skin Color Alterations
Remove Necrotic Tissue Before Staging
Types of Wound Healing
Types of Wounds
Edges Not Approximated
Delayed Closure due to Infection and Necrosis
Wound Drainage Types and Devices
Record Drainage Amounts
Check Device Function
R.I.C.E. (Treating Soft Tissue Injury)
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