For Nursing Assistant/UAP
Winward Ganu
NU 2530
July 23, 2014
Learning Needs/ Topics
Diagnosis
Risk Factors
Available Resources
Learning Objectives
Teaching Strategies
Implementation/Rationale
Evaluation
1. Impaired skin integrity: stage I or II pressure ulcer.
Related to: physical immobility, mechanical factor (e.g.. friction, pressure,) altered circulation, medication, moisture
2. Impaired Tissue Integrity: stage III or IV
Pressure ulcer
Related to: altered circulation, dehydration, nutritional
3. Imbalanced nutrition: less than body requirement inability to absorb nutrients
4. Risk for infection inadequate primary defenses, (broken skin, traumatized tissue, changes in pH secretions), malnutrition, tissue destruction
5. Acute pain: related to injury agents (physical, biological and psychological
1. Age. The normal aging process changes the skin and the blood circulation. The old person’s skin can be dry and very fragile. It can get irritated; it can break open into a sore and can even tear very easily. 2. Lack of Mobility. Pressure ulcers occur when people are not up walking. They form when a person stays in the bed, chair or wheelchair for a long time.
3. Poor diet. Patients and residents with a poor diet are at risk for pressure ulcers. The skin and other tissue, as well as the rest of the body, does not get the food and nutrition it needs to be healthy and without injury if the diet is not good.
4. Moisture. Patients who are wet are at risk for pressure ulcers. Patients that is incontinent of urine or stool. This softness leads to skin breaks.
5. Mental, neurological and other physical problems. When a patient or resident is confused, very sleepy, they may not turn like other alert patients normally do even when they
References: Ackley, B.J., Ladwig, G. B (2011) Nursing Diagnostic Handbook (9th Ed) St. Louis Potter, P. A., Perry, A. G., Stockert, P.A., & hall, A.M. (2013) Fundamentals of Nursing (8thEd) St. Louis, MO Mosby Inc Preventing Pressure Ulcers. Nursing Assistant Education (2014). Retrieved from http://www.nursingassistanteducation.com/site/courses/eng/nae-pup-eng.php