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1. What skin care need of the bariatric patient is described below?
More prone to wear/tear injuries due to inc weight. Pain in feet requires
prompt attention. Podiatry consultation, PT, exercise, orthotics, braces,
special designed shoes may be needed
a. foot dysfunction
b. bariatric equipment
c. safe patient handling
d. bariatric sensitivity programs
- Correct Answer: a
2. What skin care need of the bariatric patient is described below?
Must meet weight capacity & width of patient:
o Bed, bedside chair, w/c, recliner, commode, walker
o Hospital gowns, bedpans, under pads, catheters
o Visitor accommodations
a. foot dysfunction
b. bariatric equipment
, c. safe patient handling
d. bariatric sensitivity programs
- Correct Answer: b
3. What skin care need of the bariatric patient is described below?
o Obtain staff assistance, Utilize specialty pannus & limb slings, lifts devices
a. foot dysfunction
b. bariatric equipment
c. safe patient handling
d. bariatric sensitivity programs
- Correct Answer: c
4. What skin care need of the bariatric patient is described below?
o Prejudice & bias are significant issues; major barrier to health seeking
o Respect & sensitivity is needed from all healthcare providers
a. foot dysfunction
b. bariatric equipment
c. safe patient handling
d. bariatric sensitivity programs
- Correct Answer: d
5. What are risk factors for patients with spinal cord injuries to develop
pressure injuries?
- Correct Answer: •Immobility & Inactivity
•Impaired blood flow & oxygenation below the level of injury
,•Muscle atrophy & Changes in shape of the bony prominences
•Affect normal weight bearing and tissue loading
6. What are pressure injury prevention measures for patients with a spinal
cord injury?
Address Biological, Behavioral, & Social Factors
•Multidisciplinary Team is Required
•Resources for Clinician & Patient
•Paralyzed Veterans of America (PVA)
•SCIRE (Spinal Cord Injury Rehabilitation Evidence)
o Need to learn 'Clean' transfers with gentle landing
o Bed position changes-prone preferred
o Assistive devices/wedges
o W/C Weight Shifts
o Daily Skin Checks
o pH balance cleansing
o Management of bowel/bladder incontinence
o Nutrition
o Management of systemic co-morbidities
o Spasticity management & autonomic dysreflexia (AD) triggers
o Maintenance of DME equipment & proper fitting
7. Why is there an increased risk for impaired wound healing in spinal cord injury
patients?
- Correct Answer: Vascular changes
8. •↓ TcPO2 levels (5xs less than innervated tissue)
Decreased collagen & ECM production
, - Correct Answer: Reduced quality of collagen
9. More type III vs. Type I so less tensile strength
- Correct Answer: Reduced fibronectin production
10. Less phagocytosis, less fibroblast function, less ECM formation
- Correct Answer: Constant inflammatory state
11. List some management guidelines for SCI patients.
- Correct Answer: advanced technologies:
•E-Stim
•Platelet-rich Plasma or Gel (PRP)
•NPWT
•Skin or Tissue Flap Surgery (specialty bed post surgery i.e., low or air fluidized
bed to reduce shear forces for several weeks)
12. what is the definition of palliative care?
- Correct Answer: approach to care that improves QOL for patients and
families facing problems associated with life-threatening illness. (WHO, 2011)
Hospice focuses on end-of-life; Palliative Care is more comprehensive and involves
supportive care early in the course of illness.
13. What is the indication for palliative care?
- Correct Answer: When the shift in care moves from Healing to Symptom
control
because of patient's general health status.