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Preventing Skin Breakdown (Please fill in every box)ACTIVE LEARNING TEMPLATE: Basic Concept REVIEW MODULE CHAPTER STUDENT NAME CONCEPT Underlying Principles Nursing Intervention

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Ans) Prevention of Skin Breakdown:

Related concept:

• Use pressure-reducing surfaces and devices (overlays; replacement mattresses; specialty beds; kinetic therapy; foam, gel, or air cushions).

• Avoid skin trauma Maintain skin hygiene

• Encourage proper nutrition

Underlying principle:

Risk factors-

- Aging skin

- Immobility

- incontinence

- excessive moisture- Skin friction, shearing-

- Vascular disorders

- Obesity

- Inadequate nutrition, hydration

- Anemia

- Fever, dehydration

- Impaired circulation

- Edema

- Sensory deficits

- Impaired cognitive functioning, neurologic disorders (diabetes mellitus, chronic kidney disease, heart failure, chronic lung disease.)

- Sedation that impairs spontaneous repositioning.

- Avoid skin trauma- Keep skin clean, dry and intact. Provide a firm wrinkle free linens.- Reposition the clint in bed at least every 2 hours and every hour in a chair.

- Prevent mechanical Injury.

- Eat a healthy diet.

- Develop a good home rehabilitation program.

- Avoid prolonged pressure on any one spot.

- Use therapeutic surfaces.

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