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Pressure Injuries
Norton Risk Assessment Scale

Braden Scale for Predicting


Pressure Sore Risk
Stage 2: Partial- Stage 4: Full-

Thickness Skin Thickness Skin


Discoloration Loss With Exposed and Tissue Loss

Unstageable
Stage 1:
Stage 3: Full- Pressure Injury:
Non-blanchable Thickness Obscured
Erythema of Skin Loss FullThickness
Intact Skin Skin and Tissue
Loss

Pressure Injuries

 povidone iodine  Gauze Foam dressings


 cadexomer iodine  Hydrogel
 silver sulfadiazine  Transparent film dressing
 Hydrocolloid dressing

 polyhexanide and betaine


 chlorhexidine  Transparent film dressing
 sodium hypochlorite  Hydrocolloid dressing
 acetic acid

Education

 Risk
Pressure Injuries 

Assessment

 Repositioning
and
  Mobilization

Skin Care 


Nutrition

OLIQUIANO, ANNA JEAN H. BSN 3A


NCM 114: CARE OF THE OLDER ADULTS

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