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Skin Integrity

Horizontales
A type of wound with a broken skin surface
Body's first line of defense against organisms
Skin integrity Risk-Assessment scale
Wet to dry dressings are used to do this to a wound.
Stage of wound healing where granulation tissue is formed
The force that occurs when 2 surfaces rub together
Stage of pressure ulcer with partial thickness skin loss and exposed dermis
Stage of pressure injury with full thickness loss and possible adipose or granulation tissue
Type of non-adherent dressing that does not stick to the wound
Results one one layer of tissue slides over another
Type of injury that causes localized damage to the skin or underlying tissue often occurring on a bony prominence
Stage of wound healing where blood vessels constrict and clotting begins.
Verticales
An occlusive dressing that swells in the presence of exudate and prevents evaporation of moisture from the skin
Stage of pressure ulcer with non-blanchable erythema
Layer of skin consisting of nerves, hair follicles and blood vessels
Viscera protrudes through an open incision
When staging of a wound cannot be confirmed because of sloughing or eschar
Layer of the skin where adipose tissue is found
Stage of wound healing where the edges are well approximated
Type of wound that includes ecchymosis or hematoma
Stage of wound healing where the edges are not well approximated (pressure ulcer)
Outermost layer of skin
Partial or total separation of the wound layers due to excessive stress on a wound
Self-adhesive transparent film used typically for IV sites or small superficial wounds
Stage of pressure injury with full thickness skin and tissue loss. Exposed muscle, tendon, cartilage or bone may be present