Unit 229 Nvq Level 2 Health and Social Care

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Unit 229 1:1 There are 4 stages in relation to the skin breaking down which causes pressure sores, it’s important that the correct staging is done because this determines the sort of medical treatment an individual may require. (Stages below). STAGE 1 Skin may appear reddened like a bruise. The integrity of the skin remains intact-there are no breaks or tears, but the area is at high risk of further breakdown. STAGE 2 Skin breaks open, wears away and forms an ulcer. STAGE 3 The sore worsens and extends beneath the skin surface, forming a small crater. There may be no pain at this stage due to nerve damage. The risk of tissue death and infection are high. STAGE 4 Pressure sores progress, with extensive damage to deeper tissues (muscles, tendons and bones). Serious complications, such as osteomyelitis (infection of the bone) or sepsis (infection carried through the blood) can occur. 1:2 Common places where pressure sores are likely to develop are, back of head and ears, elbows, lower back and sacrum, shoulders, hips, heels and the inner knees. 1:3 Factors that put individuals at risk of skin breakdown and pressure sores are confinement to a bed, chair or wheel chair, Inability to change positions without help, loss of bowel or bladder control, poor nutrition and/or dehydration and decreased mental awareness. 1:4 By using incorrect moving and handling techniques one might put residents at risk. This can happen when residents are moved in to: : Chairs- they may be unable to get out of it .The seat surface, covering or padding may cause uneven distribution • Wheelchairs which may be ill-fitting, causing pressure. Skin may be damaged on contact with protrusions such as footplates. • Beds Confinement to bed can make the resident unable to alter position in bed. • When using glide sheets, this can make Skin contact when the sheet is placed, fabric
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