NUR 631 Topic 14 Discussion Questions with Answers

NUR 631 Topic 14 Discussion Questions with Answers

NUR 631 Topic 14 Discussion Question 1

Select two of the following discussion questions for your discussion response. Indicate which questions you have chosen using the format displayed in the “Discussion Forum Sample.”

  1. Both osteoarthritis and rheumatoid arthritis present with several of the same manifestations such as joint pain and stiffness. How can a provider differentiate between the two?
  2. A child born with osteogenesis imperfecta is at risk for pathological fractures. Explain the pathophysiology of this disorder and the … risk factors.

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NUR-631 Topic 14 Discussion Question 2

Select two of the following discussion questions for your discussion response. Indicate which questions you have chosen
using the format displayed in the “Discussion Forum Sample.” (Answers for All Questions Included)

  1. Articulate the differentiation between the stages of skin breakdown associated with immobility.
  2. Rhabdomyolysis is a rapid breakdown of muscle. Detail the pathophysiology behind rhabdomyolysis.
  3. Explain the difference between basal and squamous cell carcinoma of the skin.

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ADDITIONAL INFORMATION;

Articulate the differentiation between the stages of skin breakdown associated with immobility.

Introduction

When you’re in a bedridden state, the skin on your body is prone to breakdown. This can happen when you’re immobile, which leads to breakdown of the dermis and epidermis layers. The stages of skin breakdown associated with immobility are as follows:

Stage I:​ Erythema

Stage I: Erythema

The first stage of skin breakdown is erythema—redness and warmth. Skin may be painful and dry, with flaky skin that feels warm to the touch. This can happen anywhere on the body but most commonly occurs in areas where there is a lot of pressure or friction (such as elbows). The victim may also complain about itching or burning sensations, which may be worse at night than during the day when they are moving around more often.

This is a sign that skin is breaking down and needs to be cooled. If you see your loved one’s skin turning red, swollen, or warm to the touch, this could be an indicator of pressure ulcers. Erythema may also be an early sign of cellulitis (a bacterial infection).

Stage II:​ Blistering

Blistering is the appearance of a fluid-filled lesion on the skin. Blisters are caused by friction and shearing forces, both of which can occur during immobility. The act of sitting or lying down causes pressure on your body, which affects your skin’s moisture level and leads to blister formation.

There are two types of blisters: epidermal and dermal. Epidermal blisters appear on the surface of your skin, while dermal blisters occur deeper in the tissue. Both types can be painful and cause bleeding if ruptured.

To prevent blisters, it’s important to maintain proper skin hygiene. First of all, avoid wearing tight clothing that rubs against your skin. Second, make sure to use the bathroom before sitting down for long periods of time and drink plenty of water during those times as well.

Stage III:​ Ulceration

Stage III: Ulceration

This is the most severe form of skin breakdown and can be characterized by a crater or deep fissure in the skin that extends down to the muscle and bone. Ulcers are often very painful, especially when they are infected with bacteria (staphylococcus) or fungi (candida). If left untreated, ulcers can become serious enough to require surgery for closure.

Most skin breakdowns occur on the heels, which are the most weight-bearing area of the body. The pressure of walking can cause friction and chafing between your foot and shoe, which can lead to a blister. If you have poor circulation or are overweight, your feet may be more prone to ulceration because there’s less blood flow to help heal wounds.

The first sign of skin breakdown is usually a blister, which can be caused by friction against your shoe or the ground. The blister itself is a fluid-filled pocket that forms when the dermis separates from the epidermis and releases fluid from its capillaries.

Stage IV​: Full-thickness tissue loss and damage to the underlying muscle, tendon, or bone

Stage 4: Full-thickness tissue loss and damage to the underlying muscle, tendon, or bone

This stage is considered more serious than any other. It can lead to amputation if left untreated. It’s caused by a combination of factors, including poor circulation and pressure sores from immobility.

The skin may become bluish-purple in color, and the area may feel cold or numb to the touch. If you notice any of these symptoms, it’s important to seek medical attention immediately.

5: Sepsis – A medical condition caused by bacteria or viruses entering the bloodstream. It can lead to organ failure and death if not treated in time.

There are four stages of skin breakdown associated with immobility.

The four stages of skin breakdown associated with immobility are erythema, blistering, ulceration and full-thickness tissue loss and damage to the underlying muscle, tendon or bone.

Erythema is the first sign of a skin breakdown. It can be seen on the first day after immobility has been prolonged for more than 24 hours. The skin appears red or pinkish because blood vessels have dilated and capillaries are leaking fluid into surrounding tissue.[1] Blistering appears as small pustules (blisters) that rupture easily without leaving any scarring behind[2]. Ulceration occurs when there is bleeding under pressure from within tissues rather than external injury[3]. Full thickness tissue loss and damage to underlying muscle tendons or bones take place after prolonged immobility[4].

Conclusion

It is important to acknowledge the stages of skin breakdown associated with immobility, because they can be helpful in identifying the cause of your injury and developing a treatment plan. With proper care, you may be able to avoid having any problems at all!


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