There’s a strange, mysterious world inside us, an alien-looking environment that turns the food we eat into nutrients that keep us alive. Michael Mosley swallows a camera to take a closer look.
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Celebrity trainer Peter Lee Thomas shares stomach vacuuming is an ancient form of breathing that’s been around for thousands of years. He shares that people who practice yoga know about this and if you have issues with digestion, this breathing is great to way to help jumpstart your digestion. The idea is to bring your stomach towards your spine. Peter Lee Thomas shares a few breathing techniques like power breathing, kundalini breath of fire, and stomach vacuuming.
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Pressure injuries (formerly called pressure ulcers) education on stages, prevention, nursing interventions, and common pressure ulcer sites NCLEX review.
In this video, I will discuss Stage 1, 2, 3, 4 pressure injuries along with unstageable pressure injuries and deep-tissue injuries.
What is a pressure injury?
It is the breakdown of skin integrity due to unrelieved pressure of some type. This can be from a bony area on the body that comes into contact with a hard surface or a medical device of some type causing unrelieved pressure. In addition, pressure injuries can develop due to friction and shear.
What are the most common sites on the body for pressure injuries? (Note: as the nurse always be aware of your patient’s position)
Heels and Ankles
Hips
Sacral
Elbow
Shoulder
Inside of the knee
Occipital (back of head) and Ears
Stages of Pressure Injures (based on National Pressure Injury Staging System)
Stage 1: Skin is completely intact! The area will be very red but it does NOT blanch (hence turn white when pressed on).
Stage 2: Skin is visibly damaged and NOT intact with PARTIAL loss of the dermis. No subq (fatty tissue) will be visible. Wound may be opened with superficial red/pink opened ulcer or may have the formation of an opened or closed blister.
Stage 3: Skin is visibly damaged and NOT intact with FULL loss of the skin tissue. May see the subq (fatty tissue). Wound edges may be “rolled” away (epibole). Bone, tendon and muscle NOT visible.
Stage 4: Skin is visibly damaged with FULL loss of the skin tissue that will expose bone, muscle, tendon, and ligaments.
Unstageable: Slough (yellowish or tan) or eschar (brownish black) is covering a full thickness ulcer. You can’t assess the actual depth of the wound because of the slough or eschar covering the ulcer.
Deep-Tissue Injury: Presents as purplish or blackish areas over skin that is intact. The fatty tissue below is injured. Also, may look like a black blister area. It may feel heavy or spongy.
Nursing Interventions for Pressure Injuries: Prevention, Detection, and Wound Care!
Nursing School Supplies: http://www.registerednursern.com/the-ultimate-list-of-nursing-medical-supplies-and-items-a-new-nurse-student-nurse-needs-to-buy/
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How to identify ICD-10-CM codes for IEP related services.
Center for Medicare & Medicaid Services (CMS) – ICD-10:
https://www.cms.gov/Medicare/Coding/ICD10/index.html?redirect=/icd10
Centers for Disease Control and Prevention (CDC) – ICD-10:
http://www.cdc.gov/nchs/icd/icd10cm.htm
DHS and MDE joint guidance document:
https://edocs.dhs.state.mn.us/lfserver/Public/DHS-7092-ENG
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