护士英语沙龙 ——压力性损伤(压疮).pdf

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1、EglshalnZhangYanchun,LiMeihong2014.8.23河南宏力医院护士英语沙龙Part1Self–introduction（自我介绍）Part2Freediscussionofpressureulcer（关于压疮的自由讨论）Literature1（文献1）FrictionInducedSkinInjuries–AreTheyPressureUlcers?摩擦导致的皮肤损伤——是压疮吗？Question1whathaschangedtothedefinitionofpressureulcer?压疮的定义发生了什么变化？

2、NPUAP(2007)definedapressureulcerasa“…localizedinjurytotheskinand/orunderlyingtissueusuallyoverabonyprominence,asaresultofpressure,orpressureincombinationwithshearand/orfriction.”剪切力、摩擦力NPUAP(2009)definesapressureulcerasa“…localizedinjurytotheskinand/orunderlyingtissueusual

3、lyoverabonyprominence,asaresultofpressure,orpressureincombinationwithshear.”剪切力Question2whatisfriction?什么是摩擦力？Therearetwotypesofdryfriction–staticanddynamic（摩擦力有静态和动态摩擦力两种）Dynamicfrictionexistswhenapersonisslidinginbedorwhentheirfootrubsagainsttheinsideofashoeandmightresul

4、tsintheformationofblisters,skintags,abrasions,skintears,andacuteskintrauma,andmaybemisdiagnosedasapressureulcer.（当患者在床上滑动或脚与鞋子内部产生摩擦时，会存在动态摩擦力，这种摩擦可能导致形成水泡、皮肤赘肉、擦伤、皮肤裂伤、急性皮肤创伤，而这些可能会被误诊为压疮。）Question3whyfrictionwasremovedfromthedefinitionofpressureulcer?为什么把摩擦从压疮定义中删除？Frict

5、ionappearstobeanimportantfactorbecauseitmayleadtoharmfulshearstressandstrain.Toincludefrictionwouldberedundantbecausefrictionappearstobeafactoronlybecauseitcausesshear.(摩擦之所以看起来像一个重要的影响因素，是因为摩擦可以导致有害的剪切力，因此定义里加入摩擦力会显得多余。)Aquestionrelatedtothediscussionoffrictionasariskfact

6、orforpressureulcerdevelopmentconcernstheuseofstrategies,suchasskinlubricants,lowfrictioncoveringmaterialsanddressingstocontrolfrictionbetweenloadbearingsurfacestohelppreventpressureulcers.Thesewouldappeartobevalidstrategiessincereducingoffrictionontheskincouldreduceinterna

7、lshearindeepertissues.（谈到这些预防措施，摩擦力是不是压疮危险因素的问题又来了，比如使用皮肤润滑剂，摩擦力小的床单或衣服等能帮助预防压疮。而这些之所以成为有效措施是因为减少皮肤摩擦能够减少深部组织的剪切力。）Question4Ifapatientdevelopsanulcerfromashoerubbingonthesideofthefoot,isthatwoundapressureulcer?患者因鞋子摩擦导致的脚部溃疡是压疮吗？NOLiterature2（文献2）DeepTissueInjury（深部组织损伤）Qu

8、estion1Whatisthelatestclassificationsystemofpressureulcer?最新的压疮分期是什么？STAGEl（l期）Buttocks（臀