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2 – AN28 – Undertake agreed pressure area care

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1.1 Describe the anatomy and physiology of the skin in relation to skin breakdown and the development of pressure sores

The skin is the largest organ of the human body, and it plays a vital role in protecting the body from the external environment. It is made up of several layers, including the epidermis, the dermis, and the subcutaneous tissue.

The epidermis is the outermost layer of the skin, and it is composed of several layers of cells called keratinocytes. These cells produce a protein called keratin, which helps to protect the skin from physical damage and infection. The epidermis also contains melanocytes, which produce the pigment melanin that gives the skin its colour.

The dermis is the middle layer of the skin, and it contains blood vessels, nerves, and various types of cells and tissues. It is also home to the hair follicles and sebaceous glands, which produce oil to keep the skin moisturised. The dermis contains collagen and elastin, which give the skin its strength and elasticity.

The subcutaneous tissue is the innermost layer of the skin, and it is made up of fat and connective tissue. This layer helps to insulate the body and regulate its temperature.

When it comes to the development of pressure sores, the most important aspect of skin anatomy is the presence of blood vessels. The blood vessels provide oxygen and nutrients to the skin cells, and when they are compressed or otherwise obstructed, it can lead to tissue damage and the development of pressure sores.

Pressure sores are areas of damaged skin that develop as a result of prolonged pressure on the skin. They often occur in areas where the skin is in contact with a hard surface, such as the heels, tailbone, or hips. When the blood flow to the skin is restricted, the cells in the affected area can become damaged or die, leading to the development of a pressure sore.

In order to prevent skin breakdown and the development of pressure sores, it is important to regularly change positions and avoid prolonged pressure on any one area of the skin. This can help ensure that the blood flow to the skin is not restricted, and can help prevent tissue damage and the development of pressure sores.

Other answers in the full document:

  • 1.2 Identify pressure sites of the body

  • 1.3 Identify factors which might put an individual at risk of skin breakdown and pressure sores

  • 1.4 Describe how incorrect handling and moving techniques can damage the skin

  • 1.5 Identify a range of interventions that can reduce the risk of skin breakdown and pressure sores

  • 1.6 Describe changes to an individual’s skin condition that should be reported

  • 2.1 Identify legislation and national guidelines affecting pressure area care

  • 2.2 Describe agreed ways of working relating to pressure area care

  • 2.3 Describe why team working is important in relation to providing pressure area care

  • 3.1 Describe why it is important to follow the agreed care plan

  • 3.3 Identify any concerns with the agreed care plan prior to undertaking the pressure area care

  • 3.5 Identify the pressure area risk assessment tools which are used in own work area

  • 3.6 Explain why it is important to use risk assessment tools

  • 4.1 Identify a range of aids or equipment used to relieve pressure

  • 4.2 Describe safe use of aids and equipment

  • 4.3 Identify where up-to-date information and support can be obtained about:
    a. Materials
    b. Equipment
    c. Resources

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