护士英语沙龙 ——压力性损伤(压疮).pdfVIP

E g l s h a l n Zhang Yanchun, Li Meihong 2014.8.23 河南宏力医院 护士英语沙龙 Part 1 Self –introduction （自我介绍） Part 2 Free discussion of pressure ulcer （关于压疮的自由讨论） Literature 1 （文献1 ） Friction Induced Skin Injuries –Are They Pressure Ulcers? 摩擦导致的皮肤损伤——是压疮吗？ Question 1 what has changed to the definition of pressure ulcer? 压疮的定义发生了什么变化？ NPUAP (2007) defined a pressure ulcer as a “… localized injury to the skin and/or underlying tissue usually over a bony prominence, as a result of pressure, or pressure in combination with shear and/or friction.” 剪切力、摩擦力 NPUAP (2009) defines a pressure ulcer as a “… localized injury to the skin and/or underlying tissue usually over a bony prominence, as a result of pressure, or pressure in combination with shear.” 剪切力 Question 2 what is friction? 什么是摩擦力？ There are two types of dry friction –static and dynamic （摩擦力有静态和动态摩擦力两种） Dynamic friction exists when a person is sliding in bed or when their foot rubs against the inside of a shoe and might results in the formation of blisters, skin tags, abrasions, skin tears, and acute skin trauma, and may be misdiagnosed as a pressure ulcer. （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。） Question 3 why friction was removed from the definition of pressure ulcer? 为什么把摩擦从压疮定义中删除？ Friction appears to be an important factor because it may lead to harmful shear stress and strain. To include friction would be redundant because friction appears to be a factor only because it causes shear. (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。) A question related to