*8.PTA 200-Wound Management Part 1

Question 1

A wound caused by rubbing or scraping the skin or mucous membrane. “Road Rash”, skinned knee, scraps, carpet burns.

Answer 1

Abrasion

Question 2

A wound caused by a pointed object or instrument. “Stab wounds”, gun shot wounds, bites.

Answer 2

Puncture

Question 3

A cut; A wound produced by the tearing of body tissue.

Answer 3

Laceration

Question 4

Caused when the skin contacts dry heat (fire), moist heat (steam), chemicals, electricity, or radiation. Classified according to their depth and size. (Superficial, partial thickness, full-thickness.)

Answer 4

Burn

Question 5

Is a cut made by a sharp instrument such as a scalpel.

Answer 5

Incision

Question 6

A change in the sensation of the nerves of the foot causes a _______

Answer 6

Etiology of Diabetic Ulcer / Neuropathic Ulcer

Question 7

A break in the skin that occurs because of poor venous return causes ________

Answer 7

Etiology of Venous Insufficiency Ulcer

Question 8

This forms due to poor blood flow to the limbs. It may be secondary to large, medium and/or small vessels disease.

Answer 8

Etiology of Arterial insufficiency Ulcer

Question 9

caused by unrelieved pressure on the tissue. Most commonly on bony prominences.

Answer 9

Etiology of Pressure Ulcer (most common)

Question 10

Venous ulcers are usually found within the “gaiter” region of the lower leg:
below the bulge of the gastrocnemius
above the lower border of the malleoli of the ankle

Answer 10

gaiter area

Question 11

What do you think are some risks for pressure ulcers?

Answer 11

Malnutrition, immobility, chronic illness, advanced age, incontinence, altered mental status, diminished sensation

Question 12

What are some Physical Therapy Interventions that could address the risk factors of pressure ulcers?

Answer 12

Bed mobility:passive and training patients for independent bed mobility
Positioning and pressure relief
Patient and staff education

Question 13

Most widely used
Objective
6 categories (see handout)
The higher the score the lower the risk of skin breakdown.

Answer 13

Braden Scale (see handout)

Question 14

More subjective than Braden’s Scale
5 categories
Patient is “at risk”
No intervention but periodic follow up
Patient is “at high risk”
Intervention expected – physical therapy possible.

Answer 14

Norton Scale (see handout)

Question 15

What ulcers are classified by staging?

Answer 15

ONLY pressure ulcers

Question 16

A persistent area of skin redness (without a break in the skin) that does not disappear within thirty (30) minutes when pressure is relieved.

Answer 16

Stage I Pressure Ulcer

Question 17

Partial thickness loss of skin that presents clinically as an abrasion, blister or shallow Crater.

Answer 17

Stage II Pressure Ulcer

Question 18

A full thickness of skin is lost, exposing the subcutaneous tissues. Presents as a deep crater with or without undermining adjacent tissue.

Answer 18

Stage III Pressure Ulcer

Question 19

A full thickness of skin and subcutaneous tissue is lost, exposing muscle and/or bone

Answer 19

Stage IV Pressure Ulcer

Question 20

No open skin but bruising and obvious signs of deeper injury.

Answer 20

Deep Tissue Injury (DTI) related to pressure ulceration.