Integ. Unit 10 Managing Diabetes and Wound Care

Question 1

With Diabetes, what are the Intrinsic factors affecting wounds healing?

Answer 1

• Decreased blood flow and oxygen to a wound
• Decreases function of red blood cells that carry nutruents to the tissues
• Decreases WBC to fight infection, increases risk of gangrene
• Nerves are also affected which causes a loss in sensation (they cant feel developing or worsening wounds/blisters)

Question 2

With Diabetes, what are the Extrinsic factors affecting wounds healing?

Answer 2

The pt should monitor their blood sugar

• Healthy diet can regulate glucose levels and provide nutrients needed to enhance healing process
• Keeping pressure off the wound
• Cessation of smoking
• Cardiovascular health, increases circulation
• Chroic inflammation is a common Sx with diabetes

Question 3

What are some of the affects of Diabetes and Peripheral Artery Disease (PAD)?

Answer 3

• May not feel pain
• May not be able to sense temperature
• May slow wound healing
• Minor injuries can develop into serious infections if not detected early and treated promptly

Question 4

With a simple Blood Sugar Test, what is considered normal, pre-diabetic and Type 1/2 Diabetic?

Answer 4

Question 5

With a Fasted Blood Sugar Test, what is considered normal, pre-diabetic and Type 1/2 Diabetic?

Answer 5

Question 6

With an A1C Test, what is considered normal, pre-diabetic and Type 1/2 Diabetic?

Answer 6

Question 7

Those with diabetes, what should we educate them on?

Answer 7

• Wash feet daily with warm water and soap. Avoid high temp. due to decreased sensation and chck with elbow
• Assure feet are dry especially in areas between toes due to potential maceration
• When skin is dry, apply moisterizer but avoid between toes
• Trim toe nails
• Choose socks that dont irritate feet
• Protect your feet at all times
• Inspect your feet