More High Risk Flashcards
What are the 5 key elements that prevent foot ulcerations?
- identifying at risk foot
- regular checks
- education
- ensuring proper footwear for protection
- treating risk factors for ulceration with trained team
Structured education for Diabetic patient?
- Foot ulcers and their consequences
- Preventative foot self care behaviours
- Wearing appropriate footwear
- undergoing routine foot checks
- practicing proper foot hygiene
- when to seeking professional help
When do we need to amputate an ulcer?
- Severe infection
- Non healing
What does patient centred care mean?
- Patient is central key factor in clinic
- Patient education and updated
- Treatment needs to be realistic
Risk rating?
- No identified risk = low
- one RF = at risk
- two or more RF = high
- acute diabetic complication = active
additional costs of a Diabetic foot ulceration and amputation?
- limited mobility
- social isolation
- Family issues
- loss of work time
- Psychological impact
- Septicaemia
- Loss of the function
- Health care cost
- Amputation
Name the list of professionals involved in multi D setting?
Podiatrist Endocrinologist Vascular Orthopaedic Infectious diseases Prosthetist/Orthotist Wound Care Nurses Local medical officer
Intrinsic factors of wound healing?
- Age
- Mental state
- Skin conditions
- Nutrition
- Comorbidities
- Infection
Extrinsic factors of wound healing?
- Medications
- Smoking
- Mobility
- Pressure
- Hygiene
What are some indications for referral?
- Non healing
- Absent pulses
- PAD
- Infection not responding to treatment
What is the function of a dressing?
- Haemostasis
- Protection
- Support
- Absorption
- Autolytic debridement
- Controls infection
- Promotes healing
Necrotic, black and dry, goals and role of dressings?
Goals -Remove dead tissue -If arterial insufficiency refer to vascular surgeon -Never debride with poor perfusion Role dressing -hydrate wound bed -Autolytic debridement
What is the dressings in treatment of necrotic, black and dry wound?
- surgical or mechanical debridement
- Hydrogel
- Polyurethane film dressing
Sloughy, yellow, brown, black or grey with dry to low exudate, goals and role of dressings?
Goals -Remove slough -provide clean wound bed for granulation Role of dressing -rehydrate wound bed -homeostasis -autolytic debridement
What is the dressings in the treatment of Sloughy, yellow, brown, black or grey with dry to low exudate?
- surgical or mechanical debridement
- Wound cleansing
- Hydrogel
- Polyurethane film (silicone)
Sloughy, yellow, brown, black or grey with moderate to high exudate, goals and role of dressings?
Goals -remove slough -provide clean wound bed for granulation -exudate management Role of dressings -absorb excess fluid -protect peri wound skin -Autolytic debridement
what is the dressings in the treatment of sloughy, yellow, brown, black or grey with Moderate to high exudate?
- Surgical or mechanical debridement
- Wound cleansing
- barrier products
- absorbent foam/alginate
- retention bandage of polyurethane film dressing
Granulating, clean, red, dry to low exudate, goals and role of dressings?
Goals -Promote granulation -provide healthy wound bed for epithelializing Role of dressings -homeostasis -protect new tissue growth
What is the dressings treatment in granulating, clean, red, dry to low exudate?
- Wound cleansing
- Hydrogel
- Cavity strips, rope or ribbon (deep)
- Pad and or retention bandage
Granulating, clean, red, moderate to high exudate, Goals and role of dressings?
Goals -exudate management -provide healthy wound bed for epithelializing Role of dressings -homeostasis -Protect new tissue growth
What is the dressings treatment in granulating, clean, red, moderate to high exudate, Goals and role of dressings?
-Wound cleansing
-Absorbent foam/alginate
-Cavity strips, rope or ribbon (deep)
Pad or retention bandage
Epithelializing, red, pink, no to low exudate, goals and role of dressings?
Goals -Promote epithelialisation -Wound maturation Role of dressings -Protect new tissue growth
what is the dressings treatment in Epithelializing, red, pink, no to low exudate?
- wound cleansing
- hydrocolloid
- polyurethane film dressing
- low adherent dressing
- Pad and/or retention bandage
Infected, low to high exudate, goals and role of dressings?
Goals -Reduce bacteria -exudate management -Odour control Role of dressings -antimicrobial action -Homeostasis -odour absorption
What is the dressing treatment in infected, low to high exudate, goals and role of dressings?
- wound cleansing (antiseptic solution)
- barrier products
- antimicrobial dressings
- Pad and/or retention bandage
What are some contraindications for TCC?
- deep infection
- deep abscess
- High exudate
- OM
- Arterial insufficiency
- Exposed tendons, joint and or bone
- Ataxia
- Blind
- Obese
- Fluctuating oedema
The level of amputation depends on?
- Severity of infection
- Level of blood flow
- Functionality
Name the offloading devices?
- TCC
- pneumatic and non pneumatic removable walker
- Medical grade footwear
- Bed rest/crutches and wheelchairs
- Shear comfort
- Post op
- Charcot restraint orthotic walker
- Pressure relieving ankle foot orthotics
- Herbst cradle
- Orthotics
