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)
