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PCS 300 > More High Risk > Flashcards

More High Risk Flashcards

1
Q

What are the 5 key elements that prevent foot ulcerations?

A
  1. identifying at risk foot
  2. regular checks
  3. education
  4. ensuring proper footwear for protection
  5. treating risk factors for ulceration with trained team
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2
Q

Structured education for Diabetic patient?

A
  • 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
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3
Q

When do we need to amputate an ulcer?

A
  • Severe infection

- Non healing

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4
Q

What does patient centred care mean?

A
  • Patient is central key factor in clinic
  • Patient education and updated
  • Treatment needs to be realistic
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5
Q

Risk rating?

A
  • No identified risk = low
  • one RF = at risk
  • two or more RF = high
  • acute diabetic complication = active
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6
Q

additional costs of a Diabetic foot ulceration and amputation?

A
  • limited mobility
  • social isolation
  • Family issues
  • loss of work time
  • Psychological impact
  • Septicaemia
  • Loss of the function
  • Health care cost
  • Amputation
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7
Q

Name the list of professionals involved in multi D setting?

A 
Podiatrist 
Endocrinologist 
Vascular
Orthopaedic 
Infectious diseases
Prosthetist/Orthotist 
Wound Care Nurses
Local medical officer
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8
Q

Intrinsic factors of wound healing?

A
  • Age
  • Mental state
  • Skin conditions
  • Nutrition
  • Comorbidities
  • Infection
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9
Q

Extrinsic factors of wound healing?

A
  • Medications
  • Smoking
  • Mobility
  • Pressure
  • Hygiene
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10
Q

What are some indications for referral?

A
  • Non healing
  • Absent pulses
  • PAD
  • Infection not responding to treatment
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11
Q

What is the function of a dressing?

A
  • Haemostasis
  • Protection
  • Support
  • Absorption
  • Autolytic debridement
  • Controls infection
  • Promotes healing
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12
Q

Necrotic, black and dry, goals and role of dressings?

A 
Goals
-Remove dead tissue
-If arterial insufficiency refer to vascular surgeon 
-Never debride with poor perfusion
Role dressing 
-hydrate wound bed
-Autolytic debridement
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13
Q

What is the dressings in treatment of necrotic, black and dry wound?

A
  • surgical or mechanical debridement
  • Hydrogel
  • Polyurethane film dressing
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14
Q

Sloughy, yellow, brown, black or grey with dry to low exudate, goals and role of dressings?

A 
Goals
-Remove slough 
-provide clean wound bed for granulation 
Role of dressing
-rehydrate wound bed 
-homeostasis 
-autolytic debridement
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15
Q

What is the dressings in the treatment of Sloughy, yellow, brown, black or grey with dry to low exudate?

A
  • surgical or mechanical debridement
  • Wound cleansing
  • Hydrogel
  • Polyurethane film (silicone)
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16
Q

Sloughy, yellow, brown, black or grey with moderate to high exudate, goals and role of dressings?

A 
Goals
-remove slough
-provide clean wound bed for granulation
-exudate management 
Role of dressings 
-absorb excess fluid
-protect peri wound skin
-Autolytic debridement
17
Q

what is the dressings in the treatment of sloughy, yellow, brown, black or grey with Moderate to high exudate?

A
  • Surgical or mechanical debridement
  • Wound cleansing
  • barrier products
  • absorbent foam/alginate
  • retention bandage of polyurethane film dressing
18
Q

Granulating, clean, red, dry to low exudate, goals and role of dressings?

A 
Goals
-Promote granulation 
-provide healthy wound bed for epithelializing 
Role of dressings
-homeostasis
-protect new tissue growth
19
Q

What is the dressings treatment in granulating, clean, red, dry to low exudate?

A
  • Wound cleansing
  • Hydrogel
  • Cavity strips, rope or ribbon (deep)
  • Pad and or retention bandage
20
Q

Granulating, clean, red, moderate to high exudate, Goals and role of dressings?

A 
Goals
-exudate management 
-provide healthy wound bed for epithelializing 
Role of dressings
-homeostasis
-Protect new tissue growth
21
Q

What is the dressings treatment in granulating, clean, red, moderate to high exudate, Goals and role of dressings?

A

-Wound cleansing
-Absorbent foam/alginate
-Cavity strips, rope or ribbon (deep)
Pad or retention bandage

22
Q

Epithelializing, red, pink, no to low exudate, goals and role of dressings?

A 
Goals
-Promote epithelialisation
-Wound maturation 
Role of dressings
-Protect new tissue growth
23
Q

what is the dressings treatment in Epithelializing, red, pink, no to low exudate?

A
  • wound cleansing
  • hydrocolloid
  • polyurethane film dressing
  • low adherent dressing
  • Pad and/or retention bandage
24
Q

Infected, low to high exudate, goals and role of dressings?

A 
Goals
-Reduce bacteria
-exudate management 
-Odour control 
Role of dressings 
-antimicrobial action
-Homeostasis
-odour absorption
25
Q

What is the dressing treatment in infected, low to high exudate, goals and role of dressings?

A
  • wound cleansing (antiseptic solution)
  • barrier products
  • antimicrobial dressings
  • Pad and/or retention bandage
26
Q

What are some contraindications for TCC?

A
  • deep infection
  • deep abscess
  • High exudate
  • OM
  • Arterial insufficiency
  • Exposed tendons, joint and or bone
  • Ataxia
  • Blind
  • Obese
  • Fluctuating oedema
27
Q

The level of amputation depends on?

A
  • Severity of infection
  • Level of blood flow
  • Functionality
28
Q

Name the offloading devices?

A
  • 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

PCS 300 (14 decks)

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