Multi-Disciplinary - You're welcome to everyone..... Flashcards
what kind of wound(s) can saline be used on?
all wounds
what is betadine used for?
infection and exudate control
what is hydrogen peroxide used for?
infection, inflammatory phase, first 48 hours
what is dakin’s solution used for?
infection and odor
what is acetic acid used for?
pseudomonous infections
how much pressure is a ulna boot?
30-40 mmHg
what is a ulna boot typically used for?
venous edema
how much pressure is a multilayer compression?
30-40 mmHg
what is multi-layer compression used for?
venous edema
how much pressure is light compression
10-20 mmHg
what is manual lymphatic drainage therapy used for?
lymphedema… duhhhhhhhhhhhhh
edema can reduce oxygen to the wound by ___%
40
should you use compression on arterial ulcers?
NO… venous = edema
what is contamination?
all wounds have non-replicating bacteria and does not impede healing
what is colonization
increased number of bacteria replicating in wound without house reaction - does not impede healing
what is critical colonization?
bacteria multiplying in wound with local signs… causing delayed healing
what is infection?
causes systemic response
how can you obtain pressure re-distribution? (6)
positioning, support surfaces, shoe inserts, casting, PT, pressure mapping
what is the definition of pressure re-distribution?
move pressure from high risk areas to lower risk areas
Tissue Load Management: Foam
first line of defense
what is a disadvantage of foam?
moisture retention and heat retention
when should you not use foam for pressure redistribution?
obese patients and incontinent patients
Tissue Load Management: fluid-filled surfaces
air, gel, water; high degree of immersion
what could possibly be a disadvantage?
retain heat… dependent on type of fluid used
Tissue Load Management: low air loss systems
connected, air filled cushions with air pump; adjusts to patient’s body weight distribution
For low air loss systems, immersion is ___________
moderate.
Tissue Load Management: air-fluidization
fluidotherapy in a bed…. (warm air)
what is the gold standard for pressure redistribution?
air-fluidization
Air fluidization has a _______ level of immersion
high
what should you watch for with air fluidization
dehydration
Tissue Load Management: alternating pressure
changes the bed-to-body contact points…. no immersion
how often should you turn a patient?
at least every 2 hours… dependent on co=-morbidities
what is the gold standard for heel load management?
float the heel - multi podus boot
what are 4 things that are related to PT and pressure redistribution?
AD, WBing status, Mobility training (ambulation) and transfer training
what is pressure mapping?
system used to identify area of increased pressure or WBing… sit on a map in the w/c
what are the advantages of pressure mapping?
specific to patient, identifies high risk for pressure ulcers, specific areas of breakdown, educates family/pt on importance of pressure relief
who will benefit from pressure mapping?
patient with hx of skin breakdown/pressure ulcers, and anyone with current pressure ulcers
what are different pressure mapping position?
posture, leaning, push-ups, gluteal sets, reclining and tilting in w/c, and equipment adjustments
what are considered appropriate referrals for pressure mapping?
pt who have risk factors for skin breakdown/pressure ulcers, pt who qualify for new equipment; and pts who would benefit from additional education on pressure redistribution
what are treatment options for pressure re-distribution?
cushions, w/c, lumbar rolls, adjustments made to w/c, and MANY MORE… call your MD or DME to know the more options…. tyler, i assign this to you
what is the risk assessment tool used for pressure ulcers?
braden scale
what is the score for mild risk
15-16
what is the score for moderate risk?
12-14
what is the score for high risk
<12
what 2 things should PT educate patients on?
skin care and foot care
What are some techniques for skin care?
bathe, moisturize, don’t rub bony prominences (haha), stop smoking, positioning every 2 hours, clean incontinence immediately
what are some techniques for foot care?
same as the last test
what are the first signs of skin breakdown that you should educate your patient?
redness, irritation, pain, change in color/temp, callus and blisters, weeping, and bruising
what are “vascular needs”
angioplasty, venous repair, exercise/ambulation, medications, stop smoking
pulse palpitation is not accurate due to false positives and negative in what type of disease?
microvascular disease
what are components of podiatry?
foot and nail care, fungal infections, debridement, off loading and surgical intervention
what are the surgical options?
vascular, plastic/reconstructive surgery, orthopedic, podiatric, and general
medical options
you probably won’t need to know the list but if you want to look, it on page 7
what is pallative care?
focus shifts to wound management and protection from infection, odor and pain control
what are some “answers” to pain management issues?
deep breathing, breaks, distraction, music, empathy
