Practical 1 Flashcards
What do you do during a diabetic foot assessment?
Identify self, Informed consent, Explain testing
5.07 monofilament
Locations in random pattern for 1 sec to C shape
Assess dorsalis pedis pulse and posterior tibial pulse
VOA information
Patient education
What locations do you test during a diabetic foot assessment?
Plantar surface of great toe plantar surface of 3rd toe 1st metatarsal head 3rd metatarsal head 5th metatarsal head lateral to calluses
What are the different aspects of VOA for diabetic foot assessment?
Check for foot hair Inspect between toes Check capillary refill Look for edema, redness, swelling Check temperature Assess skin quality (maceration, flaking, etc.) Look for cracking or fissures
What patient education would you provide following a diabetic foot assessment?
Inspect feet daily (use a mirror or have family help)
Always wear socks with shoes (inside out if seam)
Inspect soles and inside of shoes for objects
Do not walk barefoot
Do not use hot water bottles or heating pads to warm feet
If you smoke, quit
Maintain good diabetes control
What are the phases of healing?
Inflammation, Proliferation, Maturation and Remodeling
What are the different scar types?
Hypertrophic scarring, Keloid scarring
What are the different types of wound closure?
Primary, Secondary, Tertiary (Delayed Primary)
What possible abnormal tissues can be present?
Slough, Escar (adherent or non adherent), bone/fascia/etc
What are the different types of wound drainage type?
Serous, Sanguinous, Serosanguinous, Purulent, Seropurulent
What are the different colors of wound drainage?
Clear, Pale Yellow, Red, Dark brown, Blue-green
What are the different consistencies of wound drainage?
Thin/watery, Thick
What are the different amounts of wound drainage?
None, minimal/moderate, copious
How long does it take a category I PU to heal?
1-3 weeks
How long does it take a category II PU to heal?
days to weeks
How long does it take a category III or IV PU to heal?
8-13 weeks
