Wound Care

Question 1

When would you not pop your blister?

Answer 1

Why not

• No dressings or sterile instruments
• If feet are wet and dirty
• Blood blister
• Immunocompromised
• Not painful
• No weight bearing pressure

Question 2

When would you pop your blister?

Answer 2

• On weight bearing area
• Pop in controlled sterile environment
• Antiseptic, sterile instrument, dressing
• We are suspecting infection or probe to bone scenario

Question 3

What would you dress a blister with?

Answer 3

• Hydrocolloid dressing to absorb fluid and keep humid for healing
• Island dressing type to prevent bacteria infection

Question 4

How would you off load a blister on the heel for a hospital patient?

Answer 4

• Goal to minimise friction shear stress
• Stop weight bearing on the blister, use wheel chair nurse assistance
• offloading device such as boot with soft contact to prevent heel contacting the bed

Question 5

Pt also has osteoporosis, right hip # and deconditioned. What other disciplines should she see?

Answer 5

• Occupational therapist
• Physiotherapist
• Social worker
• Rheumatologist
• Dietician

Question 6

What instruction would you give nurses to care for this pt?

Answer 6

• Prevent WB on blister
• Falls risk so help with mobility aids to move around
• Change positions on bed or seat risk of #
• Medication and diet changes in hospital