Wound Characteristics & PT Implications - Class 4 Flashcards
pressure wound location
over bony prominences
pressure wound shape
rounded/even
pressure wound depth, drainage and color
variable
is there pain with a pressure wound
yes
location of neuropathic wounds
high mechanical forces
shape of neuropathic wound
rounded
even
neuropathic depth
deep
neuropathic drainage
variable
neuropathic color
pink/red
is there pain w/ neuropathic wounds
no
venous wound location
gaiter area
venous wound shape
irregular
venous would depth
shallow
venous wound drainage
heavy
venous wound color
red
is there pain with venous wound
yes
arterial wound location
distal
arterial shape
even
arterial depth
deep
arterial wound color
variable
white
pale
arterial wound drainage
little
is there pain w/ arterial wounds
very
PT implications
S/P bypass surgery
s/p endovascular procedures
s/p thrombolysis
other wound care issues
s/p bypass surgery
assessment of suture lines, skin flaps
palpation
pulmonary
pain assessment
early mobilization
positioning
assessment of suture lines, skin flaps –> bypass
drainage
discoloration
erythema
cyanosis, necrosis
palpation –> bypass
pulses v. dopplers
temp changes
swelling
pulmonary –> bypass
incentive spirometry
deep breathing
early mobilization –> POD –> bypass
0 –> bedrest
1–> OOB- chair
2–> ambulation
3–> ambulation/stairs
4-5 –> clearance for d/c home
early mob –> bypass
log rolling for aortoiliac surgery
LE AROM
ambulation w/ or w/o assistive device
WBAT (except with foot complications)
positioning –> bypass
avoid elevation (above heart)
avoid dependent position (in sitting)
s/p endovascular procedures
complete and strict bedrest x 4-6 hrs
continuous pressure on puncture site with sand bags
monitor vascular status
unrestricted activity next day
s/p thrombolysis
pt in surgical ICU
NO PT INTERVENTION IN SICU
other wound care issues
if pt on heparin –> caution with sharp debridement
LE amputation indication
unsalvageable limbs either from ischemia, trauma or tumors
failed grafts resulting in limb necrosis
source of infection/sepsis
unrelenting rest pain
LE amputation level of amputation is dependent on
vascular viability
limb length is
preserved as much as possible
level of amputation
demarcation of viable/non-viable tissue
primary v. delayed primary v. secondary intention
PT implications for amputations
residual limb assessment
hospital course
residual limb assessment
type and amount of drainage from suture line
skin flap
swelling
stump wrapping
pain
skin flap
color
viability
temp
turgor
pain
phantom limb/pain
hospital course
POD 1-5
POD 1
oob –> chair
pt ed
discharge planning
POD 2
ambulation
sitting/standing balance
therapeutic exercises
POD 3
progressive ambulation
therapeutic activities
stump wrapping
POD 4-5
stair training
d/c to rehab/home
