wounds

Question 1

What are the different types of wounds

Answer 1

arterial wounds, venous wounds, skin tears, pressure ulcers, diabetic neuropathic ulcers.

Question 2

What are skin tears

Answer 2

separation of the dermis from the epidermis due to friction/shear force of the skin

Question 3

Where are they most common vs secondarily common

Answer 3

arms and hands then LE

Question 4

What are some risk factors for skin tears

Answer 4

visual impairments, removl of bandages or tape, wheelchair to bed transfers

Question 5

What are some preventions for skin tears

Answer 5

protect skin from trauma, avoid cream that has alcohol in it, wear loose clothing and apply lotions twice a day.
Remove unnecessary furniture, make sure lighting is good and add padding on corners + Wheelchair arms. PROPER TF TECHNIQUES

Question 6

What are pressure ulcers

Answer 6

Ulcer that forms when there is too much pressure on one segment of the body (normally bony area). The tissue can become hypoxic or necrotic.

Question 7

What are the preventions for pressure ulcers

Answer 7

S - surface
S - skin inspection
K - keep pt moving
I - incontinence and moisture
N - nutrition and hydration

THERAPEUTIC SURFACES

Question 8

How to manage arterial and venous wounds

Answer 8

Should undergo testing for arterial or venous insufficiency
To manage it, need to treat underlying arterial of venous disease.

Question 8

What are some risk factors to pressure ulcers

Answer 8

IMMOBILITY
impaired sensation, nutrition,circulation and cognitition

Question 9

What is an Unna boot

Answer 9

used to treat chronic venous insufficiency ulcers. use of compression and exercise and is more effective than compression alone to treat ulcers

Question 10

What are risk factors to diabetic neuropathic ulcers

Answer 10

time since diagnosis, obesity, insuling use, smoking, callus, trauma, neuropathy, PAD, hx of prior ulcers or amputation

DEVELOP DT NEUROPATHY OR ARTERIAL INSUFFICIENCY.

Question 11

What isa diabetic neuropathic ulcer

Answer 11

ulcers that form due to repetitive stress on WB structures of the foot

Question 12

What is diabetic neuropathy

Answer 12

causes decrease temperature, pain and vibration sensations which leads to loss of protective sensation of the foot.

Question 13

What 2 aspects lead to rapid progression

Answer 13

abnormal weight bearing and absence of sensory feedback

Question 14

Name 5 aspects of adequate diabetic foot care

Answer 14

check feet every day
dont go barefoot
trim toenails
dont remove corns on your own
wash feet every day

Question 15

How to manage diabetic ulcers

Answer 15

offloading to eliminate odd pressure points

Question 16

Name some aspects of good footwear

Answer 16

access, wide toe box, support, flexible and easy to put on and remove

Question 17

What are the stages of ulcers and what layer to they penetrate

Answer 17

stage 1- just the top layer
2 - second
3 - third
4 - bone

Question 18

What is the clinical decision support tool for wounds and what does it stand for

Answer 18

T - viable or non-viable TISSUE
I - Infection or inflammation
M - moisture or exudate
E - edge advancement

Question 19

What are some surgical interventions for wounds

Answer 19

skin graft or muscle flaps to close wounds that will not heal on their own.

Question 20

Name some aspects of sata collection for ulcers

Answer 20

size (widest and longest points)
appearance (colour, moisture, granulation

Question 21

What are some intrinsic factors that impact healing

Answer 21

immobility, impaired senssation, hydration, nurtrition, obesity, decreased circulatory function

Question 22

What are some extrinsic factors that impair healing

Answer 22

smoking, nectrotic tissue, bad wound care, repetitive trauma

Question 23

What are other treatment options to help wound healing

Answer 23

electrotherapy (HVPC)
hyperbaric o2
hyrddrotherapy
light energy
ultrasound