Lecture 6 Wound treatment Interventions Part 2

what is part of the treatment and prevention model for pressure injuries

education

positioning

mobility

nutrition

management of incontinence

when should skin checks be done for patients at risk for pressure ulcers

at least once per day

what is important about transfers for patients at risk for pressure ulcers

avoid shear

how is pressure redistribution achieved

positioning

seating

support surfaces

what is the most common turn and reposition schedule

q 2h (every 2 hours)

what are some examples of mattress support surfaces that can be used to redistribute pressure

foam

low air loss

fluid filled

alternating pressure

what does the diabetic foot ulcer CPG reccomend in regards to interventions

minimize WB on the foot (offloading shoes)

maintain cardiovascular health and muscular fitness

what is the exercise prescription for diabetic foot ulcer CPG 2025

build up to 150 min per week of aerobic and resistance exercise

monitor glucose before and after

check feet before and after

when is it safe to reload a diabetic foot ulcer

wound is fully closed, no drainage, complete reepithelialization

bolster dressing

topical antimicrobial agent covered with nonadherent impregnated gauze and a bulky gauze dressing

what is sued for edema control and to decrease scarring

short stretch compression bandages

self adherent elastic wraps

burn wounds are at high risk for what and where

contractures

neck, axilla, elbows, hand

what is the predicted position of contracture for a burn on the anterior neck

cervical flexion

what is the predicted position of contracture for a burn on the axilla/shoulders

adducted

restricted elevation

what is the predicted position of contracture for a burn on the cubital fossa

elbow flexion

what is the predicted position of contracture for a burn on the volar wrist/hand

wrist flexion/digit flexion

what is the predicted position of contracture for a burn on the dorsal wrist/hand

wrist extension/MCP extension

what is the predicted position of contracture for a burn on the anterior thigh/hip

hip flexion

what is the predicted position of contracture for a burn on the posterior knee

knee flexion

what is the predicted position of contracture for a burn on the ankle

plantar flexion

what do we want to do to prevent contractures for burns

move/position the patient into the lengthened position of the burn location to counteract a contracture

what are you observing with scars

vascularity

pliability

pigmentation

height

scar mobilization should not be done on any scars less than how old?

6 weeks