Integumentary 101
During this phase of healing, the clinical presentation consists of granulation budding and epithelialization.
What is the proliferation or fibroplastic phase.
A shallow wound, typically on the lower leg which is irregular in shape and moist. These wounds are usually painful.
What is venous insufficiency wound.
The Braden Scale is used to determine
What is risk for pressure ulcer?
The single most important way to prevent the spread of infection
What is handwashing?
Wet to dry gauze for dressing change is an example of this type of debridement
What is mechanical debridement?
Surgical approximation is this type of healing
What is primary intention healing?
Purple of maroon localized area of discolored intact skin or blood-filled blister due to damage of underlying soft tissue from pressure and or/or shear
What is a deep tissue injury?
The Semmes-Weinstein monofilment that is used to assess for protective sensation is
What is 5.07?
Vascular disease, malnutrition, alcoholism, and immune deficits are risk factors for what type of wound infection?
What is a systemic wound infection?
Full thickness wounds and dry wounds are contraindicated for this type of dressing
What are hydrocolloid dressings?
Three functions of the skin include
What are protection, maintenance of homeostasis, sensory organ.
A pressure wound that has full thickness tissue loss in which the base of the ulcer is covered by yellow slough.
What is an unstageable pressure ulcer?
This test is a quick non-invasive way to check for peripheral artery disease indicating a narrowing or blockage of arteries in your legs by comparing blood pressures from two specific areas of the body.
What is the ankle-brachial index?
A wound that is contaminated, but bacteria is not causing tissue damage or delaying healing.
What is a colonized wound?
The process by which the body’s endogenous enzymes loosen and liquefy necrotic tissue
What is autolytic debridement?
This exudate is described as thin, watery, pale red to pink
What is serosanguineous?
A dry wound typically located on plantar surface of the foot, often near the met heads, that is surrounded by hyperkeratotic tissue
What is a neuropathic (diabetic) foot ulcer?
A + finding from this test would be the thickened skin fold at the base of the 2nd toe cannot be lifted, but can only be grasped as a lump of tissue
What is Stemmer's Sign for Lymphedema
A therapist treating a patient with herpes zoster would follow these precautions
What are contact precautions including gloves and gown?
Two effective interventions for stage II lymphedema
What are MLD, compression therapy, exercise, education?
This tissue type can appear as deep pink, then progress to pearly pink/light purple from the edges in a full thickness wound or may form islands in the wound base with superficial wounds.
What is epithelial tissue?
Using the Wagner Scale, a deep ulcer penetrating down to teh ligaments and muscle, but NO bone involvement or abscess formation is called
Grade 2 diabetic foot ulcer
An ABI value of <0.45 would indicate
What is a poor prognosis for wound healing; no wound healing
Number of times hands should be washing while performing a dressing change
What is 3 times (before, after removing old dressing, and at completion of dressing)
An absolute contraindication of HBOT
What is an untreated pneumothorax?