Risky Business
Doing this daily is the most critical factor in preventing diabetic foot ulcers
Inspection of the Feet
This abbreviation is used to broadly describe a group of wounds/ulcers that can present on the lower limbs
LLUs - Lower Leg Ulcers
This evaluation compares pressures in the lower leg and arm to screen for peripheral arterial disease
ABPI - Ankle Brachial Pressure Index
Compass site with resources to guide the application of Coban
Clinical Practice Supports
The level of PSI recommended to cleanse a wound
7-15 PSI
_______ increases a patient's risk of PAD by 2-3x, compromises blood flow, and can delay wound healing
Smoking
This abbreviation is short for the examination of the lower limbs which includes assessment of pulses, edema, range of motion, etc.
BLLA - Basic Lower Limb Assessment
Tubigrip, Coban, Threeflex are all types of ..
Compression Therapy
Every patient with a wound should have one of these forms completed on their chart
Wound Care Plan
A wound care plan should stay in place for a minimum of ____ weeks before being modified.
Two
Once a patient develops a diabetic foot ulcer, they are _____x's more likely to lose a limb
15-40x
This abbreviation stands for a type of wound that can be categorized as neuropathic, ischemic, or neuroischemic.
DFU - Diabetic Foot Ulcer
True or False:
Coban can be applied over a dressing
True - it may need to be changed more often depending on the dressing change schedule and/or level of exudate.
This member of the interprofessional team can be consulted to help guide wound management
NSWOCC - Nurses Specialized in Wound, Ostomy, and Continence Canada
True or False:
When determining if odor is present in a wound, this should be assessed before the wound is cleansed.
False - odor should be assessed AFTER the wound has been cleansed
Regular screening of the feet using a tool such as Inlow's 60 Second Foot Screen can help evaluate risk for the development of diabetic foot ulcers.
According to Wounds Canada, how often should screening be completed?
It depends on the level of risk:
very low = q12months low = q6-12months
moderate = q3-6months high = q1-3months
urgent = requires urgent intervention
These types of wounds typically produce moderate to heavy amounts of exudate, and often develop slough
VLUs = Venous Leg Ulcers
Compression stockings should be replaced every ________.
4-6 months
These tools provide a one-page summary that guides the creation of an individualized care plan for a patient with a particular type of wound
(i.e. Stage 1 PI, Surgical Wound, Diabetic Foot Ulcer, etc.)
Wound Enabler
This framework is used to plan care for a patient with any type of wound
Wound Prevention and Management Cycle
What is the best approach to treating arterial leg ulcers?
This types of ulcers often devlope on pressure points on the lower limbs and can become necrotic
ALUs = Arterial Leg Ulcers
What level of compression requires a prescriber's order?
Anything > 21mmHg requires a prescriber's order
These documents determine the RN/LPN scope of employment when it comes to the management of wounds at NSH
Policy - Wound Management Guidelines
These dressings should never be applied over dry, stable eschar
Foam
(i.e. Mepilex)