All about wound care
75% of home nursing visits involve this service
What is Wound Care
Redo this assessment if wound healing is less than 30% in 4 weeks or longer
Healability assessment
This nutrient is key to wound healing
Protein
This dressing is used in a cavity with depth greater than 1 cm and must be measured and removed each dressing change
Packing
This technique is critical when applying wound products
No touch technique
This is assessment is completed on all patients with lower leg wounds
ABPI (Arterial Brachial Pressure Index)
Pressure reduction surfaces are required to heal these type of wounds
Pressure injuries
This dressing is used on a pressure injury with minimal exudate.
Hydrocolloid
The gold standard treatment for venous leg ulcers
Compression
This mnemonic is used for assessing a wound for superficial infection
NERDS (Non-healing, exudate increased, redness, debris, smell)
This wound healing goal is determined by lifestyle choices that are not consistent with optimal healing (ie. excessive alcohol use, smoker, morbid obesity)
Maintenance
This dressing is used to promote autolytic debridement in a dry wound
Hydrogel
Wound cleansing is not indicated for this type of wound
This screening tool is used to identify a high-risk diabetic foot
The 60-second diabetic foot screen
A normal process that causes enzymes to enter the wound and clean up the dead cells and debris.
Autolytic debridement
This dressing is used to reduce bioburden in a wound showing signs of superficial infection
Antimicrobial
The gold standard for diabetic foot ulcers
Complete offloading
This skin breakdown occurs from too much moisture in the wound
Maceration
Bonus Question: A wound should be as moist as what?
This phase in wound healing lasts 7-10 days
This dressing type should be used with caution in patient's with thyroid disorders
Iodine based dressings