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Flashcards in Practical 1 Deck (16):

What do you do during a diabetic foot assessment?

Identify self, Informed consent, Explain testing
5.07 monofilament
Locations in random pattern for 1 sec to C shape
Assess dorsalis pedis pulse and posterior tibial pulse
VOA information
Patient education


What locations do you test during a diabetic foot assessment?

Plantar surface of great toe
plantar surface of 3rd toe
1st metatarsal head
3rd metatarsal head
5th metatarsal head
lateral to calluses


What are the different aspects of VOA for diabetic foot assessment?

Check for foot hair
Inspect between toes
Check capillary refill
Look for edema, redness, swelling
Check temperature
Assess skin quality (maceration, flaking, etc.)
Look for cracking or fissures


What patient education would you provide following a diabetic foot assessment?

Inspect feet daily (use a mirror or have family help)
Always wear socks with shoes (inside out if seam)
Inspect soles and inside of shoes for objects
Do not walk barefoot
Do not use hot water bottles or heating pads to warm feet
If you smoke, quit
Maintain good diabetes control


What are the phases of healing?

Inflammation, Proliferation, Maturation and Remodeling


What are the different scar types?

Hypertrophic scarring, Keloid scarring


What are the different types of wound closure?

Primary, Secondary, Tertiary (Delayed Primary)


What possible abnormal tissues can be present?

Slough, Escar (adherent or non adherent), bone/fascia/etc


What are the different types of wound drainage type?

Serous, Sanguinous, Serosanguinous, Purulent, Seropurulent


What are the different colors of wound drainage?

Clear, Pale Yellow, Red, Dark brown, Blue-green


What are the different consistencies of wound drainage?

Thin/watery, Thick


What are the different amounts of wound drainage?

None, minimal/moderate, copious


How long does it take a category I PU to heal?

1-3 weeks


How long does it take a category II PU to heal?

days to weeks


How long does it take a category III or IV PU to heal?

8-13 weeks


What things need to be noted during wound measurement? (12)

1. Length
2. Width
3. Depth
4. Depth of tunneling
5. Depth of undermining
6. Location of tunneling
7. Location of undermining
8. Periwound structure and quality
9. Periwound color
10. Periwound epithelial appendages
11. Periwound edema
12. Periwound temperature