Wound Characteristics & PT Implications - Class 4

Question 1

pressure wound location

Answer 1

over bony prominences

Question 2

pressure wound shape

Answer 2

rounded/even

Question 3

pressure wound depth, drainage and color

Answer 3

variable

Question 4

is there pain with a pressure wound

Answer 4

yes

Question 5

location of neuropathic wounds

Answer 5

high mechanical forces

Question 6

shape of neuropathic wound

Answer 6

rounded

even

Question 7

neuropathic depth

Answer 7

deep

Question 8

neuropathic drainage

Answer 8

variable

Question 9

neuropathic color

Answer 9

pink/red

Question 10

is there pain w/ neuropathic wounds

Answer 10

no

Question 11

venous wound location

Answer 11

gaiter area

Question 12

venous wound shape

Answer 12

irregular

Question 13

venous would depth

Answer 13

shallow

Question 14

venous wound drainage

Answer 14

heavy

Question 15

venous wound color

Answer 15

red

Question 16

is there pain with venous wound

Answer 16

yes

Question 17

arterial wound location

Answer 17

distal

Question 18

arterial shape

Answer 18

even

Question 19

arterial depth

Answer 19

deep

Question 20

arterial wound color

Answer 20

variable

white

pale

Question 21

arterial wound drainage

Answer 21

little

Question 22

is there pain w/ arterial wounds

Answer 22

very

Question 23

PT implications

Answer 23

S/P bypass surgery

s/p endovascular procedures

s/p thrombolysis

other wound care issues

Question 24

s/p bypass surgery

Answer 24

assessment of suture lines, skin flaps

palpation

pulmonary

pain assessment

early mobilization

positioning

Question 25

assessment of suture lines, skin flaps –> bypass

Answer 25

drainage

discoloration

erythema

cyanosis, necrosis

Question 26

palpation –> bypass

Answer 26

pulses v. dopplers

temp changes

swelling

Question 27

pulmonary –> bypass

Answer 27

incentive spirometry

deep breathing

Question 28

early mobilization –> POD –> bypass

Answer 28

0 –> bedrest

1–> OOB- chair

2–> ambulation

3–> ambulation/stairs

4-5 –> clearance for d/c home

Question 29

early mob –> bypass

Answer 29

log rolling for aortoiliac surgery

LE AROM

ambulation w/ or w/o assistive device

WBAT (except with foot complications)

Question 30

positioning –> bypass

Answer 30

avoid elevation (above heart)

avoid dependent position (in sitting)

Question 31

s/p endovascular procedures

Answer 31

complete and strict bedrest x 4-6 hrs

continuous pressure on puncture site with sand bags

monitor vascular status

unrestricted activity next day

Question 32

s/p thrombolysis

Answer 32

pt in surgical ICU

NO PT INTERVENTION IN SICU

Question 33

other wound care issues

Answer 33

if pt on heparin –> caution with sharp debridement

Question 34

LE amputation indication

Answer 34

unsalvageable limbs either from ischemia, trauma or tumors

failed grafts resulting in limb necrosis

source of infection/sepsis

unrelenting rest pain

Question 35

LE amputation level of amputation is dependent on

Answer 35

vascular viability

Question 36

limb length is

Answer 36

preserved as much as possible

Question 37

level of amputation

Answer 37

demarcation of viable/non-viable tissue

primary v. delayed primary v. secondary intention

Question 38

PT implications for amputations

Answer 38

residual limb assessment

hospital course

Question 39

residual limb assessment

Answer 39

type and amount of drainage from suture line

skin flap

swelling

stump wrapping

pain

Question 40

skin flap

Answer 40

color

viability

temp

turgor

Question 41

pain

Answer 41

phantom limb/pain

Question 42

hospital course

Answer 42

POD 1-5

Question 43

POD 1

Answer 43

oob –> chair

pt ed

discharge planning

Question 44

POD 2

Answer 44

ambulation

sitting/standing balance

therapeutic exercises

Question 45

POD 3

Answer 45

progressive ambulation

therapeutic activities

stump wrapping

Question 46

POD 4-5

Answer 46

stair training

d/c to rehab/home