Lesson 1When and how to use diagnostic tests: wound cultures, imaging for osteomyelitis (X-ray, MRI, bone scan)This lesson explains when tests help in wound care. It covers proper ways to take cultures, choose images for possible bone infections, and work with radiology and infection experts for better treatment plans in resource-limited settings like Eritrea.
Reasons for detailed wound culturesSwab vs tissue and bone sample methodsSimple X-rays for long-term bone issuesMRI for spotting early bone infectionsUse of bone scans in nuclear medicineLinking test results to patient symptomsLesson 2Neuropathy evaluation: monofilament testing, vibration testing, and sensory mappingThis focuses on checking nerve damage in wound patients. It explains how to use monofilament, vibration and balance tests, map sensation areas, and record findings to assess risks of sores and injuries in Eritrean patients.
Patient history signs of nerve issues and risksPicking and using monofilament for testsVibration checks with tuning fork or toolsBalance and position sense evaluationsMapping sensation and areas without protectionRecording nerve damage level and effectsLesson 3Exudate assessment and odor evaluation; infection signs and biofilm conceptsThis covers checking wound fluid amount, color, thickness, and smell timing. It reviews local and body-wide infection signs, hidden infections, and biofilm effects to decide on cultures and infection treatments in Eritrean contexts.
Types, colors, and amounts of wound fluidSmell checks after cleaning and removalLocal and whole-body infection warningsHidden infection vs simple dirtBiofilm growth, effects, and breaking itSafe times to take wound culturesLesson 4Tissue types and wound bed descriptors: granulation, slough, necrosis, epithelializationThis defines main tissue kinds in wounds and their meanings. It includes healthy growth, loose tissue, dead areas, new skin formation, and open parts, stressing correct estimates and treatment plans for Eritrean care.
Healthy vs overgrowth tissueFeatures of loose and sticky tissuesDry vs wet dead tissue and hard coversNew skin edges and small islandsExposed bone, tendons, and metal partsEstimating percentages of tissue typesLesson 5Pain assessment specific to wounds and procedures; use of pain scales and timing documentationThis deals with full pain checks for wounds and treatments. It covers pain types, scales, timing during changes, and records to guide pain relief and non-drug care in Eritrean healthcare.
Kinds of pain from wounds describedPicking pain scales for different agesStarting, treatment, and sudden painPain checks during dressing changesNon-drug ways to ease painRecording responses to pain treatmentsLesson 6Systematic wound assessment: size, depth, tunneling, undermining, and staging/classificationThis gives a step-by-step way to check wounds, including place, size, depth, and tissues involved. It reviews tunnels, edges, paths, and systems for steady measurements in Eritrean practice.
Body place and wound cause hintsStraight, clock, and number measurementsChecking depth and wound spaceFinding and measuring edge liftsFinding and measuring tunnel pathsPicking right systems for classifyingLesson 7Pressure injury staging and skin failure distinctionsThis looks at pressure sore stages, deep tissue harm, and unclassifiable wounds. It clears up skin breakdown, end-stage sores, and device harms for better records in Eritrea.
Stages I to IV and unclassifiable rulesSpotting deep tissue pressure harmDevice-related pressure sore featuresWet skin damage vs pressure soresSkin failure and end-stage ulcersRecords to back staging choicesLesson 8Risk factor review during assessment: comorbidities, medications, smoking, mobility, continence, cognitive statusThis guides checking body and local risks for wounds. It covers other illnesses, drugs, habits, movement, bladder control, and thinking to plan care in Eritrean settings.
Main illnesses affecting healingDrug checks and blood thinnersSmoking, drink, and substance effectsMovement, relief, and bed typesBladder, wet, and skin healthThinking, following plans, and helper supportLesson 9Vascular assessment: arterial and venous exam, ankle-brachial index (ABI), toe pressures, transcutaneous oxygen (TcPO2)This explains blood flow checks for wound healing. It includes pulses, warmth, swelling, ABI, toe pressure, and oxygen levels, with limits, meanings, and when to refer in Eritrea.
Looking at color, hair loss, swellingFeeling foot and knee pulsesABI method and its limitsToe pressure and index usesSkin oxygen measurement basicsTimes to send for blood vessel checksLesson 10Legal and ethical documentation considerations and informed consent for procedures (debridement, advanced therapies)This outlines rules and morals for wound records and agreement. It covers ability checks, consent for cleaning and advanced care, refusal records, and ways to lower legal risks in Eritrea.
Parts of good legal recordsAbility, helpers, and joint choicesAgreement for cleaning choicesConsent for advanced and tool therapiesRecording refusals and risk talksHandling conflicts and patient safetyLesson 11Nutrition screening for wound healing: malnutrition indicators, key labs (albumin, prealbumin, CRP) and hydration statusThis reviews food checks, poor nutrition signs, and main tests. It explains reading protein and inflammation trends, plus water balance, to refer quickly and boost healing in Eritrea.
Food check tools and warning signsBody signs of protein lackReading protein level changesCRP role in swelling testsChecking water and balanceTimes to send to food expertsLesson 12Standardized documentation and wound photography: measurement techniques and electronic medical record integrationThis covers steady record parts, proven tools, and photo rules. It reviews measuring, labeling, consent, and linking to digital files for ongoing and legal care in Eritrean systems.
Needed parts of wound notesUsing proven check tools and scalesBest ways for wound photosLight, place, and scale setupLabeling, consent, and privacy rulesDigital file templates and quick notes