Lesson 1Checking Fluid, Smell, Skin Around Wound, and Shape of Wound EdgesThis explains how to check fluid from the wound, its smell, the skin around it, and the edges carefully. It shows how these signs link to infection, wet skin damage, poor blood flow, and pressure problems. It helps nurses use the same words and write notes for good talk with the team.
Exudate amount, color, and viscosityDistinguishing serous, sanguineous, purulentOdor timing, intensity, and possible causesPeri-wound maceration, erythema, and eczemaWound edge shape, undermining, and callusStandard terms for describing local findingsLesson 2Types of Tissue: Healthy Growth, Dead, Soft Dead, Hard Skin — Spotting and Noting ThemIt tells how to see and feel the difference between healthy growing tissue, soft dead bits, hard dead parts, and thick skin in diabetic foot wounds. It focuses on describing them right, guessing amounts in percent, and what it means for healing and cleaning the wound.
Normal skin, epithelial tissue, and scarGranulation tissue color and qualitySlough appearance, texture, and adherenceDry and wet necrosis, eschar, and gangreneCallus formation at pressure pointsRecording tissue type percentages in notesLesson 3Blood Flow Check for Leg Wounds: Feeling Pulses, Capillary Fill Time, Ankle-Arm Index, Toe-Arm Index, Toe PressureThis covers easy checks for blood flow in legs of diabetic patients at the bedside. It includes feeling pulses, checking how fast blood returns to nails, ankle-brachial index, toe pressures, and problems when vessels are hard or mixed issues.
Inspection for color, hair, and trophic changesPalpation of pedal and posterior tibial pulsesCapillary refill and limb temperature checksPerforming and interpreting ABI in diabetesToe pressures and TBI for calcified arteriesWhen to refer for vascular imaging or consultLesson 4Spotting Infection and Swelling: Local vs Whole Body Signs, Using IDSA and IWGDF RulesThis helps spot infection and swelling in diabetic foot wounds. It tells apart harmless germs from real infection, looks at local and body-wide signs, and uses IDSA and IWGDF rules to rate how bad it is and decide what to do next.
Normal healing inflammation versus infectionLocal signs in neuropathic and ischemic tissueSystemic signs and sepsis red flagsIDSA and IWGDF infection classificationWhen to obtain cultures and imagingUrgent referral criteria for limb-threatening casesLesson 5Key Health History and Social Factors: Sugar Control, Other Illnesses, Moving Around, Shoes, Home Life, Getting to Transport and CareThis looks at main health history and social things that affect diabetic foot wounds. It stresses controlling blood sugar, other health problems, ability to move, proper shoes, home setup, and getting transport to wound care on time.
Targeted diabetes and treatment historyCardiovascular, renal, and neuropathy comorbiditiesMobility limits and fall or trauma historyFootwear type, fit, and wear patternsHome safety, support, and self-care capacityTransport, finances, and access to wound careLesson 6Standard Ways to Check Wounds (SITE, TIME, WoundBed, Bates-Jensen)This brings in main ways to check wounds in diabetic foot care, like SITE, TIME, WoundBed, and Bates-Jensen. It compares parts, scores, and how they help watch progress and talk with the care team.
Purpose of structured wound assessment toolsSITE framework elements and scoringTIME framework for wound bed preparationKey items in the WoundBed scoring systemBates-Jensen Wound Assessment overviewChoosing and applying a framework in practiceLesson 7Rules for Writing Notes and Taking Wound Photos: Agreement, Same Light, Position and Size NotesThis describes best ways to write notes and take photos of wounds. It covers getting permission, keeping private, placing the foot right, using good light, adding a scale, and same position for easy compare and strong records.
Essential elements of wound chartingLegal and ethical aspects of documentationObtaining and recording photo consentStandard patient positioning and landmarksLighting, focus, and use of measurement scalesSecure storage and labeling of wound imagesLesson 8Checking Pain in Numb and Poor Blood Flow Feet: Tools and Easy MethodsThis looks at checking pain in feet with nerve damage or poor blood from diabetes. It reviews pain tools, words for pain, and simple checks to tell nerve burning pain from rest pain due to blood lack, to guide pain relief and referrals.
Common pain patterns in diabetic foot diseaseNumeric and visual pain rating scalesNeuropathic pain descriptors and screening toolsFeatures of ischemic and rest pain at nightAssessing pain during dressing changesDocumenting pain response to interventionsLesson 9Nerve Damage Check: Thread Test, Vibration with Fork, Sharp Touch and Balance TestsThis gives steps for nerve check in diabetic feet using thread test, vibration fork, sharp pin, and balance sense. It stresses how to do it, score results, and how lost feeling changes risks and teaching needs.
Screening questions for neuropathic symptoms10 g monofilament sites and applicationVibration testing with tuning fork techniquePinprick and temperature discrimination testsProprioception and balance assessmentRisk stratification based on sensory lossLesson 10Measuring Wound Size, Depth, and Tunnels: Tools and Ways (Ruler, Outline, Photo)This gives easy ways to measure wound length, width, depth, and hidden tunnels. It compares paper rulers, probes, outlines, and phone photos, stressing clean hands and same method by all checkers.
Selecting clean, single-use measuring toolsStandardizing length, width, and clock faceSafe depth and tunneling probing techniqueUsing wound tracings and acetate templatesClinical photography for serial comparisonRecording measurements and trends over time
