Lesson 1Assessin exudate, odour, peri-wound skin condition, an wound edge morphologyDetails systematic assessment a exudate, odour, peri-wound skin, an wound edges. Links findins to infection, maceration, ischemia, an pressure. Guides nurses in consistent terminology an documentation fi team communication.
Exudate amount, colour, an viscosityDistinguishin serous, sanguineous, purulentOdour timin, intensity, an possible causesPeri-wound maceration, erythema, an eczemaWound edge shape, underminin, an callusStandard terms fi describin local findinsLesson 2Characterizin tissue types: granulation, necrotic, slough, callus — identification an documentationExplains how to visually an palpably distinguish granulation, slough, necrosis, an callus in diabetic foot wounds. Focuses on accurate description, percentage estimates, an implications fi healin an debridement plannin.
Normal skin, epithelial tissue, an scarGranulation tissue colour an qualitySlough appearance, texture, an adherenceDry an wet necrosis, eschar, an gangreneCallus formation at pressure pointsRecordin tissue type percentages in notesLesson 3Vascular assessment fi lower extremity wounds: palpation a pulses, capillary refill, ABI, TBI, toe pressuresCovers bedside vascular assessment a di lower limb in diabetic patients. Includes pulse palpation, capillary refill, ankle-brachial index, toe pressures, an interpretation limits in calcified vessels an mixed disease.
Inspection fi colour, hair, an trophic changesPalpation a pedal an posterior tibial pulsesCapillary refill an limb temperature checksPerformin an interpretin ABI in diabetesToe pressures an TBI fi calcified arteriesWhen to refer fi vascular imagini or consultLesson 4Infection an inflammation recognition: local vs systemic signs, usin IDSA/International Workin Group on di Diabetic Foot (IWGDF) criteriaFocuses on recognizin infection an inflammation in diabetic foot wounds. Differentiates colonization from infection, reviews local an systemic signs, an applies IDSA an IWGDF criteria to grade severity an guide action.
Normal healin inflammation versus infectionLocal signs in neuropathic an ischemic tissueSystemic signs an sepsis red flagsIDSA an IWGDF infection classificationWhen to obtain cultures an imaginiUrgent referral criteria fi limb-threatenin casesLesson 5Relevant medical history an social determinants: glycemic control, comorbidities, mobility, footwear, livin situation, access to transport an careReviews key medical history an social determinants dat influence diabetic foot wounds. Emphasizes glycemic control, comorbidities, mobility, footwear, home settin, an access to transport an timely wound care services.
Targeted diabetes an treatment historyCardiovascular, renal, an neuropathy comorbiditiesMobility limits an fall or trauma historyFootwear type, fit, an wear patternsHome safety, support, an self-care capacityTransport, finances, an access to wound careLesson 6Standardized wound assessment frameworks (SITE, TIME, WoundBed, an Bates-Jensen)Introduces major wound assessment frameworks used in diabetic foot care, includin SITE, TIME, WoundBed, an Bates-Jensen. Compares components, scorin, an how dem support monitorin an interdisciplinary communication.
Purpose a structured wound assessment toolsSITE framework elements an scorinTIME framework fi wound bed preparationKey items in di WoundBed scorini systemBates-Jensen Wound Assessment overviewChoosin an applyin a framework in practiceLesson 7Documentation standards an wound photography: consent, consistent lightin, orientation an measurement recordinDescribes best practices fi written documentation an wound photography. Covers consent, privacy, positionin, lightin, scale placement, an consistent orientation to ensure reliable comparison an legal-quality records.
Essential elements a wound chartinLegal an ethical aspects a documentationObtainin an recordin photo consentStandard patient positionin an landmarksLightin, focus, an use a measurement scalesSecure storage an labelin a wound imagesLesson 8Pain assessment in neuropathic an ischemic feet: scales an bedside techniquesExplores pain assessment in neuropathic an ischemic diabetic feet. Reviews pain scales, descriptors, an bedside maneuvers dat distinguish neuropathic burnin from ischemic rest pain, guidin analgesia an referral decisions.
Common pain patterns in diabetic foot diseaseNumeric an visual pain ratin scalesNeuropathic pain descriptors an screenin toolsFeatures a ischemic an rest pain at nightAssessin pain durin dressin changesDocumentin pain response to interventionsLesson 9Neuropathy evaluation: monofilament testin, vibration (tunin fork), pinprick an proprioception testsOutlines structured neuropathy assessment in diabetic feet usin monofilament, vibration, pinprick, an proprioception tests. Emphasizes technique, scorin, an how sensory loss alters risk an patient education needs.
Screenin questions fi neuropathic symptoms10 g monofilament sites an applicationVibration testin wid tunin fork techniquePinprick an temperature discrimination testsProprioception an balance assessmentRisk stratification based on sensory lossLesson 10Measurin wound dimensions, depth, an tunnelin: tools an techniques (ruler, tracin, photography)Provides practical methods to measure wound length, width, depth, an tunnelin. Compares paper rulers, probes, tracins, an digital photography, stressin infection control an consistent technique between assessors.
Selectin clean, single-use measurin toolsStandardizin length, width, an clock faceSafe depth an tunnelin probin techniqueUsin wound tracins an acetate templatesClinical photography fi serial comparisonRecordin measurements an trends over time
