Lesson 1When an how fi use diagnostic tests: wound cultures, imaging fi osteomyelitis (X-ray, MRI, bone scan)Clarifies when diagnostic tests add value in wound care. Discusses appropriate culture techniques, imaging choices fi suspected osteomyelitis, an coordination wid radiology an infectious disease fi targeted management.
Indications fi quantitative wound culturesSwab versus tissue an bone biopsy methodsPlain radiographs fi chronic bone changesMRI fi early osteomyelitis detectionRole of nuclear medicine bone scansInterpreting results wid clinical findingsLesson 2Neuropathy evaluation: monofilament testing, vibration testing, an sensory mappingFocuses on peripheral neuropathy assessment in wound patients. Details monofilament technique, vibration an proprioception testing, sensory mapping, an documentation fi stratify risk fi ulceration an injury.
History clues fi neuropathy an riskMonofilament selection an test techniqueVibration testing wid tuning fork or deviceProprioception an position sense checksSensory mapping an protective loss zonesDocumenting neuropathy severity an impactLesson 3Exudate assessment an odor evaluation; infection signs an biofilm conceptsDetails exudate volume, color, an consistency, plus odor assessment an timing. Reviews local an systemic infection signs, critical colonization, an biofilm behavior fi guide culture decisions an antimicrobial strategies.
Classifying exudate type, color, an amountAssessing odor after cleansing an debridementLocal an systemic signs of wound infectionCritical colonization versus contaminationBiofilm formation, impact, an disruptionWhen fi obtain wound cultures safelyLesson 4Tissue types an wound bed descriptors: granulation, slough, necrosis, epithelializationDefines key tissue types in di wound bed an dem clinical meaning. Covers granulation, slough, eschar, epithelialization, an exposed structures, emphasizing accurate percentage estimates an implications fi treatment planning.
Healthy versus hypergranulation tissueCharacteristics of slough an fibrinDry versus moist necrosis an escharEpithelial edge an island formationExposed bone, tendon, an hardwareEstimating tissue type percentagesLesson 5Pain assessment specific to wounds an procedures; use of pain scales an timing documentationAddresses comprehensive pain assessment specific to wounds an procedures. Reviews nociceptive an neuropathic features, pain scales, timing wid dressing changes, an documentation fi guide analgesia an nonpharmacologic care.
Types of wound-related pain descriptorsSelecting age-appropriate pain scalesBaseline, procedural, an breakthrough painTiming assessment wid dressing changesNonpharmacologic pain management optionsDocumenting response to interventionsLesson 6Systematic wound assessment: size, depth, tunneling, undermining, an staging/classificationProvides a stepwise approach to wound assessment, including location, size, depth, an tissue involvement. Reviews tunneling, undermining, sinus tracts, an classification systems fi ensure consistent, reproducible measurements.
Anatomic location an wound etiology cluesLinear, clock-face, an digital measurementsMeasuring depth an wound volumeIdentifying an measuring underminingIdentifying an measuring tunneling tractsSelecting appropriate classification systemsLesson 7Pressure injury staging an skin failure distinctionsExplores NPIAP pressure injury stages, deep tissue injury, an unstageable wounds. Clarifies skin failure, terminal ulcers, an device-related injuries fi improve accurate classification an defensible documentation.
NPIAP staging I–IV an unstageable criteriaDeep tissue pressure injury recognitionMedical device–related pressure injury featuresMoisture-associated skin damage versus pressureSkin failure an Kennedy terminal ulcerDocumentation to support accurate stagingLesson 8Risk factor review during assessment: comorbidities, medications, smoking, mobility, continence, cognitive statusGuides structured review of systemic an local risk factors affecting wounds. Addresses comorbidities, medications, lifestyle, mobility, continence, an cognition fi inform prognosis an individualized care planning.
Key comorbidities impacting healingMedication review an anticoagulantsSmoking, alcohol, an substance useMobility, offloading, an support surfacesContinence, moisture, an skin integrityCognition, adherence, an caregiver supportLesson 9Vascular assessment: arterial an venous exam, ankle-brachial index (ABI), toe pressures, transcutaneous oxygen (TcPO2)Explains bedside vascular assessment fi wound healing potential. Covers pulses, temperature, edema, ABI, toe pressures, an TcPO2, including contraindications, interpretation, an referral thresholds fi vascular studies.
Inspection fi color, hair loss, an edemaPalpation of pedal an popliteal pulsesAnkle-brachial index technique an limitsToe pressures an toe-brachial index useTranscutaneous oxygen measurement basicsWhen fi refer fi vascular consultationLesson 10Legal an ethical documentation considerations an informed consent fi procedures (debridement, advanced therapies)Outlines legal an ethical principles fi wound documentation an consent. Covers capacity assessment, informed consent fi debridement an advanced therapies, refusal documentation, an strategies fi reduce medicolegal risk.
Elements of legally sound documentationCapacity, surrogates, an shared decisionsInformed consent fi debridement optionsConsent fi advanced an device therapiesDocumenting refusal an risk discussionsManaging conflicts an protecting patientsLesson 11Nutrition screening fi wound healing: malnutrition indicators, key labs (albumin, prealbumin, CRP) an hydration statusReviews nutrition screening tools, malnutrition indicators, an key labs. Explains interpreting albumin, prealbumin, an CRP trends, plus hydration assessment, fi coordinate timely referrals an optimize healing capacity.
Nutrition screening tools an red flagsClinical signs of protein–calorie malnutritionInterpreting albumin an prealbumin trendsRole of CRP an inflammation in labsAssessing hydration an fluid balanceWhen fi refer to dietitian servicesLesson 12Standardized documentation an wound photography: measurement techniques an electronic medical record integrationCovers standardized documentation elements, validated tools, an photography protocols. Reviews measurement techniques, image labeling, consent, an integration wid electronic records fi support continuity an legal defensibility.
Required elements of a wound noteUsing validated assessment tools an scalesBest practices fi wound photographyLighting, positioning, an scale placementLabeling, consent, an privacy safeguardsEMR templates an smart phrases use
