Wound Care

Dr. Curtis PedersenD.P.M.

What is Wound Care ?

DoctorsPhysical TherapistNursesNurse practitionersDietitiansDiabetic educatorsCounselorsSocial workers

Multidisciplinary approach

Why

Why is the ulceration present?Why is it not healing?

Simple approach to wound care

Healing wounds is like growing a garden.What does it take to grow a garden?

Human Growth Factors

What are you looking at?

Types of wounds

Diabetic neuropathicVenous stasisIschemicPressureMiscellaneous

Diabetic neuropathic ulcers

Neuropathy is the loss of sensation due to the effects of the diabetes.

Methods of Treatment

Offload the area of the ulceration.Removal of callus and debride the wounds.Prevention of new ulcerations.

Venous stasis ulcers

Loss of the integrity of the venous system causes chronic swelling or edema in the legs.

Control the edemaMassage therapyPrevent new ulcerations with compressive stockings.

Methods of treatment

Ischemic ulcerations

Peripheral Vascular DiseaseUsually a gradual process.Can also be from a sudden event.

Caused by a low-pressure over a long period of time.Tends to happen where there are sharp curvatures in bony structures.

Pressure ulcers

Methods for treatment

Offloading of the ulcerationGood wound care as always

Connective tissue diseasesVasculitisCancerTraumatic

Miscellaneous ulcers

Be The Maggot