Medical+Conditions+II

Medical Conditions 2

- __Board Related Wound Care questions__: 1) **Never back stage** a pressure ulcer (a stage 2 is always a stage 2, but is now healing) 2) Debridement: **non-selective** with a cotton tip applicator or gauze; **selective-sharp** with use of scalpels or forceps 3) **Levine culture technique** is recommended for wound bed infection assessment
 * Wound Care Resources:**

- __Additional tips__: 1) look for lotions with **urea** as an ingredient to maintain the "acid mantle layer" - thin layer of skin that acts as a barrier to bacteria ; apply lotion after showering when skin is still damp 2) recommended **soaps** for patients' with DM include: dove, goat milk, without perfume; harsh soaps will remove the "**acid mantle layer**" - thin layer of skin that acts as a barrier to bacteria 3) products to consider: **xeroform** dressing for moisture ( @http://www.deroyal.com/medicalproducts/woundcare/product.aspx?id=wc-genwound-xeroform ); **silvadene** topical for burns (type it into micromedex) 4) Medicare will reimburse for tx of a wound with >20cm2 area (always calculate area and volume of wound bed) 5) Typical length of care when writing goals can be 12weeks

Peripheral Neuropathy Fact Sheet