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Role of PT and Wound Care Questions and Answers.
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Role of PT and Wound Care Questions and Answers.
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Role of PT and Wound Care Questions andAnswers.
Wound care credentials (WCC) -
\certified through NAWCO
- PT, PTA<,OT, MD, DO, RN, LPN, NP
- 2 hour exam with 110 questions
- lasts 5 years
CWS
- 4 hour exam
- lasts 10 years
- any licensed healthcare professional with a bachelors, masters, or doctoral degree
with 3+ years of clinical wound care experience
FACCWS
wounds to refer to PT -
\- necrotic
- purulent exudate
- chronic
- pasty-salmon pink -- chronic proliferation stage
- without good epithelial margin
- nonhealing oncology - per PT/MD
wounds NOT to refer to PT -
\- acute stage one or stage 2 pressure ulcers
- 100% granulating with a good epithelial margin
- responding well to conservative nursing treatment
- cancer wounds
TIME strategy -
\T - tissue (nonviable)
I - infection/inflammation
M - moisture
E - edge of wound
maceration -
\softening of tissue by soaking
modalities used by PT -
\- whirlpool
, - pulsed lavage
- compression
- electric stimulation
- sharp debridement
- dressings
- vacuum assisted closure (VAC)
whirlpool: advantages -
\cleansing of necrotic and odorous wounds
softening of eschar or necrotic tissue
debriding by mechanical action of turbulence
increases blood flow and circulation
Whirlpool contraindications -
\- moderate to severe edema
- incontinence
- acute phlebitis or cellulitis
- DVT
- dry ganrene
pulsed lavage -
\- irrigates and cleanses wounds via pulsatile lavage jets
- reduces bacteria and infection
- promotes granulation and epithelialization
** only get local vasodilation
pulsed lavage: irrigation pressure -
\- 4-15 PSI (8 most effective)
- normal saline IV bag used as irrigant
- debrides and cleans through pressure to necrotic tissue
- reduces bacteria and inflammation of tissue
pulsed lavage: negative pressure -
\- provides concurrent suction (60-100 mmHg)
- removes debris, bacteria, and irrigant
- dilates arterioles to increase blood flow
pulsed lavage: advantages -
\cost efficiency
faster outcomes
decreased length of stay
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