The Curbsiders Internal Medicine Podcast

#141 Wound Care Pearls

Feb 25, 2019
Dr. Elizabeth (Foy) White-Chu, an assistant professor and medical director at OHSU, shares her expertise on chronic wound care. She offers simple yet effective strategies for managing complex wounds, including dressing selection and pain management. Explore the crucial aspects of wound cleansing, from the type of water to use to achieving optimal healing. Dive into her evidence-based practices that can revolutionize patient outcomes and learn how personal interests like gardening can even intersect with professional growth in healthcare.
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ADVICE

Systematic Wound Description

  • When describing a wound, detail the exact location and the condition of the peri-wound skin.
  • Also describe the wound edge, tissue viability, and the amount and color of drainage.
ADVICE

Ask About Wound Origin & Habits

  • Ask patients how the wound started and about their daily activities and sleeping position.
  • This helps identify causes like pressure and guides ways to relieve pressure during sleep.
ADVICE

Key History For Wound Assessment

  • Always screen for systemic infection signs like fever, chills, and increasing wound pain.
  • Also evaluate nutrition, weight loss, smoking, function, housing, and pet exposure affecting wound care.
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