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Based on an 80-year-old patient for a true-to-life appearance, the model offers 20 conditions which allow for the identification & staging of wounds and their probable causes.
Overview
DTI on top of foot with “mushy/boggy” feel when palpated
Flexible material allows toes to be moved
Cleaning
Washable with soap & water
Anatomy
Pressure Ulcer
Stage 1 on the medial malleolus
Stage 2 on the lateral foot (behind the 5th toe)
Stage 3 on the heel with infection
2 x Stage 4: on the lateral malleolus with exposed tendon and bone & on the medial foot (behind the big toe) with exposed tendon and slough
Suspected DTI
Neuropathic ulcer
Callus, Gangrene, Maceration
Amputation, Corn, Fungal thickened toenails
Blisters, Hammer toes, Skin stapled wound
Ingrown toenail, Unstageable eschar on lateral foot
AAFP Recommended Curriculum Guidelines for Family Medicine Residents, Care of Older Adults Reprint No. 264, p.5
15.Care of conditions that are common in older adults...
k. Dermatologic: xerosis, cutaneous neoplasms, environmental and traumatic lesions including skin tears and pressure ulcers, wounds, skin manifestations of systemic illness
Paramedics Australasia: Paramedicine roles: General Care Paramedic: Specialist management of wounds (cleaning, closure and dressing)
Specialty Training Curriculum for Core Medical Training , 2013 p. 10: Assess and formulate immediate management plan for diabetic foot ulceration
GMC Outcomes for graduates (Tomorrow’s Doctors) July 2015, p.15
26. Wound care and basic wound dressing
Providing basic care of surgical or traumatic wounds and applying dressings appropriately.
Future nurse: Standards of proficiency for registered nurses, 17 May 2018, p.34-35
4.4 identify and manage skin irritations and rashes
4.6 use aseptic techniques when undertaking wound care including dressings, pressure bandaging, suture removal,and vacuum closures
4.7 use aseptic techniques when managing wound and drainage processes