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
- Partial thickness wounds between toes
Skills Gained
- Wound assessment
- Routine cleansing
- Dressing techniques
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Legend
References
Family Medicine
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