wound care dr. curtis pedersen d.p.m.. what is wound care ?
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Wound Care
Dr. Curtis PedersenD.P.M.
What is Wound Care ?
DoctorsPhysical TherapistNursesNurse practitionersDietitiansDiabetic educatorsCounselorsSocial workers
Multidisciplinary approach
Why
Why is the ulceration present?Why is it not healing?
Simple approach to wound care
Healing wounds is like growing a garden.What does it take to grow a garden?
Human Growth Factors
What are you looking at?
Types of wounds
Diabetic neuropathicVenous stasisIschemicPressureMiscellaneous
Diabetic neuropathic ulcers
Neuropathy is the loss of sensation due to the effects of the diabetes.
Methods of Treatment
Offload the area of the ulceration.Removal of callus and debride the wounds.Prevention of new ulcerations.
Venous stasis ulcers
Loss of the integrity of the venous system causes chronic swelling or edema in the legs.
Control the edemaMassage therapyPrevent new ulcerations with compressive stockings.
Methods of treatment
Ischemic ulcerations
Peripheral Vascular DiseaseUsually a gradual process.Can also be from a sudden event.
Caused by a low-pressure over a long period of time.Tends to happen where there are sharp curvatures in bony structures.
Pressure ulcers
Methods for treatment
Offloading of the ulcerationGood wound care as always
Connective tissue diseasesVasculitisCancerTraumatic
Miscellaneous ulcers
Be The Maggot