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Wound assessment scales

Discussion in 'Diabetic Foot & Wound Management' started by betafeet, Sep 21, 2006.

  1. betafeet

    betafeet Active Member


    Members do not see these Ads. Sign Up.
    Which of the many scales of wound assessment are you all using S(AD), DEPA, University of Texas system (UT), San Antonio Norton, Wagner, Braden, Waterlow risk scalesand the Texas ‘The Foot Risk Classification’.. And have you had experiences with the Vistrack which is a digital, portable, wound progress tracking device and the company Smith & Nephew.

    I would be extremely interest in your preferences, opinions, why and the effectiveness of their use in daily practice.

    Jude
     
  2. betafeet

    betafeet Active Member

    Last edited by a moderator: Sep 21, 2006
  3. betafeet

    betafeet Active Member

    Concise and accurate medical records are essential as the main reference point to vital information of wound size and assessment of healing and the biggest problem in this is the lack of a general universal classification system, (Gripton, 2002), but are mainly specific to a disease for example; diabetes (Edmonds, Foster, 2000)and rheumatoid (Young, der Heijde 1997).
     
  4. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    wound

    Wound measurement by curvature maps: a feasibility study.
    Physiol Meas. 2006 Nov;27(11):1107-1123
    Liu X, Kim W, Schmidt R, Drerup B, Song J
     
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    NewsBot The Admin that posts the news.

    Articles:
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    Role of wound classification in predicting the outcome of diabetic foot ulcer.
    J Pak Med Assoc. 2006 Oct;56(10):444-7
    Gul A, Basit A, Ali SM, Ahmadani MY, Miyan Z
     
  6. Delcam-Healthcare

    Delcam-Healthcare Active Member

    We are familiar with documentation and scales such as "PUSH" (pressure ulcer scale for healing) and "PSST" (Pressure Sore Status Tool) used in some form in the UK. As for methodologies of measurement and assessment, I believe its far to subjective at present. Do you think a more quantitive scale needs to be developed?
     
  7. Graham

    Graham RIP

    For the day to day clinician the ulcer scales and measurements are a pain in the butt. I take a full foot and close up digital picture and file under the clients pic file. A picture tells a thousand words!
     
  8. Delcam-Healthcare

    Delcam-Healthcare Active Member

    Though wouldn't you agree that a photo adds an element of subjectivity ? The Scales and documention is not perfect but least it tries to provide a common method for a multidisciplinary team to understand. Also dependant on what 'angle' you take the photo at you may make out the wound to be better/worser.

    Though would it be more painless day to day if the patient files were stored electronically and it was just a matter of filling in tickboxes and taking a photo rather than pen to paper?
     
  9. brekin

    brekin Active Member

    Totally agree. However I generally go one further and measure the area of the wound using Photoshop CS3 (or up to CS5) Extended edition. Very easy and quick.

    Cheers
    Brett
     
  10. Delcam-Healthcare

    Delcam-Healthcare Active Member

    I'm pleasently surprised you'd take the extra effort to measure them in Photoshop! So are we agreed more evidence based logging is better (ie photos)?!

    I think technology is moving in the direction of non invasive scanning of both volume measurement and to a more advanced extent things such as exudate, pH levels and bacteria levels.

    This will obviously be better than 'grading' these using scales by eye and filling in a pre-formatted paper form but the crucial question is would anyone adopt these emerging non invasive technologies given the high initial cost? the trick is to have all this data logged accurately and stored in less than 5 minutes - even as far as advising a course of treatment as well. Though of course this would never replace a podiatrist/nurses decision making.

    Though IT/data management systems aren't free of teething problems themselves!
     
  11. NewsBot

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    NewsBot The Admin that posts the news.

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    An Automatic Assessment System of Diabetic Foot Ulcers Based on Wound Area Determination, Color Segmentation, and Healing Score Evaluation
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    J Diabetes Sci Technol August 7, 2015
     
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    Robust Methods for Real-time Diabetic Foot Ulcer Detection and Localization on Mobile Devices.
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