Hi All, got a question from a Student we have on placement with us at the moment..
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Hi guys,
I am a fourth year student at La Trobe Univeristy and am looking at putting together an online wound database here in National University Hospital in Singapore. For my proposal i am looking at supportive evidence as to why a database is useful and what statistics is should be looking for. I know this is a large topic, but i have a list of categories so far, can you help me out firstly with where to search for appropriate articles (you you may be aware of specific ones!!!) and any indicators we should be documenting for wound care?
Here are my indicators:Patient Demographics:
Name:
DOB:
Nationality:
Job Description:
Nutrition: How am I going to assess this… find more research!!! Look at how dieticians assess nutrition levels, blood test also.
Smoker/Drink alcohol:
Footwear:
Medical Factors:
Diabetic
Rheumatoid Arthritis
Renal Failure
Neurological Signs:
Sensate
Neuropathic
Alcohol induced neuropathy
Classification of foot: low risk vs high risk
Vascular Status:
Pedal pulses palpable
ABPI
Deep Vein issues
Aterial issues
Peripheral Vascular Disease
Wound Location:
Wound Type:
Neuropathic
Venous
Arterial
Mixed
Surgical
Wound Base:
Epithelialization
Granulating
Sloughy
Necrotic
Hypergranulating
Others
Wound Edge:
Sloping
Rolled
Undermined
Punched Out
Clinical Infection:
Infection present: yes/no
Culture taken: Swab/biopsy
Infecting organism:
Probe to bone: yes/no
Odour: yes/no
Exudate Level:
Serous
Heamoserous
Purulent
Others
Surrounding Skin:
Healthy: Yes/No
Erythema: Yes/No
Oedematous: Yes/No. If yes how much…..
Callus: Location of callus
Eczema: Venous or dermatological
Friable:
Macerated: Wound edge only, or extending further
Induration: Hardness of skin surrounding wound, sign further pressure damage may occur to the wound
Colour: Base vs skin
Others:
Treatment/healing progress:
Debridement
Desloughing
Removal of biofilm
Wounds status: Healing, stasis, breaking down
Dressings:
Primary Dressing
Secondary Dressing
Comments/correspondence area: Area in which podiatrists can communicate with other staff members in regards to treatment regime’s, treatment goals and further possible testing if required.
Thank you,
Dean Sargeant
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