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20 Cards in this Set
- Front
- Back
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What's the most common mechanism causing foot ulceration and faulty ulcer healing?
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repetitive walking stress
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T or F, the best treatment for foot ulceration is medicine?
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False, it's mechanics
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Why is it important to remove callus from a wound?
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b/c it can impede epitheliazation from the wound edge, especially important if the wound is undermined
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3 strategies for reducing pressure on plantar surface of the foot
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reduce the force
spread the force shift the force |
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Name 4 off-loading methods
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Total Contact Cast
Walking Splint Healing Footwear Prefabricated Walking Boots Accommodative Dressings Wedged Shoes Ambulatory Devices Gait Strategies |
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Name some advantages of total contact casting
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Reduces Walking Stresses
Reduces Edema Not Easily Removed Limits Walking Activities |
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Some advantages of removable casts
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Reduces walking stresses
Removable for inspection and dressing Indicated in infected, ischemic and non-plantar wounds Provides continuity in referral cases Useful as interim device in severe deformities |
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Features of short leg walkers
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Fixed ankle brace
Rocker sole Soft insert |
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These two shoes off load the front of the foot by shifting weight to the heel
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Ipos "half-shoe"
Darco orthowedge |
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Whats a good method to determine where to cut out reliefs for pressure ulcers?
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use red lipstick
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Claw toe causes callus where?
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tips of toes
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Two methods to off-load the tips of claw toes?
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PediPlast crest pad
Moleskin crest pad |
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Some factors you should consider when selecting an off-loading method?
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Location of ulceration
Wound size/depth/grade Wound complications (bone, infection, ischemia) Age and general condition/balance Duration of ulceration Previous results Patient compliance (adherence) Cost/Time Clinician’s experience & skill Patient’s preference |
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T or F, Casts, splints, walking boots, orthopedic wedge shoes, accommodative dressings are all evidence based offloading devices?
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true, They are most effective when they are modified to reduce pressure over the ulcer area.
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general guidlines during the remodeling phase of healing
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Modified Footwear
Ambulatory Aids as Needed Progressive Activity Careful Tissue Monitoring Scheduled Follow-Up |
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As far as diabetic therapeutic shoes, medicare will reimburse for?
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1 pair of depth-inlay shoes and 3 pair of molded, multi-density inserts
or 1 pair of custom shoes and 2 pair of molded, multi-density inserts. |
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What about pt education regarding prescribed shoes is very important?
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wear thier shoes inside the house
High risk patients wore prescribed shoes 85% of time walking outside their home but only 15% of the time when walking inside and patients walked more inside their home |
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Which of the following statements concerning running shoes is FALSE?
-More effective than leather soled oxford shoes -not as effective as therapeutic depth inlay shoes -Not as effective than comfort shoes in reducing foot pressure in high risk diabetes pts |
not as effective as therapeutic depth inlay shoes
evidence shoes their as effective |
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Two types of soft molded inserts that are effective at reducing foot pressure in pts with high risk feet are?
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spenco microcellular rubber inserts
poron polyurethane foam inserts |
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What has been shown to be an effective offloading device for reducing central and medial forefoot pressures
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Rocker shoe
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