Which of the following interventions is not helpful in controlling the discomfort of paresthesia seconday to preripheral neuropathy?
Oral anticonvulsant
TENS unit
Oral muscle relaxant
Oral or topical analgesic
Oral muscle relaxant
Pharmacologic interventions for ______ pain include anticonvulsant therapy (e.g., carbamazepine, phenytoin) and analgesics such as oral tramadol or topical lidocaine cream.
neuropathic
_________ may be alleviated by a transcutaneous electrical nerve stimulation (TENS) unit. ~
Paresthesia
_______ _________, however, are indicated for muscular pain and do not address neuropathic pain
Muslce relaxants
A nylon monofilament test is evaluated by the number of test sites the patient can detect. Of the 10 total test sites, decreased sensation is indicated when the patient can detect how many?
Two or fewer
Four or fewer
Eight or fewer
Six of fewer
Four or fewer
* Sensory neuropathy involves the loss of protective sensation. Neuropathy is diagnosed when the patient cannot feel the 5.07 monofilament.
Screening for neuropathy can be done rapidly and reliably using the _____-_______ monofilament examination.
Semmes-Weinstein (SWME)
* The test is scored by how many of the 10 sites the patient can detect. Detecting four or fewer sites indicates decreased protective sensation and sensory neuropathy.
SWME is done with a -
5.07 nylon monofilament applied to 10 sites in total- five key locations one each foot. The monofilament is standardized to deliver a 10-gram force when pressed against the skin.
For a patient w/urinary incontinence, which type of product is recommended to protect the skin?
Emollient compounds
Cleansing agents
Moisturizers
Powders
Emollient compounds
* To mitigate (MASD) it is advisabel to use moisture barrier ointments containing emollients-such as lanolin, mineral oil, or petrolatum-to protect the skin from enzymatic irritants.
A patient presents w/a superficial burn on the forearm affecting the epidermis only. When discussing the healing process w/the patient, what should be emphasized about the regenerative capabilites of the epidermis?
Regenerration of the epidermis occurs without scarring due to the presence of basal keratinocytes, which proliferate to repair the damage.
* The epidermis has a high regenerative capacity primarily because keratinocytes in the basal layer can proliferate and replace lost or damaged cells.
In ______ burns affecting only the epidermis, regeneration generally occurs without scarring, and skin grafting is not necessary.
superficial
_____ are primarily involved in the dermal healing healing process & do not migrate into the epidermis.
Fibroblasts
Which of the following best describes the primary role of the case manager in wound care?
Coordinating and optimizing care for the patient.
* The Case manager's primary responsibility is to coordinate care among healthcare professionals, facilities, and services. They ensure the patient gets comprehensive wound care.
The International Society of Lymphology (ISL) has created lymphedema classifications. Which of the following is not a characteristic of stage I lymphedema?
No clinical fibrosis
Thich, leathery skin
Reduction on elevation
Pitting on pressure
Thick, leathery skin
Lymphedema Stages:
Stage I :
Accumulation of protein-rich lymph fluid that pitts on pressure and reduces w/limb elevation. - There's no clinical fibrosis at this stage.
Lymphedema Stages:
Stage 0 (subclinical):
Impared lymphatic function with out visible swelling. This stage may persist for months or years before edema becomes evident.
Lymphedema Stages:
Stage II:
Nonpitting edema that does not resove completely w/elevation; bribrosis begins
Lymphedema Stages:
Stage III:
(limphosttic elephantiasis) severe swelling w/thick, leathery skin, hyperkeratosis, and papillomatosis. ** Thick leathery skin is a hallmark of stage III.