wound assessment using the ladd seco model

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Wound Assessment Using the LADD SECO Model. Bryan Levay HSCI 5108: Instructional Media Summer 2013. Overview. Importance of wound care Lecture Describe wounds Activity Evaluation. Importance of wound care. 15 -25% of all diabetics will have an ulcer in their lifetime - PowerPoint PPT Presentation

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Principles of Wound Care

Wound Assessment Using the LADD SECO ModelBryan LevayHSCI 5108: Instructional MediaSummer 20131OverviewImportance of wound careLectureDescribe woundsActivityEvaluation

2Importance of wound care15-25% of all diabetics will have an ulcer in their lifetimeRecurrence rate 40%Amputation85% of lower-extremity amputation are preceded by an ulcer5-year mortality rate following a BKA is ~50%Amputation have varying psychosocial issues accompanyingMost amputations are preventable

Diabetic foot ulcerationNeuropathicNeuropathyDeformity Minor trauma

http://www.google.com/url?sa=i&rct=j&q=&source=images&cd=&cad=rja&docid=5WWAQUHnqiWP5M&tbnid=IRw7Ps56D5DayM:&ved=0CAUQjRw&url=http%3A%2F%2Fhealthylogica.blogspot.com%2F2012%2F07%2Fhow-to-prevent-onset-of-diabetic-foot.html&ei=qN21UcKeBYbSyAGlm4GwAQ&bvm=bv.47534661,d.aWc&psig=AFQjCNFBCGpwm1K3C9kDBScAKMg4RE13XQ&ust=1370959653987682This is basic information provided in previous courses4Summary2nd-year DO & DPM studentsBasic knowledge from previous coursesObjectivesIdentify DFU from non-DFUVerbally and transcribe the wound description with LADD SECO criteriaBe able to explain 7 of 8 components of LADD SECO TechnologiesComputer, MS Word, PPT, Blackboard accessLearning module2-hour lectureBasic informationIntro to LADD SECO

2-hour activity5-item exercise packetEvaluationLectureTraditional learning 2-hourLecture hall 2 of the HEC at WesternUCertified Wound SpecialistReinforce previous knowledgeIntroduce LADD SECO

http://www.google.com/imgres?q=lecture&um=1&safe=active&client=safari&rls=en&hl=en&biw=1136&bih=712&tbm=isch&tbnid=Uzj6-RhpnC4shM:&imgrefurl=http://www.123rf.com/photo_16614791_orange-cartoon-characters-sit-in-on-a-lecture.html&docid=xWwpmLpX_iephM&imgurl=http://us.123rf.com/400wm/400/400/limbi007/limbi0071211/limbi007121100130/16614791-orange-cartoon-characters-sit-in-on-a-lecture.jpg&w=1200&h=849&ei=6d21UcC0M4PfyQGkwoG4Dg&zoom=1&ved=1t:3588,r:64,s:0,i:280&iact=rc&dur=391&page=4&tbnh=176&tbnw=232&start=50&ndsp=18&tx=93&ty=104LADD SECOLocationAspectDimensionsDrainage

ShapeEdgeColorOther

LocationWhere is the wound located?

http://www.google.com/imgres?q=anatomical+position&um=1&hl=en&safe=active&client=safari&rls=en&biw=1179&bih=723&tbm=isch&tbnid=w_CNJwmb0KaW6M:&imgrefurl=http://www.cafepress.com/%2Banatomical_position_artwork_large_poster,664782979&docid=R8XU5XjP3Eg2pM&imgurl=http://images.cpcache.com/merchandise/514_400x400_NoPeel.jpg%253Fregion%253Dname:FrontCenter,id:69332470,w:16&w=400&h=400&ei=31ZcUcrULIn8iAequYDIDQ&zoom=1&ved=1t:3588,r:43,s:0,i:218&iact=rc&dur=495&page=2&tbnh=172&tbnw=210&start=21&ndsp=27&tx=111&ty=114AspectWhat aspect of the body is it located?Example: Inside, outside, front, rearLike location, it distinguishes position

http://www.google.com/url?sa=i&rct=j&q=views+from+different+angles&source=images&cd=&docid=XRsFkfXk4ShNRM&tbnid=WDoiN7oqcOuxzM:&ved=&url=http%3A%2F%2Fcghub.com%2Fforum%2Fshowthread.php%3Fp%3D151622&ei=PlVcUe-CI6OriAfb5oHoAg&bvm=bv.44697112,d.aGc&psig=AFQjCNGzvb9-1E8hoVgopZaKkehdeedNCw&ust=1365092030944569DrainageIs there any drainage coming out?Example: purulent, serous, blood

http://www.google.com/url?sa=i&rct=j&q=purulent+discharge&source=images&cd=&docid=ZYj8KGfawdI-qM&tbnid=ymr9oyULXt1NHM:&ved=0CAUQjRw&url=http%3A%2F%2Fdermatologyoasis.blogspot.com%2F2012_05_01_archive.html&ei=rG9cUZ7UAuquiQeM2YGwCg&bvm=bv.44697112,d.aGc&psig=AFQjCNEL9euCuqyeFIeop9Zibe52hVneVQ&ust=1365098743919879

http://www.google.com/url?sa=i&rct=j&q=weeping+wound+venous+ulcer&source=images&cd=&docid=4UAVnwaAg_dwqM&tbnid=VtJiVBp1fSVS1M:&ved=0CAUQjRw&url=http%3A%2F%2Fwww.lymphedemapeople.com%2Fthesite%2Fedema_chronic_venous_insufficiency.htm&ei=13BcUZTxE8ujiAfG1IGQAg&bvm=bv.44697112,d.aGc&psig=AFQjCNE_Ggdh55QilrI0nuwdnd2mVprECw&ust=1365099005423999

http://www.google.com/url?sa=i&rct=j&q=weeping+wound+venous+ulcer&source=images&cd=&docid=uj0onwI6ihIbiM&tbnid=kik_pTRdGHGAoM:&ved=&url=http%3A%2F%2Fwww.worldwidewounds.com%2F2006%2Fseptember%2FHarker%2FWound-Healing-Complications-Limb-Amputation.html&ei=fXBcUaPLBa2SiQezvIH4CQ&bvm=bv.44697112,d.aGc&psig=AFQjCNE_Ggdh55QilrI0nuwdnd2mVprECw&ust=1365099005423999DimensionsWhat are the dimensions of the wound?Length x Width x DepthMetric only

http://www.google.com/url?sa=i&rct=j&q=measuring+a+wound&source=images&cd=&docid=MV-nhJ1cE3MZ9M&tbnid=sx8JKbQ5v2qwZM:&ved=&url=http%3A%2F%2Fwww.woundstick.com%2Fwoundstick_20cm_product_page.htm&ei=IFdcUcfqOuPMiAe8moHICg&bvm=bv.44697112,d.aGc&psig=AFQjCNEXsIT8lQujSLzpAd4gXCSfvnOoxQ&ust=1365092513327661ShapeHow is the wound shaped?Example: circular, linear, irregular

http://www.google.com/url?sa=i&rct=j&q=irregular+shaped+ulcer&source=images&cd=&docid=cBUvVZzqOrb4HM&tbnid=QY7dy9Nuw3SNXM:&ved=0CAUQjRw&url=http%3A%2F%2Fwww.podiatrytoday.com%2Fcase-studies-unusual-wounds%3Fpage%3D3&ei=a15cUZbvFuWTiAfNo4GoDQ&bvm=bv.44697112,d.aGc&psig=AFQjCNGH16I7SCYPPn0bCTtQE9GH--5xYA&ust=1365094360440745http://www.google.com/url?sa=i&rct=j&q=foot+chainsaw+wound&source=images&cd=&docid=0mLF3V03ARJKmM&tbnid=RjF9mtgaGV777M:&ved=&url=http%3A%2F%2Fwww.bchw.org%2FTech%2520tips%2FSawCertification%2FChain%2520Saw%2520Injuries.htm&ei=HelZUb2YGqzVigLm94DICA&bvm=bv.44442042,d.cGE&psig=AFQjCNEROUCQqJQX-eweOXLExzrydsulkw&ust=1364933277917644http://www.google.com/imgres?q=diabetic+ulcer&um=1&hl=en&safe=active&client=safari&rls=en&biw=1179&bih=723&tbm=isch&tbnid=IRw7Ps56D5DayM:&imgrefurl=http://healthylogica.blogspot.com/2012/07/how-to-prevent-onset-of-diabetic-foot.html&docid=5WWAQUHnqiWP5M&imgurl=http://1.bp.blogspot.com/-QUVSBwO1d0I/T_VsHpitZqI/AAAAAAAABiM/kWfCftbE2xc/s1600/How%252BTo%252BPrevent%252BThe%252BOnset%252BOf%252BDiabetic%252BFoot%252BUlcers.jpg&w=800&h=600&ei=D19cUfybOIj_iAeJjIHoDA&zoom=1&ved=1t:3588,r:5,s:0,i:96&iact=rc&dur=827&page=1&tbnh=180&tbnw=242&start=0&ndsp=15&tx=136&ty=102EdgeHow does the wound edges appear?Example: macerated, callused, necrotic

http://www.google.com/url?sa=i&rct=j&q=macerated+wound&source=images&cd=&docid=16femcYuqFNmQM&tbnid=Rnvp3I8cXNx9ZM:&ved=0CAUQjRw&url=http%3A%2F%2Fwocn.confex.com%2Fwocn%2F2007AM%2Ftechprogram%2FP2467.HTM&ei=G2FcUf2_GYWfiAfo6oCgAQ&bvm=bv.44697112,d.aGc&psig=AFQjCNFCT-_HFJHCXAiIuczM1cKIz9btcQ&ust=1365095054762175

http://www.google.com/url?sa=i&rct=j&q=hyperkeratotic+rim+ulcer&source=images&cd=&docid=LgvOhMrukma5BM&tbnid=cOUolUH8FVAN3M:&ved=0CAUQjRw&url=http%3A%2F%2Fwww.studyblue.com%2Fnotes%2Fnote%2Fn%2Fskin%2Fdeck%2F5281900&ei=7WFcUcHtCOX_iAfxyoHIBw&bvm=bv.44697112,d.aGc&psig=AFQjCNGjLNnoKcbBVq-Hc6TWqrpYnZWlHg&ust=1365095263991005

http://www.google.com/url?sa=i&rct=j&q=necrotic+ulcer&source=images&cd=&docid=u_4IxDraUJXYdM&tbnid=Vk6kEM4qxCX5UM:&ved=0CAUQjRw&url=http%3A%2F%2Fopeni.nlm.nih.gov%2Fdetailedresult.php%3Fimg%3D3105064_pone.0020492.g002%26req%3D4&ei=gWJcUfyICs-5iAeIwYGADA&bvm=bv.44697112,d.aGc&psig=AFQjCNFyoy0NiqcBL7eu-e-nmi_wPituWw&ust=1365095397186211ColorWhat is the color of the wound base?Example: Red, white, yellow, black

http://www.google.com/url?sa=i&rct=j&q=venous+ulcer&source=images&cd=&docid=-jNJwK6c6lT2OM&tbnid=ioD9PfVud7j0aM:&ved=0CAUQjRw&url=http%3A%2F%2Fpics8.this-pic.com%2Fkey%2Fdifference%2520between%2520arterial%2520venous%2520ulcers&ei=t_VZUYvTD4epkAXHkYGADw&bvm=bv.44442042,d.dGI&psig=AFQjCNHVgEv36weHpBuYG-OFCPGkjEoVGA&ust=1364936195878872

http://www.google.com/url?sa=i&rct=j&q=ulcer+color&source=images&cd=&docid=H8aN--s8OMZAxM&tbnid=CXePJOwpqHLDCM:&ved=&url=http%3A%2F%2Fwww.skinsight.com%2Fadult%2FaphthousUlcerCankerSore.htm&ei=-WNcUenbFKiiiAff34GYBg&bvm=bv.44697112,d.aGc&psig=AFQjCNFjqwOKYBrw_l6Nn165Gw24E3bUVA&ust=1365095801684734

http://www.google.com/url?sa=i&rct=j&q=yellow+wound&source=images&cd=&docid=sP-KGNu6izdraM&tbnid=1gShQ_ETkvAVpM:&ved=0CAUQjRw&url=http%3A%2F%2Fwww.worldwidewounds.com%2F1997%2Fjuly%2FThomas-Guide%2FDress-Select.html&ei=_2VcUZfLMubqiAfQrIGIBQ&bvm=bv.44697112,d.aGc&psig=AFQjCNHJzccSGyEBZN9AVB4cZc_Q48tQ_Q&ust=1365096312735874

http://www.google.com/url?sa=i&rct=j&q=black+wound&source=images&cd=&docid=sP-KGNu6izdraM&tbnid=b4m1zyaq2Tsk1M:&ved=0CAUQjRw&url=http%3A%2F%2Fwww.worldwidewounds.com%2F1997%2Fjuly%2FThomas-Guide%2FDress-Select.html&ei=n2ZcUYD7Ke2tiQf5u4HIDA&bvm=bv.44697112,d.aGc&psig=AFQjCNFl771nUPqSEzYgbLW2fq49PZqu0g&ust=1365096465479103OtherOther things you notice?Warmth?Odor?Satellite wounds?Tunneling?Periwound area?

Activity2-hour session6-8 students per break out room1-2 DPM, 5-6 DO5 cases with imageIndividual needs to completeRounding faculty will provide assistanceSee worksheet17EvaluationSpeak about evaluation18Student feedbackShow student evaluation19ReferencesAmerican Diabetes Association. (2013). Economic Costs of Diabetes in U.S. in 2012. Diabetes Care, 36(4), 1033-1046. doi: 10.2337/dc12-2625Armstrong, D. G., Nguyen, H. C., Lavery, L. A., van Schie, C. H.