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Wound debridement: Removal of necrotic tissue, debris, Metabolic tissue,…

- - - - Bacteria thrives in the extra sugar in the blood
    - - Poor circulation neuropathy
- - - - Referral to physiology therapy
      - Note to district nursing to monitor also on visits
- - - - Neurovascular assessment
      - Consider indications for a referral to ...
        
        Diabetic nurse
        
        Physiotherapist
        
        Consultant
      - New Presentation, history or recently developed
- - - - If No: Does the client need/want other services to support therm
  - - - No
        
        Motivational interviewing
        
        Active listening
      - Yes
        
        Continue encourage
        
        Professional Praise
- - - - Low nutrients from the blood slow the wound healing process
- - - - Fight or flight
        
        increased endorphin for attempted pain relief and release of adrenaline causing vasoconstruction
    - - Anticapory pain
        
        Increased metabolic demand
- - - - Vessel constriction
        
        Poor blood flow
        
        Poor wound healing
- - - - Dehydration
      - Faint /dizzy spells
        
        Fluid loss
  - - - Infection
      - Pain
      - Comorbidities
        
        Astham
        
        COPD
        
        Smoker
  - - - Infection
    - - Dehydration
        
        Encourage fluid intake