Wound Classification Flashcards

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Questions and Answers

What are some characteristics of wounds?

  • Type of wound (correct)
  • Severity of wound (correct)
  • Depth of tissue loss (correct)
  • Color of tissue (correct)

Which of the following are considered wound classification systems?

  • Red, yellow, and black color systems (correct)
  • Depth of tissue injury (correct)
  • Pressure ulcers staging (correct)
  • Only one classification system for all wounds

What does tissue loss dictate?

The type of healing

What does the Marion Laboratories Red, Yellow, and Black Classification System describe?

<p>The wound surface and specific therapy needs.</p> Signup and view all the answers

A red wound is considered ________.

<p>clean and healing.</p> Signup and view all the answers

A yellow wound may indicate the need for ________.

<p>cleaning or debridement.</p> Signup and view all the answers

What does a black wound signify?

<p>Necrotic tissue that needs cleaning and debridement.</p> Signup and view all the answers

What is the National Pressure Ulcer Advisory Panel Pressure Ulcer Staging system primarily used for?

<p>Assessing wound severity (A), Organizing treatment protocols (C), Selecting and reimbursing treatment products (D)</p> Signup and view all the answers

What does the Wagner Ulcer Grade Classification assess?

<p>The presence of depth and infection in a wound.</p> Signup and view all the answers

What does Wagner Grade 0 indicate?

<p>Preulcerative lesions, healed ulcers, or presence of bony deformity.</p> Signup and view all the answers

What is described by Wagner Grade 1?

<p>A superficial ulcer without subcutaneous tissue involvement.</p> Signup and view all the answers

What does Wagner Grade 2 signify?

<p>Penetration through subcutaneous tissue that may expose bone or tendon.</p> Signup and view all the answers

What conditions are associated with Wagner Grade 3?

<p>Osteitis, abscess, or osteomyelitis.</p> Signup and view all the answers

What does Wagner Grade 4 refer to?

<p>Gangrene of the digit.</p> Signup and view all the answers

What is the significance of Wagner Grade 5?

<p>Gangrene of the foot that may require disarticulation or amputation.</p> Signup and view all the answers

What does the University of Texas Treatment-Based Diabetic Foot Classification System assess?

<p>Wound depth (B), Circulation (C), Infection status (D)</p> Signup and view all the answers

What does the University of Texas Treatment: A refer to?

<p>Wound depth.</p> Signup and view all the answers

What does the University of Texas Treatment: B indicate?

<p>Infection.</p> Signup and view all the answers

What does the University of Texas Treatment: C represent?

<p>Ischemia.</p> Signup and view all the answers

What does the University of Texas Treatment: D signify?

<p>Infection and ischemia.</p> Signup and view all the answers

Flashcards

Wound Depth Assessment

Evaluating how deep a wound is to determine tissue loss.

Wound Classification

System used to categorize wounds by type and severity.

Tissue Healing Color Indicators

Using tissue color to assess the healing status of wounds.

Pressure Ulcer Staging System

A system to classify and describe pressure ulcers' severity.

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Red Classification

A clean, granulating wound indicating healing progress.

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Yellow Classification

Indicates possible infection or necrotic tissue needing cleaning.

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Black Classification

Represents necrotic tissue needing urgent debridement.

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Wagner Ulcer Classification

Grades dysvascular conditions by wound depth and infection risk.

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Wagner Grade 0

Involves preulcerative lesions or healed ulcers without infection.

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Wagner Grade 1

Superficial ulcers without involvement of subcutaneous tissue.

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Wagner Grade 2

Full-thickness wounds that may involve bones or joints.

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Wagner Grade 3

Infections affecting the bone like osteitis or osteomyelitis present.

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Wagner Grade 4

Gangrene occurs in digits, indicating serious conditions.

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Wagner Grade 5

Gangrene in the foot that may require amputation.

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University of Texas Classification

A system assessing diabetic foot ulcers based on infection and circulation.

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University of Texas Treatment A

Focuses on evaluating the depth of diabetic foot wounds.

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University of Texas Treatment B

Focuses on identifying infection in diabetic wounds.

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University of Texas Treatment C

Pertains to the assessment of ischemia in diabetic wounds.

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University of Texas Treatment D

Combines evaluation of both infection and ischemia.

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Healing Intentions

Types of healing: primary intention (surgical) or secondary (natural).

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Study Notes

Characteristics of Wounds

  • Assess wound depth to determine tissue loss.
  • Classify wounds by type and severity.
  • Evaluate color of tissue for healing indicators.

Wound Classification Systems

  • Depth of tissue injury is a crucial factor in classification.
  • Utilize color systems: red, yellow, and black to indicate healing status.
  • Employ specific staging for pressure ulcers to tailor treatment.
  • Wagner Ulcer classification caters to dysvascular conditions.
  • University of Texas classification focuses on diabetic conditions.
  • Often, multiple classification systems are necessary for comprehensive assessment.

Tissue Loss

  • Tissue loss informs the healing process.
  • Superficial wounds involve erosions of the epidermis.
  • Partial-thickness wounds penetrate deeper but do not reach full thickness.
  • Full-thickness wounds extend through all skin layers.
  • Healing can occur by primary intention with surgical closure or by secondary intention with natural healing.

Marion Laboratories Red, Yellow, and Black Classification System

  • This system uses color to describe wound surfaces, correlating with therapy needs.
  • Complements other classification scales effectively.

Red Classification

  • Signifies a clean, granulating wound that is in the healing process.
  • May indicate suboptimal healing conditions despite positive appearance.

Yellow Classification

  • Indicates potential infection or necrotic tissue present.
  • Highlights the need for cleaning or debridement.

Black Classification

  • Represents a necrotic or dead wound requiring urgent cleaning and debridement.

NPUAP Pressure Ulcer Staging System

  • An etiology-specific classification widely recognized for pressure ulcers.
  • Facilitates description of wound severity and structured treatment protocols.
  • Aids in selecting and reimbursing appropriate treatment products.

Wagner Ulcer Grade Classification

  • Developed for diagnosing and treating dysvascular foot issues.
  • Establishes wound depth and presence of infection across six grades (0-5).
  • Frequently utilized in assessing diabetic foot ulcers clinically.

Wagner Grade 0

  • Involves preulcerative lesions, healed ulcers, or existing bony deformities.

Wagner Grade 1

  • Represents superficial ulcers without involvement of subcutaneous tissue.

Wagner Grade 2

  • Characterized by full-thickness penetration through subcutaneous tissue, possibly exposing bones or joints.

Wagner Grade 3

  • Indicates infections such as osteitis, abscesses, or osteomyelitis affecting the bone.

Wagner Grade 4

  • Describes gangrene in digits.

Wagner Grade 5

  • Entails foot gangrene requiring disarticulation or amputation.

University of Texas Treatment-Based Diabetic Foot Classification System

  • Uses a grading matrix when neuropathy is present, focusing on infection and circulation status.
  • Each ulcer is assigned a numeric grade (0-III) and an alphabetical stage (A-D).
  • Essential for assessing healing risk factors and outcomes.

University of Texas Treatment A

  • Focuses on evaluating wound depth.

University of Texas Treatment B

  • Concentrates on identifying infection.

University of Texas Treatment C

  • Pertains to assessing ischemia.

University of Texas Treatment D

  • Combines evaluations of both infection and ischemia.

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