Non-Healing Wounds

Surgery

Assumptions

Students will review and understand the fundamental principles of wound healing and the physiologic sequelae of diabetes and malnutrition.

Knowledge Objectives

Through their reading and patient care experiences, at the end of the rotation students should be able to:

Define "non-healing".
Discuss a differential diagnosis, evaluation, and treatment of a patient with:
non-healing lower extremity wound
non-healing wound of the torso, or body area other than the lower extremity
Describe the pathophysiology involved for each of the diagnostic possibilities.
Consider: pressure, ischemia, infection, malignancy, and foreign body
Discuss the prevention of non-healing wounds including measures both physicians and patients can do.
Discuss the issues of prevention especially related to the diabetic and the patient with venous insufficiency.
Identify patients at risk for pressure sores.