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Phys Vivasgeriatric

Phys Vivas · geriatric

Pressure Injuries and Wound Care — Viva Defence

DCE viva defence for Pressure Injuries and Wound Care.

1 min readVerification in progress

Target exams

FRACP DCEMRCP PACES
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Study tools

Target exams

FRACP DCEMRCP PACES
Prompt
DCE viva defence for Pressure Injuries and Wound Care.

Pressure Injuries and Wound Care Viva

Long Case Viva Defence

Opening statement

"This patient presents with a problem best framed as Pressure Injuries and Wound Care. My priorities are to identify red flags, confirm the mechanism with purposeful investigations, start a sequenced management plan, and integrate multimorbidity and follow-up." [1] [2]

Examiner questions

Q1: "What makes this urgent?" [1]

"I look for threats to airway, perfusion, neurology, metabolism, infection or bleeding, and I escalate those before elective work-up." [1] [2]

Q2: "What is your first investigation package?" [2]

"I order tests that change management now, not a scattergun panel." [1] [2]

Q3: "Walk me through treatment." [1]

"Stabilise, treat the mechanism, prevent complications, and plan monitoring." [1] [2] [3]

Q4: "What is the classic trap?" [2]

"Treating a label without confirming the discriminating mechanism, or delaying escalation." [1] [2]

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References3ShowHide
  1. [1]Kottner J, Cuddigan J, Carville K, et al. Prevention and treatment of pressure ulcers/injuries: The protocol for the second update of the international Clinical Practice Guideline 2019 J Tissue Viability, 2019.PMID 30658878
  2. [2]McInnes E, Jammali-Blasi A, Bell-Syer SE, et al. Support surfaces for pressure ulcer prevention Cochrane Database Syst Rev, 2015.PMID 26333288
  3. [3]Yap TL, Horn SD, Sharkey PD, et al. Effect of Varying Repositioning Frequency on Pressure Injury Prevention in Nursing Home Residents: TEAM-UP Trial Results Adv Skin Wound Care, 2022.PMID 35051978
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