Phys Vivas · geriatric
Pressure Injuries and Wound Care — Viva Defence
DCE viva defence for Pressure Injuries and Wound Care.
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Study tools
Target exams
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]
References3ShowHide
- [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]McInnes E, Jammali-Blasi A, Bell-Syer SE, et al. Support surfaces for pressure ulcer prevention Cochrane Database Syst Rev, 2015.PMID 26333288
- [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