Types of Patients, Wounds, and where and how treat.

2. Pressure Ulcers

3. Neuropathic Ulcers

4. Venous Ulcers

7. Applying hydrogen peroxide

8. Use a semi permeable dressing to cover the wound.

9. Importantly for the patients benefit is to keep the wound moist until it has healedGenerally some forms of treatment may be applied towards the patient at a PT facility but mostly treating abrasions is done by the patient as more of a home remedy. Depending on the severity of the wound, the patient may seek the assistance of a physician in treating the wound.

11. Who have problems controlling their bowel or bladder functions.

13. Patients with Neuropathic Ulcers Neuropathic ulcers is damages along the nerve fibers. Mostly patients with diabetes develop this disorder. Generally patients with neuropathic ulcers lose the ability to feel pain and other sensations. Generally this disorder can be found along the bottom of a diabetics foot.

14. Where and How to Treat for Neuropathic Ulcers Replacing shoes that are too tight will relieve pressure Removing the callus regularly will also relieve pressure. This is done by a podiatrist. It is better for healing if the wound is kept moist under a foam dressing which protects the ulcer from further trauma and yet allows oxygen to get through. wearing an Orthowedge designed to reduce pressure at the front of the foot where most of the neuropathic ulcers are situated. Treatment for Neuropathic Ulcers can be sought out by podiatrist, diabetes educator and an accredited practising dietitian.

15. Patients with Venous Ulcers Venous ulcers is a shallow wound that develops when the veins do not allow blood back toward the heart normally. This disorder mostly occurs with patients with severe obesity, women in pregnancy and patients with a blood disorder.

16. Venous Ulcers, Where and How to Treat Wound care center Treatment The main thing of treatment for this ulcer is external compression to improve blood flow and decrease edema. Compression stocking is the appropriate attire to use for good compression. Compression stocking should be worn during daytime hours when the patient is upright. At night during sleep, the legs should be elevated so stocking don’t need to be worn. Debridment is another way of treating venous ulcers. Debridement is the removal of dead, diseased or infected tissue from the wound bed to improve the potential for healthy tissue to heal If you or someone you know think they have venous ulcers, the following below are a few wound care centers that can help assist in the care for this particular wounds. http://www.northshorelij.com/body.cfm?ID=3917 http://www.svcmc.org/body.cfm?id=337 http://www.bchs.com/bayshore_wound_care_center.htm

17. Patients with developed adhesions Adhesions is a dead fibrotic tissue that forms mostly in muscles, tendons, ligaments, fascia, and joints Generally the types of patients seen with adhesions are patients with serious injuries around the joints. Also patients after surgery will develop adhesions like a patient recovering from post surgery of a torn achilles tendon.

18. Where and How to Treat Adhesions Treatments for adhesions includes message therapy and certain modalities such as ultrasound Using firm, deep strokes and moving in the direction of the muscle fiber is an affective way of breaking up scar tissue. Ultra-sound is used to heat the injured area hot but the heat doesn't help to remove scar tissue. But the heat from the ultra-sound can make the scar tissue more pliable, massaging with deep cross fiber friction will do that. Treatment for adhesions can be done by the person themselves and to some extent performed by a physical therapist. A professional physical therapist who specialize in advance massage techniques may be the best option.

19. Work Cited "Treating Skin Abrasions." Sports Medicine, Sports Performance, Sports Injury - Information About Sports Injuries and Workouts for Athletes. Web. 21 July 2009. <http://sportsmedicine.about.com/b/2007/08/01/treating-skin-abrasions.htm>. "Pressure Ulcers." Cleveland Clinic -- Home. Web. 21 July 2009. <http://my.clevelandclinic.org/disorders/pressure_ulcers/hic_pressure_ulcers.aspx>. Scar Tissue Therapy. Silna, 2001. Web. 21 July 2009. <http://www.scartissuetherapy.com/>. Sorensen, L. "Neuropathy." Royal Prince Alfred Hospital - Diabetes Centre. Web. 21 July 2009. <http://www.diabetes.usyd.edu.au/foot/Neurop1.html>. "Wound Healing, Venous Ulcer." Columbia University Department of Surgery. Web. 21 July 2009. <http://www.columbiasurgery.org/cli/wound/venous_ulcer.html>.