Phys Vivas · geriatric
Pressure Injuries AND Wound Care — Viva Defence
DCE viva defence for Pressure Injuries AND Wound Care.
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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]
Short case
Counsel the patient on the plan, risks and warning symptoms in plain language. [1] [2]
References
- [1]Liu N, Liang R, Zhu J, Jia E, et al. Nutritional support for pressure injury: a bibliometric analysis of research trends Front Nutr, 2026.PMID 42466136
- [2]Gajardo AIJ, Steinert SF, de la Barra M, Neman A, et al. Efficacy and safety of conventional vs. prolonged prone positioning in ARDS patients: An evidence synthesis with meta-analysis Med Intensiva (Engl Ed), 2026.PMID 42448511
- [3]Raihane AS, Deusch GM, Liu C, Najafi B, et al. Spooky action at a distance: neuromodulation, physiologic distress signals, and limb preservation Burns Trauma, 2026.PMID 42441071
- [4]Frasier LL, Alindogan A, Hoskins N, McGinnis L, et al. Use of Digital Clinical Decision Support System Increases Adherence to Provision of Evidence-Based Interventions for Elevated Intracranial Pressure During Simulated Care of Patients with Traumatic Brain Injury Prehosp Disaster Med, 2026.PMID 42466954
- [5]Rosado-Fonseca M, Silva E, Ribeiro T, Rocha-Melo A, et al. Pedal acceleration time as a diagnostic and prognostic tool in peripheral artery disease: systematic review and meta-analysis BMC Med Imaging, 2026.PMID 42426635
- [6]Huang S, Yang M, Xu F, Huang Y, et al. The Practice Experience of ICU Nurses in Preventing Pressure Injuries: A Qualitative Meta-Synthesis J Adv Nurs, 2026.PMID 42362388
- [7]Xi Y, Yao T, Zhang C, Zhuang T Effectiveness of safety care and clinical nursing pathway in patients undergoing cardiovascular intervention: a randomized controlled trial Perioper Med (Lond), 2026.PMID 42469924
- [8]Marks FJ, Walters SJ, Sutton L, Jacques RM What statistical methods are more appropriate for predicting recruitment at the design stage of a randomised controlled trial? Trials, 2026.PMID 42469922