Αποτελέσματα Αναζήτησης
9 Οκτ 2024 · This guide provides tips for wound assessment and documentation, including wound measurements, types of wounds, signs of abnormal wound healing, and assessment of the wound bed, wound edge, and periwound skin.
Sample Documentation of Unexpected Findings. 3 cm x 2 cm Stage 3 pressure injury on the patient’s sacrum. Wound base is dark red with yellowish-green drainage present. Periwound skin is red, warm, and tender to palpation. Patient temperature is 36.8C. Cleansed with normal saline spray and wound culture specimen collected.
Wound assessment requires a multifaceted approach; this guide includes topics ranging from patient interview questions to wound bed preparation, and assessment of wounds for signs of infection. Documentation tips are also provided to help health care providers correctly translate their patient wound assessments into complete
Wound base dark red with yellow-green drainage present. Removed 4 x 4 dressing has 5 cm diameter ring of drainage present. Periwound skin red, warm, tender to palpation. Temperature 36.8⁰ C. Dr. Smith notified of all the above. Wound culture order received.
Accurate documentation helps to improve patient safety, outcomes, and quality of care. Meticulous documentation of wound assessment and wound care requires specific information about a wound, the ongoing wound care protocol, any changes, and the patient’s responses.
23 Ιαν 2020 · It is important that practitioners understand the elements of wound assessment: how to assess a wound; which wound assessment tools are available; and how to recognize a wound that may be failing to heal.
This article will give you a good grasp of what makes effective wound care documentation, with some examples and tips to help you or your team get better at it. We would also discuss the fundamentals of wound assessment and show the difference between both.
