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  1. 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.

  2. 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.

  3. When the wound heals and no longer requires care, chart the date, write ‘Closed’ on the assessment form and initial the entry. The WATFS is filed in chronological date order in the flow sheet section of the chart according to the Health Authority’s Standardized Record Manual.

  4. The document provides guidelines for completing a wound assessment chart to improve wound care documentation and communication. The chart should be used to document all relevant wound information including location, type, size, healing factors, treatments, and evaluation.

  5. PUSH tool: Did you assess the wound using the PUSH Tool 3.0? This tool is to be used weekly to determine if the wound is deteriorating or progressing towards closure. Other notes: Insert any other observations or interventions related to the wound and your treatment of it, as necessary.

  6. Performing a thorough wound assessment is the first step in developing a comprehensive plan of care that includes correction of etiological factors, systemic support, and evidence-based topical therapy and management.

  7. This guide contains five tools that will assist health care professionals in performing assessment of: wound status (Bates-Jensen Wound Assessment Tool- BWAT© Pictorial Guide©), percentage of wound healing (calculation), wound-related pain (Wong-Baker Faces Pain Scale), stages of pressure ulcer injury (NPUAP Staging) and pressure sore risk (Bra...

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