wound assessment

wound assessment

serial examination and documentation of all aspects of a wound, including base, walls, exudate (depth, amount and colour), relationships to underlying structures, colour, temperature and texture of surrounding tissues, subjective symptoms (e.g. pain, lack of pain), systematic symptoms and signs (Table 1)
Table 1: Features of chronic wounds (ulcers) as an aid to diagnosis
FeatureNeuropathicIschaemicInfectedHealing
BaseSloughyAdherent sloughDeep and sloughyGranulation and epithelialization
WallsUnderminedVerticalUnderminedSaucerized
DepthDeepRelatively shallowDeep and penetratingShallow
ExudateModerate/copious thickModerate serousHeavy, pus-y, bloody, malodorousScant, serous
Surrounding tissuesHeavy callosityCold, cyanoticCelluliticMild inflammation
PrognosisExtendingStatic, non-healingExtending and spreadingReducing
References in periodicals archive ?
Here are some of the wound assessment tools that are tackling the markets challenges:
Consider core clinical duties such as turning and positioning patients, ambulation, wound assessment, blood glucose monitoring, or medication administration.
The diagnosis of surgical site infection was based on Southampton wound assessment scale which was observer dependent and though observed by a single resident had some degree of observer bias.
While I had no input into the care plan I did have the privilege of being part of the group that reviewed the wound assessment processes across the Local Health District.
Wound assessment by the research nurses however showed that the staple group was significantly more likely to have a higher mean scar assessment score on the fifth day after operation.
BWAT - the Bates-Jensen Wound assessment Tool: www.
Baseline assessment of the wounds of all respondents took place using the Royal Marsden Wound Assessment Chart.
Developed by Systagenix Wound Management in collaboration with Alere, and designed to form part of routine wound assessment, the test is easy-to-use and provides results in 15 minutes at the point-of-care.
A standardized wound assessment and photography protocol was employed to evaluate pressure ulcers in a group of inpatients with SCI.
Early chapters review the epidemiology of cutaneous wounds, the biology of wound healing, and wound assessment.
For patients where there is no nurse involvement, I would carry out a wound assessment, treat and dress the wound and then possibly refer to the district nurse team for ongoing treatment if required.
5 How Wounds Happen and What Helps Them Heal 0807-026AA Accurate Wound Assessment and Care On Call 1.