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Printable Wound Care Documentation Forms Free 2017 Kestrel Health Information Inc Visit www woundsource guides Wound Assessment and Documentation Practical Guidance for Health Care Professionals 1

Without a thorough wound assessment you will be unable to formulate a plan of care gauge the progress of healing and judge whether your current wound care therapy is effective Wound assessment is informed when we perform a wound assessment we are guided by observation questioning physical examination and clinical investigation in order Overall documentation should record the following elements 5 Wound etiology or cause pressure venous arterial surgical etc Wound odor strong foul pungent etc Wound location described with proper anatomical terms Thickness characteristics for nonpressure wounds

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Information contained in the WOCN Public Library has been developed and researched by leaders in the field of WOC care and often undergo an extensive content validation process to secure best practice standards Document library publications are only accessible to members Login to your membership portal to access all publications Wound Care Product Guide for complete information about our advanced skin and wound care solutions 7 8 Tab Front Placeholder Clinical Support Accurate Documentation Document according to agency or facility policy and procedure so progress to goals can be determined Accurately document findings See Page 58

The principles of effective wound care Caring for a person with a wound must be based on a complete assessment of the resident and the wound considering both intrinsic and extrinsic factors Consider these five principles when planning wound care 9 1 2 3 Is the tissue necrotic Yes Debridement is in order Determine which method is This resource provides information and images to assist clinicians in properly measuring and documenting wounds Wound Measurement and Documentation Guide

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Here are a few wound care documentation samples and tips to ensure your team is documenting wounds effectively 1 Measure Consistently Use the body as a clock when documenting the length width and depth of a wound using the linear method In all instances of the linear or clock method the head is at 12 00 and the feet are at 6 00 Physicians MD DO Physician Assistants PA and External Wound Care Consultants Policy Content Considerations Guidance on evaluation and documentation of wounds and wound care plans including requirement that wounds be evaluated at least every 7 days Types of personal protective equipment PPE recommended for each type of wound

Linda Berti Hearn MSN CWOCN 245 A 2018 retrospective analysis of Medicare patients found 8 2 million people had wounds with or without infection Medi care cost estimates to treat wounds ranged from 28 1 billion to 96 8 billion Sen 2019 Many of these patients required wound care in their homes Download Free Version PDF format Download Editable Version for 3 99 Word format Download the entire collection for only 99 What s the difference My safe download promise Downloads are subject to this site s term of use Downloaded 17 500 times 53 most popular download this week

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https://www.woundsource.com/sites/default/files/whitepapers/wound_assessment_and_documentation.pdf
2017 Kestrel Health Information Inc Visit www woundsource guides Wound Assessment and Documentation Practical Guidance for Health Care Professionals 1

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Without a thorough wound assessment you will be unable to formulate a plan of care gauge the progress of healing and judge whether your current wound care therapy is effective Wound assessment is informed when we perform a wound assessment we are guided by observation questioning physical examination and clinical investigation in order


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