Malady Wise

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Wound Management

Wound Care Update / Margo Asimus

Reference:

Acute Wound Management

  • Mode of healing

  • Wound Cleansing

  • Exudate Management

  • Reassessment

Wound Healing Delay

  • Granulation tissue change

  • Bleeding / firable

  • Pain

  • Dressing trauma

  • Moisture balance

  • Infection

  • Malodour

  • Surround tissue changes

  • Scarring, itch

  • Don’t use word “chronic”

Signs

  • Thickened rolled edge = senescence

Holistic Approach

  • History

  • Disease management

  • Health team involved

  • Comprehensive assessment of related risks

Wound Assessment

  • TIME/RS

    • Tissue

    • Infection

    • Moisture

    • Edge

    • Reassessment

    • Social Impact

  • Wound size

  • Would related pain

  • Healability

  • Advanced therapy

  • Wound wellbeing