Wound Care Update / Margo Asimus

Reference:

• Wound Planning Process PDF

• Video Link Vimeo

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