Wound Assessment

Holly Hovan's picture
comparison

By Holly Hovan MSN, APRN, CWOCN-AP

As wound care clinicians, we are aware that part of the process of consulting requires a comprehensive wound assessment, looking at wound characteristics, causative factors, and drainage. As I've previously mentioned, we've all heard the term, "a dry cell is a dead cell." However, not all wounds are dry.

Janet Wolfson's picture
compression therapy for lymphedema

By Janet Wolfson PT, CLWT, CWS, CLT-LANA

The intersection of wounds and lymphedema has been on my mind this week as challenging patients and a new reduction garment cross my dual specialty life.

Cheryl Carver's picture
pressure-injuries

By Cheryl Carver LPN, WCC, CWCA, CWCP, FACCWS, DAPWCA, CLTC

Incorrect staging of pressure injuries can cause many types of repercussions. Incorrect documentation can also be worse than no documentation. Pressure injuries and staging mistakes are avoidable, so educating clinicians how to stage with confidence is the goal.

Janet Wolfson's picture
delayed wound healing

by Janet Wolfson PT, CLWT, CWS, CLT-LANA

Delayed wound healing: how did it start, what are we doing to prevent delay, and what could we be doing differently when delay is noted?

If you have worked in wound care a long time, there are those wounds we recall that were a real puzzle. Why wouldn't they heal when we were doing everything right? Sometimes it is as simple as finding out that the client has been sleeping in a recliner instead of a bed, in which case edema and sacral wounds will suffer. Or perhaps that the patient has resumed smoking now that their mobility allowed getting outdoors.

Martin Vera's picture
barriers to wound healing

by Martin D. Vera, LVN, CWS

It is critical to understand the phases of wound healing, layers of the skin, and how wounds heal, as well as the different types of tissues present on wounds. We learn to understand the importance of the SWAT team (skin, wound, assessment team) and that this is not a one man or woman job. There is no single "super wound clinician" that can do all this by themselves – without a great team behind them or the support of MDs, DPMs, therapists, the patient, CNAs, family members, environmental team, and basically anyone who comes in contact with the patient.

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Aletha Tippett MD's picture
arterial and vascular disease

by Aletha Tippett MD

This week I saw a patient with terminal peripheral vascular disease (PVD). Seeing him reminded me of how often the severity of this disease is misunderstood. He had had amputation of the toes on his right foot due to gangrene

Terri Kolenich's picture
long-term care facility pressure injury staging at admission

by Terri Kolenich, RN, CWCA, AAPWCA

Question: What are Quality Measures, how does my long-term care facility measure up, and how can we improve?

Answer: Proper pressure injury staging on admission, that's how!

WoundSource Editors's picture
signs of wound infection

by the WoundSource Editors

A break in the skin through injury or surgery allows bacteria to enter the body and begin to multiply. Recognizing the first signs of wound infection enables health care professionals to swiftly intervene with treatment. Here are some of the primary signs of wound infection:

Martin Vera's picture
wound healing and wound bed preparation

by Martin D. Vera, LVN, CWS

Wound bed preparation has become the gold standard model for proper wound assessment. It allows us clinicians to identify and breakdown local barriers to wound healing. Throughout our health care careers, we have seen it over and over again: the collective emphasis on standards of care, evidence-based practice, and cost-effectiveness in order to achieve positive outcomes for our patients.The wound bed preparation model supports all of these aspects of care delivery.

Cheryl Carver's picture
Stage 1 Pressure Injury - Darkly Pigmented Skin

by Cheryl Carver, LPN, WCC, CWCA, FACCWS, DAPWCA, CLTC

I have worked all over the country as an educator. The same gaps in education arise everywhere. A few years ago, I began teaching skin color awareness as part of my course curriculum. I feel strongly about it being a part of my inservices and course education. Understanding skin color as it relates to assessment is critical in the prevention of pressure injuries.

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