Wound Assessment and Documentation

Michael Miller's picture

By Michael Miller DO, FACOS, FAPWCA


A house call to a delightful 78-year-old lady revealed a history of a hip prosthesis placed three years earlier that unfortunately had become infected. When the first surgeon could not be found (he had moved out of state just in time), his associate opened the hip, carefully lavaged out the “Root Beer Float” material (per the family, an interesting description if I ever heard one), and then closed the hip primarily.

Michael Miller's picture

By Michael Miller DO, FACOS, FAPWCA


One of the most obvious things about being a health care professional is that our goal is to help people get better. The concepts of an ill patient saying to me, "Dr. Miller, I don't want to get better or worse, can you do something to keep me in this condition?" Seems ludicrous and more, improbable. I could not imagine any health care professional being successful if patients remained in the exact same condition weeks after treatment. As I have said in previous blogs, I recognize that while there are many variations on the definition of "better", I think it's safe to say that "better" means improved in some way, shape, or form.

Thomas Serena's picture

By Thomas E. Serena MD, FACS, FACHM, FAPWCA

"Would you like that super-sized?" is a phrase made popular by the fast food giant McDonald’s. The McDonald’s marketing geniuses tapped into a sentiment that permeates the American psyche. We are convinced that bigger is better; that size can be equated with financial stability and better service. However, if there is a lesson to be learned from recent history it is bigger is not always better or even desirable.

Glenda Motta's picture

By Glenda Motta RN, MPH

Recently, I attended the WOCN Mid-Atlantic Regional conference. There, a nurse attorney discussed strategies to limit liability and improve patient care. The Maryland Patient Safety Law requires that hospitals report all Level I events to the state Office of Health Care Quality (OHCQ). The penalties for failing to meet these requirements can include revocation of the hospital’s license or a fine of $500 per day.

Aletha Tippett MD's picture

By Aletha Tippett MD

We live in an evidence-based, evidence-seeking world. We want numbers and data for everything. But in the real world we live in, day to day with our patients, what do we use for evidence?

Laurie Swezey's picture

By Laurie Swezey RN, BSN, CWOCN, CWS, FACCWS

Patient care must always be centered holistically, considering the specific problem that the patient is being treated for, as well as all other factors that may affect patient wellbeing. Wound care is no different: in addition to wound assessment and treatment, all other considerations that may impact the patient must be taken into account. Such considerations may include social, psychological, physical, nutritional, and lifestyle factors. Overlooking one of these important realms may lead to non-adherence on the part of the patient, which in turn may lead to a non-healing, chronic wound.