Wound Assessment and Documentation

Aletha Tippett MD's picture
periphereal vascular disease

by Aletha Tippett MD

I was recently talking to a young nursing student who told me she had had a terrible week and cried when she had to do wound care for a patient. When asked what the problem was she reported that her patient was an elderly man near death who had severe peripheral vascular disease with gangrene on both feet. He had severe pain whenever touched and she was instructed to wrap his legs with gauze and ace wraps.

Cheryl Carver's picture

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

Being an independent wound care education consultant in long-term care, I get a lot of questions regarding moisture-associated skin damage (MASD). Is it MASD or a pressure ulcer? When do I change it from MASD to pressure ulcer in my documentation?

Lydia Meyers's picture
black widow spider

by Lydia A. Meyers RN, MSN, CWCN

In the times that I have worked with amazing hospitals and doctors, I have learned and gathered information on the differences between two types of necrotizing infections that happen in the world of wound care. Necrotizing fasciitis (NF) and spider bites can present as similar in nature and need immediate intervention.

Samantha Kuplicki's picture
Pain

by Samantha Kuplicki, MSN, APRN-CNS, ACNS-BC, CWS, CWCN, CFCN

The Patient Assessment

You've been asked to evaluate a patient for negative pressure wound therapy (NPWT). It turns out they're a perfect candidate, so you start the process to have the unit placed immediately! The order is entered into the EHR for the recommended settings, and the initial dressing application is scheduled.

Aletha Tippett MD's picture
Braden Scale

by Aletha Tippett MD

I was recently asked to speak on best practices for prevention of pressure ulcers for a group of state surveyors. This is an excellent subject and here is how I would address it: