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Wound Assessment form Date:Patient Name:Patient ID:PatientWound descriptionAge: yearsWound type:Weight: kgsDuration of wound:Gender:Male FemalePrevious treatments:Nutrition status:Well nourishedMalnourishedMobility.

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How to fill out the Wound Description online

Filling out the Wound Description form online is essential for effective wound management and documentation. This guide provides a clear, step-by-step process to help users accurately complete the form, ensuring all necessary information is captured.

Follow the steps to accurately complete the Wound Description form.

  1. Click ‘Get Form’ button to access the Wound Description form and open it in an appropriate online editor.
  2. Begin by entering the patient’s name and identification details in the designated fields, ensuring accuracy for proper patient recognition.
  3. Provide information about the age and weight of the patient, selecting appropriate units (years and kgs) to maintain clarity.
  4. Specify the wound type by selecting from the provided options. This aids in categorizing the wound correctly for treatment purposes.
  5. Document the duration of the wound by indicating how long it has been present.
  6. Indicate the gender of the patient by selecting the appropriate option, ensuring accurate demographic categorization.
  7. Describe any previous treatments received for the wound, providing context for ongoing management.
  8. Assess and document the nutrition status of the patient, marking whether they are well-nourished or malnourished.
  9. Note the mobility status of the patient, indicating whether they have good or bad mobility, as this can affect wound care strategies.
  10. Address smoking status by selecting 'Yes' or 'No', as smoking can influence wound healing.
  11. Measure and enter the wound's size, including length, width, and depth in millimeters to ensure precise documentation.
  12. Circle the wound location on the provided diagram, which helps to clarify the specific area impacted.
  13. If applicable, indicate the average number of alcohol units consumed weekly by the patient.
  14. List any co-morbidities that the patient may have, as these can affect treatment decisions.
  15. Assess and document the pain level the patient is experiencing, using a defined scale that corresponds to zero to three levels of pain.
  16. If medications are being taken by the patient, provide a list under the medications section.
  17. Record the Ankle-Brachial Pressure Index (ABPI) if applicable, detailing the result using the provided scale.
  18. Detail the tissue type and level of exudate by choosing from the given options to guide treatment.
  19. Assess the wound edge and periwound skin for specific conditions like necrosis or maceration, marking these appropriately on the form.
  20. Conclude by outlining management goals and treatment plans based on the evaluations made, ensuring to include objectives for the next visit.
  21. Finally, save any changes made to the form, and utilize options to download, print, or share the completed document as necessary.

Complete your Wound Description form online today for effective wound management.

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Related links form

Form Vec B 31 Ride Royal Blue - State Of Tennessee - Tennessee TENNESSEE DEPARTMENT OF HEALTH WIC/SENIORS - Tennessee Bims Assessment Form - Mybooklibrary.Com - Do-cu-cu.com

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Definition/Introduction Class 1 wounds are considered to be clean. They are uninfected, no inflammation is present, and are primarily closed. ... Class 2 wounds are considered to be clean-contaminated. ... Class 3 wounds are considered to be contaminated. ... Class 4 wounds are considered to be dirty-infected.

Wound Assessment Epithelial tissue: Appears pink or pearly white and wrinkles when touched. ... Granulating tissue: Appears red and moist. ... Slough tissue: Appears yellow, brown or grey. ... Necrotic tissue: Appears hard, dry and black. ... Hyper granulating tissue: Appears red, uneven or granular.

What Should Be Considered for Wound Documentation? Wound etiology or cause (pressure, venous, arterial, surgical, etc.) Wound odor (strong, foul, pungent, etc.) Wound location, described with proper anatomical terms. Thickness characteristics for nonpressure wounds.

Use the body as a clock when documenting the length, width, and depth of a wound using the linear method. In all instances of the linear (or clock) method, the head is at 12:00 and the feet are at 6:00. When measuring length, the ruler will be placed between the longest portion of the wound between 12:00 and 6:00.

Wounds should be described by length by width, with the length of the wound based on the head-to-toe axis. The width of a wound should be measured from side to side laterally. If a wound is deep, the deepest point of the wound should be measured to the wound surface using a sterile, cotton-tipped applicator.

Documentation in wound care A wound assessment must be made and accurately recorded at every dressing change: the size of the wound, its depth, colour and shape, as well as the condition of surrounding skin, should all be documented.

Wounds should be described by length by width, with the length of the wound based on the head-to-toe axis. The width of a wound should be measured from side to side laterally. If a wound is deep, the deepest point of the wound should be measured to the wound surface using a sterile, cotton-tipped applicator.

Wound Assessment Epithelial tissue: Appears pink or pearly white and wrinkles when touched. ... Granulating tissue: Appears red and moist. ... Slough tissue: Appears yellow, brown or grey. ... Necrotic tissue: Appears hard, dry and black. ... Hyper granulating tissue: Appears red, uneven or granular.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Your Privacy Choices
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Help Portal
Legal Resources
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
altaFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232