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The goal of wound management is primarily restoration of function, which requires minimizing risk of infection and repair of injured tissue with a minimum of cosmetic deformity.
Wound Assessment
B. Assess Peri-wound Area 1. Do neurovascular examination 2. Evaluate and document the following findings in the periwound area: Edema, localized swelling Erythema, cyanosis, pallor, discoloration Induration Tenderness Temperature-warmth/coolness Eschar Necrosis-wet. Dry Rashes
Wound Assessment
C. Assess the Wound Area 1. Evaluate following findings: Callous, Hypertrophic skin, Maceration, Necrosis, Tracts, fissures, Undermining Invagination/Evagination ,Re-epithelialization 2. Evaluated wound base: Clot/bleeding ,Granulation tissue, Fibrous tissue,Vital structures (tendon, nerve, muscle, blood vessels, bone, peritoneum, fascial sheaths, joint capsule, cartilage, ect.), Foreign Bodies (glass, suture, clips),Odor,Pus, drainage, discharge, Tunneling, cavities, fistulas
Wound Assessment
3. Measure and Record Wound Size: Length, Width, Depth, Location of tracts, tunneling, Length and diameter of tracts, Acquire Photographs and Wound Tracings at least weekly
Wound Assessment