Documentation

• Why is accurate documentation of wound characteristics essential?

  For effective wound management
• What key aspects should be documented about a wound?

  Location, size, appearance, and exudate type
• What types of tissue may be found in the wound bed?

  Granulation tissue, slough, or necrotic tissue
• What types of exudate can be present in a wound?

  Serous, purulent, or sanguineous
• How does detailed documentation assist in wound management?

  It helps track healing progress and guides treatment
• What client data should be documented during wound assessment?

  Pain, length, location, direction, and drainage
• What does 'healing by primary intention' refer to?

  Wound healing with minimal tissue loss
• What is the purpose of approximating wound edges?

  To promote healing and reduce scarring
• What is the significance of documenting drainage characteristics?

  It indicates the wound's healing status
• What does the term 'periwound' refer to?

  The area surrounding the wound
• What solution is used to cleanse the wound?

  Sterile 0.9% NaCl
• How is the wound redressed after cleansing?

  With 2 pieces of 4x4 gauze and an abdominal pad
• What is used to secure the wound dressing?

  Paper tape
• What are the steps involved in wound assessment and management?

  • Document wound characteristics: location, size, appearance, exudate
  • Assess client data: pain, length, direction, drainage
  • Cleanse wound with sterile 0.9% NaCl
  • Redress with gauze and abdominal pad
  • Secure with paper tape