Instructed in wound care per MD order using aseptics technique.
Instructed in refusal to observe wound care or participate with care if they feel unable/uncomfortable with this procedure.
Patient was instructed on adequate nutrition and hydration to minimize wound development. Encourage protein, calorie-dense foods and fluids (unless contraindicated), monitor intake, weight and skin turgor, assess and address impairments in dentition and swallowing.
Patient was instructed on factors that contribute in chronic wounds as repeated trauma. Repeated physical trauma plays a role in chronic wound formation by continually initiating the inflammatory cascade. The trauma occurs by accident, for example when a leg is repeatedly bumped against a wheelchair rest, or it may be due to intentional acts.
Instructed caregiver that treatment includes proper positioning, always avoid placing any weight
or pressure on the wound site.
SN instructed patient on wound care. The patient should be sure to have a well-balanced diet. This include protein, vitamins and iron. Note: using a blender or
chopping food does not change the nutritional value of the food.
SN instructed patient to eat a balanced diet and drink fluids, eat protein like red and white meat, eggs, beans and take vitamins from vegetables/fruits , to promote wound healing.
Instructed in factors that affect healing, such as, age, disease, nutrition, and infection.
Patient was instructed on traumatic wounds. Abrasions are superficial epithelial wounds cause by frictional scarping forces. When extensive, they may be associated with fluid loss. Such wounds should be cleansed to minimize the risk of infection, and superficial foreign bodies should be removed to avoid unsightly
Patient was instructed on the risk and factors that contribute to the development of pressure ulcers, such as malnutrition, dehydration, impaired mobility, chronic conditions, impaired sensation, infection, advance age and pressure ulcer present.