infection/1000
Wound Care
Instructed in management and control such as diet as prescribed by MD, adequate hydration 1000-2000cc 24 hours if not contraindicated, importance of high protein (meat, legumes, eggs, daily), iron and vitamin supplements if indicated.
Instructed in materials used in wound care. However, even with proper treatment, a wound infection may occur. Check the wound daily for signs of infection like increased drainage or bleeding from the wound that won’t stop with direct pressure, redness in or around the wound, foul odor or pus coming from the wound, increased swelling around the wound and ever above 101.0°F or shaking chills.
Instructed in factors that affect healing, such as, age, disease, nutrition, and infection.
Instructed in proper handwashing before and after wound care or touching wound site to prevent spread of 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.
Patient was instructed on the optimization of wound environment. Adequate nutrition and hydration, remove nonviable tissue, maintain moisture balance, protect the wound and peri-wound skin, eliminate or minimize pain, cleanse, prevent and manage infection, control odor.
Patient was instructed on eliminate or minimize pain of wound. Address the cause (remove the source if external, treat the infection or medicate based on physiological stimulus), pharmacological strategies
Patient was instructed on traumatic wounds. Contusions are caused by more extensive tissue trauma after severe blunt or blast trauma. The overlying skin may seem to be intact but later become non-viable. Extensive contusion may lead to infection.
Skilled Nurse to educate on S/S of wound deterioration or infection such as: increase pain on wound site, swelling, temperature, and discharge.