wound
Wound Care
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.
Patient was instructed on wound healing. Healing time depends on a variety of factors, such as wound size and location, pressure on the wound from walking or standing, swelling, circulation, blood glucose levels, wound care, and what is being applied to the wound. Healing may occur within weeks or require several months.
Patient was instructed on chronic wound healing. That may be compromised by coexisting underlying conditions, such as, venous valve backflow, peripheral vascular disease, uncontrolled edema and diabetes mellitus. It is important to remember that increased wound pain may be an indicator of wound complications that need treatment, and therefore practitioners may be constantly reassess the wound as well as the associated pain.
Patient is unable to perform wound care due to complexity of wound, location, size of wound, poor manual dexterity, forgetful (dementia), and knowledge deficit. No skilled/willing caregiver to perform wound care.
SN instructed patient on wound care. Keep a clean dressing on your wound, dressings keep out germs and protect the wound from injury.
They also help absorb fluid that drains from the wound and could damage the skin around it. Try to drink six to eight cups of water daily. Hydration is essential for healthy skin.
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.
Instructed patient fresh fruits and vegetables eaten daily will also supply your body with other nutrients essential to wound healing such as vitamin A, copper and zinc. It may help to supplement your diet with extra vitamin C. Keep your wound dressed. Wounds heal faster if they are kept warm. 2- Instructed patient getting more sleep can help wounds heal faster eat your vegetables, stay active, don't smoke, keep the wound clean and dressed.
Instructed in wound care as ordered by MD such as proper storage of dressing supplies, proper handwashing technique and removal of dressing, proper storage of dressing supplies, cleansing of wound as specifically ordered by MD, proper application of ointments, powders, solutions, etc, if ordered by MD, proper application of specific dressing change if ordered by MD, return demonstration of complete dressing change technique; more than one teaching may be needed.
Instructed in signs and symptoms of complications and/or deterioration of wound status such as temperature above 100 grade, increase redness, drainage, edema, increase pain, increase size of wound.
Instructed in proper handwashing before and after wound care or touching wound site to prevent spread of infection.