wound care
Diseases Process
Patient was instructed on how to prevent pressure ulcer. A proper skin care is crucial and involves inspecting skin daily and an individualized bathing schedule, using warm (not hot) water and mild soap. Avoid massage over bony prominences and use lubricants if skin is dry.
Instructed patient consider nutritional supplementation/support for nutritionally
consistent with overall goals of care.
Instructed patient reposition bed-bound persons at least every two hours and chair-bound persons every hour consistent
with overall goals of 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 factors that contribute to poor skin integrity such as immobilization, poor circulation, moisture, heat, anemia, shearing forces, poor nutritional status.
Instructed in factors that affect healing, such as, age, disease, nutrition, and infection.
Instructed in proper disposal of soiled dressing materials in biohazardous waste container provided.
Instructed to keep dressing clean and dry to prevent growth of bacteria.
Patient was instructed on traumatic wounds. Open wounds may be left heal
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