Monday Memo  

Weekly update from...
Athena Forum logo

Monday, March 24, 2014
  Clinical Accuracy Spoken Here  

Wound Care: Assess and Reassess

Regular reassessments should be an integral part of wound treatment processes to gauge:

  • Progress toward healing
  • Appropriate modifications of interventions
Ongoing reassessments, which look at both the local wound and the global assessment of the patient and the environment, give clinicians important decision-making information and create a comprehensive wound history.

[Reference: Wound Care and Payments, Mod C, Treatments and Interventions]

  Excellence in Case Mgmt  

Wound Care: M.E.A.S.U.R.E.

MEASURE is a mnemonic coined to provide a conceptual framework for the development of a consistent approach to wound assessment:

M: Measure - increase or decrease in depth?

E: Exudates - increased or decreased amount?

A: Appearance - increased or decreased granulation or necrotic tissue?

S: Suffering - increase or decrease in wound-related pain?

U: Undermining - present? Increased or decreased?

R: Re-evaluation - measure regularly; document sequentially

E: Edge - presence of epithelium? Erythema? Maceration?

[Reference: Wound Care and Payments, Mod C, Treatments and Interventions]

  Improving Patient Care...  

Wound Care: Pain Prevents Healing

Assessing and managing pain are essential components of comprehensive wound care. Failure to do so will significantly impair patients' ability to heal.

Types of wound pain include:

  • Background pain is felt at rest: treating the underlying cause of background pain is likely to promote healing.
  • Breakthrough pain occurs during day-to-day activities: dressings which maintain a moist environment are less painful.
  • Procedural pain associated with wound care activities: select a dressing which minimizes pain and trauma on removal.

Due to the bio-behavioral nature of pain, pain management should engage interdisciplinary teams.

[Reference: Wound Care and Payments, Mod D, Prevention Strategies]


Tom RasmussenTom Rasmussen
Athena Forum


NEW courses in Development

» Ethics in Case Management
» Breast Cancer Care
» Improving Outcomes in ESRD



Cathy WrightCathy Wright, BSN, RN
Clinical Editor
Athena Forum




Online CE for RN, CCM & LSW
4,000 pages of clinical excellence.

Clinical Excellence® Series
» Asthma
» Behavioral Health
» Colorectal Cancer
» CV Risk: Stroke & MI
» Diabetes
» EOL & Palliative Care
» GI Disorders
» Heart Failure
» Multiple Sclerosis
» Obesity Management
» Pain Management
» Rheumatoid Arthritis
» Sepsis Care
» Women's Health
» Wound Care & Payments

CM Excellence® Series

» CM Express®
» Discharge Planning
» Hospital Revenue Cycle
» Patient Advocacy
» Population Health
» Principles of Hospital CM
» Professional Identity
» Utilization Management



Athena Forum Help Desk
Mon-Fri 9am-5pm ET

Recommend to a friend
Tom Rasmussen, Publisher

Enrollment & passwords
Janice Graham, Registrar

  Monday Memo Archives
Did you miss an issue? Need to look up a reference in a past Monday Memo? All past issues are archived for your use. Click here.

Athena Forum Salutes All Social Workers
for the Important Work you Do with America's Patients & Families

"Social Work ROCKs: Facilitating Change by Empowering the Human Spirit!"

Ellen Fink-Samnick, MSW, ACSW, LCSW, CCM, CRP
Director of Social Work Education
Athena Forum

Athena Forum, LLC awards CE for ANCC - NASW - CCMC

Athena Forum is a world wide service mark in nursing education
by the U.S. Office of Trademarks and Patents.

Copyright 2012 All rights reserved | Headquarters in Boca Raton, FL | 800-583-2506 | www.athenaforum.com