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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]
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  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]
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  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]
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