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?