Wound Care: The Basics
Wound Care: The Basics
Suzann Williams-Rosenthal, RN, MSN, WOC, GNP Norma Branham, RN, MSN, WOC, GNP
University of Virginia May, 2010
What Type of Wound is it? How long has it been there?
Acute-generally heal in a couple weeks, but can become chronic:
Surgical Trauma
Chronic-do not heal by normal repair process-takes weeks to months:
Vascular-venous stasis, arterial ulcers Pressure ulcers Diabetic foot ulcers (neuropathic)
Chronic Wounds
Pressure Ulcer Staging
Where is it?
Where is it located?
Use anatomical location-heel, ankle, sacrum, coccyx, etc.
Measurements-in centimeters
Length X Width X Depth
? Length = greatest length (head to toe) ? Width = greatest width (side to side) ? Depth = measure by marking the depth with a Q-
Tip and then hold to a ruler
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