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Assessment and Documentation

  • Includes an extensive list of intrinsic and extrinsic factors that impair wound healing
  • Discusses wound assessment and characteristics
  • Provides a tabulated summary of how to determine wound size and the stages of wounds
  • Includes suggestions for linking comprehensive wound assessment and long-term wound management
  • Chapter comprises a relevant case study in diabetes detection resulting from wound assessment

The cornerstones of wound management are sound assessment and accurate documentation (Banks 1998). If nurses are to plan and deliver high-quality care, they require knowledge of the factors that affect wound healing and an understanding of the common terminology associated with wound characteristics. This chapter explores wound assessment methods and the use of consistent terminology that facilitates reliable documentation and communication.

Contents include

  • Principles of wound management
  • Factors impairing healing
  • Old dressings
  • Methods of wound assessment
    • Written documentation
    • Tracings
    • Photography
  • Wound characteristics
    • Wound size
    • Depth or stage
    • Tissue types
    • Exudate
    • Odour
    • Surrounding skin
    • Skin eruptions
  • Linking assessment to practice
    • Long-term objectives
    • Short-term objectives
  • Introduction of a wound-assessment chart
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Author / Editor Biographies

Nurse Practitioner Wound Management
Sue Templeton works as the Nurse Practitioner: wound management for RDNS SA. Sue has worked in wound management since 1987 and has extensive clinical experience managing a variety of acute and chronic wounds. Sue provides clinical consultancy services, develops and delivers wound management education, and is involved in the development of wound management tools, policies, and procedures. Sue has been involved in AWMA/Wounds Australia at a national and local level for a number of years. Sue has undertaken clinical research and published and presented locally, nationally, and internationally. Su...

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