Wound Care: Assessment and Measurement

Presented by Carrie Adkins and Clinical Procedure Manual Review Board

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Video Runtime: 6 Minutes

Assessing and measuring wounds is vital for the care and treatment of patients with wounds in the home care setting. By assessing a wound and its characteristics, you can determine proper treatment and organize a plan of care for the patient. Having a proper wound assessment is important not only for the patient’s care but also to enable fellow nurses to read the documentation of the previous home health visits for a clear picture of wound status. In addition, accurate wound assessment is important for the OASIS assessment that contributes to reimbursement for a home health agency.

In this training, we’ll review the equipment and procedures for assessing and measuring a wound.

This course was reviewed by Danielle Pierotti, RN, PhD, CENP, to ensure the content meets current professional guidelines and best evidence-based practices.

Meet your instructors

Carrie Adkins

Carrie is currently working as a care manager II wound care nurse for myNEXUS. At myNEXUS, she helps home health agencies with their authorizations for wound and ostomy skilled nursing visits, ensuring that patients are receiving proper and appropriate wound and ostomy care. Prior to working at myNEXUS, she had been an RN in…

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Clinical Procedure Manual Review Board

The MedBridge Clinical Procedure Manual Review Board ensures the development and maintenance of up-to-date and evidence-based clinical procedures. The review board is composed of leading nurse experts in the field: Danielle Pierotti, RN, PhD, CENP, and Margherita Labson, RN, BSN, MSHSA. The review board is involved in…

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Chapters & learning objectives

1. Introduction

This chapter includes an introduction to wound assessment and measurement, information on all of the equipment needed to assess and measure wounds, and recommended infection control policies.

2. Procedure: Wound Assessment and Measurement

This chapter will provide a step-by-step procedure guide and video demonstration of wound assessment and measurement.

3. Pressure Injury

This chapter includes a table that identifies pressure injuries and the stages into which they are classified. It is followed by learning assessment questions related to the content covered in the table.

4. Venous and Arterial Ulcers

This chapter includes a table that explains the different characteristics of venous, arterial, and neuropathic ulcers. It is followed by learning assessment questions related to the content covered in the table.

5. Tissue Wounds

This chapter includes a table that describes each type of wound tissue. It is followed by learning assessment questions related to the content covered in the table.

6. Tips/Precautions/FAQ

This chapter provides tips and considerations for performing these skills in the home. It will also cover related procedures and frequently asked questions.

7. Documentation Guidelines

This chapter provides recommendations on what to note when documenting for patients receiving wound care.

8. Conclusion

This chapter includes learning assessment questions to assess the learner's knowledge of skills covered in this course. A bibliography of referenced material is also included.