Comprehensive Patient and Wound Assessments

Hess, Cathy Thomas

doi:10.1097/01.asw.0000558514.64758.7f

Cited by 9 publications

(24 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…4,14 The history should include the patient's medical history, pain, medications, allergies, substance use, nutrition status, and psychosocial factors (including mental health status), in addition to information about the wound (Table 2). [17][18][19][20] The Canadian Nutritional Screening Tool is a validated two-question tool that may be used to detect patients at increased nutrition risk. 21 Patient-centered interview techniques, such as the FIFE model (Feelings, Ideas, Functioning, Expectations), may also be used to elicit the patient's illness experience and goals with respect to their wound and their care plan.…”

Section: Abcdefghi Approach A: Askmentioning

confidence: 99%

ABCDEFGHI Systematic Approach to Wound Assessment and Management

Hunt

Azad

2022

Adv Skin Wound Care

View full text Add to dashboard Cite

The ABCDEFGHI approach introduces a systematic approach to wound care. It instructs the clinician to Ask pertinent questions, including those that may identify local and systemic Barriers to wound healing. After obtaining a thorough history, the clinician may proceed to Clean the wound and Do a physical examination, specifically looking for Exposed structures and Factors that will complicate the healing process. Good Healing strategies involving various dressings can then be implemented to promote healing. If necessary, a referral can be made to Involve specialists using various referral pathways. Information used to synthesize this approach was obtained through a review of national and international guidelines and Google Scholar, MEDLINE, and PubMed databases. The ABCDEFGHI approach to wound assessment and management is a simple and easy-to-follow guide that can be easily implemented into practice, thereby improving clinician confidence and competence in wound care. GENERAL PURPOSE The purpose of this continuing education article is to introduce the ABCDEFGHI approach to wound assessment and management. TARGET AUDIENCE This continuing education activity is intended for physicians, physician assistants, nurse practitioners, and nurses with an interest in skin and wound care. LEARNING OBJECTIVES/OUTCOMES After participating in this educational activity, the participant will: 1. Distinguish barriers to wound healing. 2. Summarize best practices for wound treatment strategies. 3. Explain the usefulness of complete blood count results during a wound investigation. 4. Identify a major factor to consider when deciding on a referral for wound management.

show abstract

Section: Abcdefghi Approach A: Askmentioning

confidence: 99%

ABCDEFGHI Systematic Approach to Wound Assessment and Management

Hunt

Azad

2022

Adv Skin Wound Care

View full text Add to dashboard Cite

show abstract

“…Pay attention to family history, cause of death of deceased members and chronic diseases that occur in the family. This will indicate of the presence of inherited or congenital conditions or diseases ( Hess, 2019) • Ask the patient if they have any chronic medical conditions…”

Section: • Agementioning

confidence: 99%

“…• Assess the presence or absence of pain. Any type of wound pain may indicate infection, underlying tissue destruction, neuropathy or vascular insufficiency (Hess, 2019) Ask the patient if they are experiencing any pain and does the pain affect quality of life? (NICE, 2020) recommend the use of a valid pain tool for assessment.…”

Section: Infected Greenmentioning

confidence: 99%

Assessment of wounds in adults

Mitchell

2020

Br J Nurs

View full text Add to dashboard Cite

Holistic wound assessment focusing on patients' physical and mental wellbeing is essential for effective wound treatment and management and ensuring quality patient care. Thorough, accurate and regular assessment can optimise wound healing and enhance patients' quality of life. This article discusses the stages of wound healing and some of the complications of wound healing, which inform an assessment.

show abstract

“…The management of acute and chronic wounds is challenging and there are limited specialized wound care nurses for the assessment and treatment of complex wounds. Performing comprehensive wound assessments is critical in identifying potential complications that affect wound healing and determining appropriate interventions for the patient [4,5]. The current wound assessment process is manual, relying on the nurse's expertise for accurate measurements of wound size and visual inspection of wound condition.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of a Mobile Wound Care Device for Assessment of Wounds: A Time Motion Study

Choo¹,

Low²,

Oh³

et al. 2022

J Wound Manag Res

View full text Add to dashboard Cite

Background: Comprehensive wound assessments are critical in identifying potential complications that affect wound healing and determining appropriate interventions for the patient. A wound care device (WCD) comprising a mobile device integrated with multi-spectral sensors that can capture stereoscopic and thermal images was recently introduced. A trial was conducted to assess potential productivity gains of the device.Methods: A total of 30 inpatients who required wound care were recruited and assessed via a time motion study. For every patient recruited in this study, wound measurements and documentation steps were repeated twice for a total of 55 wounds, once using the WCD and the other using a conventional manual process, with the order of assessment determined using a random group assignment generator. A t-test was used for statistical analysis.Results: The use of the WCD had a mean process time 4.86 minutes shorter than the conventional manual process (P<0.001). This constituted an increase in productivity by 44% for wound measurement, photography, and documentation. With estimated time savings of 5 minutes per patient, this amounts to 6,631 hours per year or a total of 3.42 nursing full-time equivalent savings per year based on an estimated load of 218 patients per day requiring wound care at an acute care institution in Singapore.Conclusion: The adoption of a mobile WCD has potential to improve work productivity and result in full-time equivalent savings for wound care nurses. Most importantly, the WCD could provide clinically beneficial outcomes for the patient by enhancing the management and documentation of wound care.

show abstract

Comprehensive Patient and Wound Assessments

Cited by 9 publications

References 0 publications

ABCDEFGHI Systematic Approach to Wound Assessment and Management

ABCDEFGHI Systematic Approach to Wound Assessment and Management

Assessment of wounds in adults

Evaluation of a Mobile Wound Care Device for Assessment of Wounds: A Time Motion Study

Contact Info

Product

Resources

About