|
Wound #1
|
Type of Wound
|
|
Wound #1
|
Wound Bed Appearance
• • •
|
|
|
Percentage of Wound bed
|
|
Wound Location
|
Wound Edges
• • •
|
|
Wound Dimensions (LxWxD)
|
Exudate Amount
• • •
|
|
Surface Area cm2
|
Type of Drainage
|
|
Wound depth
|
Odor after Clensing
|
|
Undermining
|
Periwound
• • •
|
|
Undermining location
|
Induration
|
|
Depth of Undermining
|
Edema
|
|
Tunnelling
|
Per-wound skin temperature
|
|
Location of Tunneling
|
Concern for infection
|
|
Depth of Tunneling
|
Goal
|
|
New Free Draw
|
New Free Draw
|
|
|
healing
|
|
Wound # 2
|
|
|
|
Type of Wound
|
|
Wound #2
|
Wound Bed Appearance
• • •
|
|
Percentage of Wound bed
|
Wound Location
|
|
Wound Edges
• • •
|
Wound Dimensions (LxWxD)
|
|
Exudate Amount
• • •
|
Surface Area cm2
|
|
Type of Drainage
|
Wound depth
|
|
Odor after Clensing
|
Undermining
|
|
Periwound
• • •
|
Undermining location
|
|
Induration
|
Depth of Undermining
|
|
Edema
|
Tunnelling
|
|
Per-wound skin temperature
|
Location of Tunneling
|
|
Concern for infection
|
Depth of Tunneling
|
|
Goal
|
healing
|
|
New Free Draw
|
New Free Draw
|
|
wound # 3
|
|
|
|
Type of Wound
|
|
wound #
|
Wound Bed Appearance
• • •
|
|
Percentage of Wound bed
|
Wound Location
|
|
Wound Edges
• • •
|
Wound Dimensions (LxWxD)
|
|
Exudate Amount
• • •
|
Surface Area cm2
|
|
Type of Drainage
|
Wound depth
|
|
Odor after Clensing
|
Undermining
|
|
Periwound
• • •
|
Undermining location
|
|
Induration
|
Depth of Undermining
|
|
Edema
|
Tunnelling
|
|
Per-wound skin temperature
|
Location of Tunneling
|
|
Concern for infection
|
Depth of Tunneling
|
|
Goal
|
healing
|
|
New Free Draw
|
New Free Draw
|
|
Wound # 4
|
Type of Wound
|
|
Wound #
|
Wound Bed Appearance
• • •
|
|
Percentage of Wound bed
|
Wound Location
|
|
Wound Edges
• • •
|
Wound Dimensions (LxWxD)
|
|
Exudate Amount
• • •
|
Surface Area cm2
|
|
Type of Drainage
|
Wound depth
|
|
Odor after Clensing
|
Undermining
|
|
Periwound
• • •
|
Undermining location
|
|
Induration
|
Depth of Undermining
|
|
Edema
|
Tunnelling
|
|
Per-wound skin temperature
|
Location of Tunneling
|
|
Concern for infection
|
Depth of Tunneling
|
|
Goal
|
healing
|
|
New Free Draw
|
New Free Draw
|
|
Wound # 5
|
|
|
|
Type of Wound
|
|
Wound #
|
Wound Bed Appearance
• • •
|
|
Percentage of Wound bed
|
Wound Location
|
|
Wound Edges
• • •
|
Wound Dimensions (LxWxD)
|
|
Exudate Amount
• • •
|
Surface Area cm2
|
|
Type of Drainage
|
Wound depth
|
|
Odor after Clensing
|
Undermining
|
|
Periwound
• • •
|
Undermining location
|
|
Induration
|
Depth of Undermining
|
|
Edema
|
Tunnelling
|
|
Per-wound skin temperature
|
Location of Tunneling
|
|
Concern for infection
|
Depth of Tunneling
|
|
Goal
|
healing
|
|
New Free Draw
|
New Free Draw
|
|
Wound # 6
|
Type of Wound
|
|
Wound #
|
Wound Bed Appearance
• • •
|
|
Percentage of Wound bed
|
Wound Location
|
|
Wound Edges
• • •
|
Wound Dimensions (LxWxD)
|
|
Exudate Amount
• • •
|
Surface Area cm2
|
|
Type of Drainage
|
Wound depth
|
|
Odor after Clensing
|
Undermining
|
|
Periwound
• • •
|
Undermining location
|
|
Induration
|
Depth of Undermining
|
|
Edema
|
Tunnelling
|
|
Per-wound skin temperature
|
Location of Tunneling
|
|
Concern for infection
|
Depth of Tunneling
|
|
Goal
|
healing
|
|
New Free Draw
|
New Free Draw
|
|
wound # 7
|
Type of Wound
|
|
wound #
|
Wound Bed Appearance
• • •
|
|
Percentage of Wound bed
|
Wound Location
|
|
Wound Edges
• • •
|
Wound Dimensions (LxWxD)
|
|
Exudate Amount
• • •
|
Surface Area cm2
|
|
Type of Drainage
|
Wound depth
|
|
Odor after Clensing
|
Undermining
|
|
Periwound
• • •
|
Undermining location
|
|
Induration
|
Depth of Undermining
|
|
Edema
|
Tunnelling
|
|
Per-wound skin temperature
|
Location of Tunneling
|
|
Concern for infection
|
Depth of Tunneling
|
|
Goal
|
healing
|
|
New Free Draw
|
New Free Draw
|
|
Wound # 8
|
Type of Wound
|
|
Wound #
|
Wound Bed Appearance
• • •
|
|
Percentage of Wound bed
|
Wound Location
|
|
Wound Edges
• • •
|
Wound Dimensions (LxWxD)
|
|
Exudate Amount
• • •
|
Surface Area cm2
|
|
Type of Drainage
|
Wound depth
|
|
Odor after Clensing
|
Undermining
|
|
Periwound
• • •
|
Undermining location
|
|
Induration
|
Depth of Undermining
|
|
Edema
|
Tunnelling
|
|
Per-wound skin temperature
|
Location of Tunneling
|
|
Concern for infection
|
Depth of Tunneling
|
|
Goal
|
healing
|
|
New Free Draw
|
New Free Draw
|
|
Wound # 9
|
|
|
|
Type of Wound
|
|
Wound #
|
Wound Bed Appearance
• • •
|
|
Percentage of Wound bed
|
Wound Location
|
|
Wound Edges
• • •
|
Wound Dimensions (LxWxD)
|
|
Exudate Amount
• • •
|
Surface Area cm2
|
|
Type of Drainage
|
Wound depth
|
|
Odor after Clensing
|
Undermining
|
|
Periwound
• • •
|
Undermining location
|
|
Induration
|
Depth of Undermining
|
|
Edema
|
Tunnelling
|
|
Per-wound skin temperature
|
Location of Tunneling
|
|
Concern for infection
|
Depth of Tunneling
|
|
Goal
|
healing
|
|
New Free Draw
|
New Free Draw
|
|
Wound # 10
|
Type of Wound
|
|
Wound #
|
Wound Bed Appearance
• • •
|
|
Percentage of Wound bed
|
Wound Location
|
|
Wound Edges
• • •
|
Wound Dimensions (LxWxD)
|
|
Exudate Amount
• • •
|
Surface Area cm2
|
|
Type of Drainage
|
Wound depth
|
|
Odor after Clensing
|
Undermining
|
|
Periwound
• • •
|
Undermining location
|
|
Induration
|
Depth of Undermining
|
|
Edema
|
Tunnelling
|
|
Per-wound skin temperature
|
Location of Tunneling
|
|
Concern for infection
|
Depth of Tunneling
|
|
Goal
|
healing
|
|
New Free Draw
|
New Free Draw
|
|
wound #11
|
Type of Wound
|
|
wound #
|
Wound Bed Appearance
• • •
|
|
Percentage of Wound bed
|
Wound Location
|
|
Wound Edges
• • •
|
Wound Dimensions (LxWxD)
|
|
Exudate Amount
• • •
|
Surface Area cm2
|
|
Type of Drainage
|
Wound depth
|
|
Odor after Clensing
|
Undermining
|
|
Periwound
• • •
|
Undermining location
|
|
Induration
|
Depth of Undermining
|
|
Edema
|
Tunnelling
|
|
Per-wound skin temperature
|
Location of Tunneling
|
|
Concern for infection
|
Depth of Tunneling
|
|
Goal
|
healing
|
|
New Free Draw
|
New Free Draw
|
|
Wound #12
|
Type of Wound
|
|
Wound #
|
Wound Bed Appearance
• • •
|
|
Percentage of Wound bed
|
Wound Location
|
|
Wound Edges
• • •
|
Wound Dimensions (LxWxD)
|
|
Exudate Amount
• • •
|
Surface Area cm2
|
|
Type of Drainage
|
Wound depth
|
|
Odor after Clensing
|
Undermining
|
|
Periwound
• • •
|
Undermining location
|
|
Induration
|
Depth of Undermining
|
|
Edema
|
Tunnelling
|
|
Per-wound skin temperature
|
Location of Tunneling
|
|
Concern for infection
|
Depth of Tunneling
|
|
Goal
|
healing
|
|
New Free Draw
|
New Free Draw
|
|
Wound # 13
|
Type of Wound
|
|
Wound #
|
Wound Bed Appearance
• • •
|
|
Percentage of Wound bed
|
Wound Location
|
|
Wound Edges
• • •
|
Wound Dimensions (LxWxD)
|
|
Exudate Amount
• • •
|
Surface Area cm2
|
|
Type of Drainage
|
Wound depth
|
|
Odor after Clensing
|
Undermining
|
|
Periwound
• • •
|
Undermining location
|
|
Induration
|
Depth of Undermining
|
|
Edema
|
Tunnelling
|
|
Per-wound skin temperature
|
Location of Tunneling
|
|
Concern for infection
|
Depth of Tunneling
|
|
Goal
|
healing
|
|
New Free Draw
|
New Free Draw
|
|
Wound # 14
|
Type of Wound
|
|
Wound #
|
Wound Bed Appearance
• • •
|
|
Percentage of Wound bed
|
Wound Location
|
|
Wound Edges
• • •
|
Wound Dimensions (LxWxD)
|
|
Exudate Amount
• • •
|
Surface Area cm2
|
|
Type of Drainage
|
Wound depth
|
|
Odor after Clensing
|
Undermining
|
|
Periwound
• • •
|
Undermining location
|
|
Induration
|
Depth of Undermining
|
|
Edema
|
Tunnelling
|
|
Per-wound skin temperature
|
Location of Tunneling
|
|
Concern for infection
|
Depth of Tunneling
|
|
Goal
|
healing
|
|
New Free Draw
|
New Free Draw
|
|
wound # 15
|
Type of Wound
|
|
wound #
|
Wound Bed Appearance
• • •
|
|
Percentage of Wound bed
|
Wound Location
|
|
Wound Edges
• • •
|
Wound Dimensions (LxWxD)
|
|
Exudate Amount
• • •
|
Surface Area cm2
|
|
Type of Drainage
|
Wound depth
|
|
Odor after Clensing
|
Undermining
|
|
Periwound
• • •
|
Undermining location
|
|
Induration
|
Depth of Undermining
|
|
Edema
|
Tunnelling
|
|
Per-wound skin temperature
|
Location of Tunneling
|
|
Concern for infection
|
Depth of Tunneling
|
|
Goal
|
healing
|
|
New Free Draw
|
New Free Draw
|
|
Wound # 16
|
Type of Wound
|
|
Wound #
|
Wound Bed Appearance
• • •
|
|
Percentage of Wound bed
|
Wound Location
|
|
Wound Edges
• • •
|
Wound Dimensions (LxWxD)
|
|
Exudate Amount
• • •
|
Surface Area cm2
|
|
Type of Drainage
|
Wound depth
|
|
Odor after Clensing
|
Undermining
|
|
Periwound
• • •
|
Undermining location
|
|
Induration
|
Depth of Undermining
|
|
Edema
|
Tunnelling
|
|
Per-wound skin temperature
|
Location of Tunneling
|
|
Concern for infection
|
Depth of Tunneling
|
|
Goal
|
healing
|
|
New Free Draw
|
New Free Draw
|
