Wound Care

Patient is unable to perform wound care due to complexity of wound, location, size of wound, poor manual dexterity, forgetful (dementia), and knowledge deficit. No skilled/willing caregiver to perform wound care.
Instructed caregiver reduce friction by making sure when lifting a patient in bed that they are 
lifted, not dragged during repositioning, prevent ulcers from occurring and can also help them from 
 getting worse .
Make sure the skin remains clean and dry. Examine the skin daily. Inspect pressure areas gently. Make sure the bed linens remain dry and free of wrinkles. Pat the skin dry, do not rub
Instructed patient reposition bed-bound persons at least every two hours and chair-bound persons every hour consistent
with overall goals of care.
Instructed patient consider nutritional supplementation/support for nutritionally 
consistent with overall goals of care.
Instructed patient all bed-bound and chair-bound persons, or those whose ability to 
reposition is impaired, to be at risk for pressure ulcers.
Instructed caregiver that treatment includes proper positioning, always avoid placing any weight or pressure on the wound site.
Skilled Nurse to educate on S/S of wound deterioration or infection such as: increase pain on wound site, swelling, temperature, and discharge.
SN advised patient to take temperature once a day before bedtime, Check for bleeding, pus, hardness, swelling, odor and any color change. If any of these are present, please let your nurse or doctor know as soon as possible. Patient verbalized understanding of instructions given.
SN instructed patient to eat a balanced diet and drink fluids, increase protein and take vitamins to promote wound healing.

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