Wound Assessment & Documentation posts
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Intake + Output = Big Documentation Problems

By Keisha Smith, MA, CWCMS

Inaccurate and incomplete intake and output (I&O) records pose a problem in litigation, as well as a risk to the patient who requires monitoring of fluid balance for medical reasons.  “Would you agree that the nurses did not know how to do basic arithmetic?” Of course nurses know how to add and subtract, yet I […]

Pressure Injury (Ulcer) Staging: More Real-World Answers

By Keisha Smith, MA, CWCMS

More real-world wound care questions and answers relating to pressure injury staging, including slough, debridement and skin breakdown. Can’t get enough of pressure injury staging? Neither can we. That’s why we’re excited to present even more questions and answers about this topic, based on what wound clinicians experience out in the field (versus what we […]

Real World Pressure Injuries: Staging Can Be Tricky

By Keisha Smith, MA, CWCMS

This wound care Q&A answers five of the most common questions about pressure injury staging dilemmas (that you probably didn’t learn from textbooks). In the world of wound care, just as in real life, the phrase, “Expect the unexpected” couldn’t be more appropriate. Clinicians can do everything exactly by the book, only to find that […]

Lower Extremity Ulcers: Go With the Flow

By Keisha Smith, MA, CWCMS

Imagine, if you will, the following scene: a wound care clinician is asked to weigh in on a lower extremity ulcer consultation, and upon arrival is told that it’s a pressure ulcer. So she seeks more information about blood flow: Clinician #1: Tell me about the blood flow to the lower extremity. Clinician #2: It […]

Top Wound Measurement Techniques

By Keisha Smith, MA, CWCMS

Every clinician knows that a vital part of wound care is weekly wound assessment. This, of course, tracks healing progress and provides important information that can help with treatment plans and health goals. But there is more than one measuring technique used to assess wounds, which is why it’s important to not only understand them, […]

Venous, Arterial or Mixed Ulcer…How Do I Know For Sure?

By Diana Ramirez-Ripp

Proper assessment is essential for differentiating between venous and arterial ulcers. Your patient has a lower extremity wound. You aren’t sure what exactly you are dealing with. You know you need to measure the ankle-brachial index (ABI), but as you wait for results, some of your wound assessment findings offer clues. Characteristics of Venous Ulcers […]

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